Has Overweight Become
the New Normal?
Evidence of a Generational Shift in Body Weight Norms
Working Paper 09-3
by Mary A. Burke, Frank Heiland, and Carl Nadler
We test for differences across the two most recent
NHANES survey periods (1988–1994 and 1999–2004)
in self-perception of weight status. We find that the
probability of self-classifying as overweight is significantly
lower on average in the more recent survey, for both
men and women, controlling for objective weight status
and other factors. Among women, the decline in the tendency
to self-classify as overweight is concentrated in the
17–35 age range, and, within this range, is more
pronounced among women with normal BMI than among those
with overweight BMI. Among men, the shift away from
feeling overweight is roughly equal across age groups,
except that the oldest group (56–74) exhibits
no difference between surveys. In addition, overweight
men exhibit a sharper decline in feeling overweight
than normal-weight men. Despite the declines in feeling
overweight between surveys, weight misperception did
not increase significantly for men and decreased by
a sizable margin among women. The shifts in selfclassification
are not explained by differences between surveys in
body fatness or waist circumference, nor by shifting
demographics. We interpret the findings as evidence
of a generational shift in social norms related to body
weight, and propose various mechanisms to explain such
a shift, including: (1) higher average adult BMI and
adult obesity rates in the later survey cohort, (2)
higher childhood obesity rates in the later survey cohort,
and (3) public education campaigns promoting healthy
body image. The welfare implications of the observed
trends in self-classification are mixed.
JEL Classifications: I10, J11, Z13
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