Lack of reality: Positive self-perceptions of health in the presence of disease

Abstract: We aimed to determine nutritional knowledge and behaviors of normal weight, overweight, and obese residents of Central Queensland, Australia. Data were collected as part of the 2010 Central Queensland Social Survey (N = 1289). Residents were asked questions assessing nutritional knowledge and behaviors. Statistical analyses were performed to examine differences in nutritional knowledge and behaviors by body mass index (BMI) classification: normal weight, overweight, and obese. Independent of BMI, residents ate fewer than the recommended daily servings of vegetables (p < 0.05) and fruits (p < 0.05) with no differences found between BMI classifications. Overweight (OR: 1.52; 95% CI: 1.13–2.04) and obese (OR: 1.43; 95% CI: 1.04–1.98) residents were more likely to have eaten fast food the week of the survey than normal weight residents. Residents correctly identified the amount of kilocalories required to maintain current body weight with no differences between BMI classifications. Each BMI classification underestimated the amount of kilojoules required to maintain current body weight (p < 0.05). Nutritional knowledge may not be the limiting factor preventing residents from making proper nutritional choices.