Abstract
We explored online search interest in dieting and weight loss using big-data analysis with a view to its potential utility in global obesity prevention efforts. We applied big-data analysis to the global dieting trends collected from Google and Naver search engines from January 2004 to January 2018 using the search term “diet,” in selected six Northern and Southern Hemisphere countries; five Arab and Muslim countries grouped as conservative, semi-conservative, and liberal; and South Korea. Using cosinor analysis to evaluate the periodic flow of time series data, there was seasonality for global search interest in dieting and weight loss (amplitude = 6.94, CI = 5.33~8.56, p < 0.000) with highest in January and the lowest in December for both Northern and Southern Hemisphere countries. Seasonal dieting trend in the Arab and Muslim countries was present, but less remarkable (monthly seasonal seasonality, amplitude = 4.07, CI = 2.20~5.95, p < 0.000). For South Korea, seasonality was noted on Naver (amplitude = 11.84, CI = 7.62~16.05, p < 0.000). Our findings suggest that big-data analysis of social media can be an adjunct in tackling important public health issues like dieting, weight loss, obesity, and food fads, including the optimal timing of interventions.
Keywords: big-data, diet, weight loss, google, seasonality, cosinor
1. Introduction
1.1. Big-Data in Public Health
Big-Data is defined as “data sets that are so voluminous and complex” that they overwhelm traditional data analytic methods [1]. The “three Vs”—volume, velocity, and variety–is a popular concept used to describe big-data. This reflects not only just the huge volumes of data but also the speed at which such data is generated and the wide range of data involved. Big-data analytic methods are better suited for analyzing massive datasets in a myriad of rapidly evolving scenarios [2,3].
One of the major advantages of big-data is that it can analyze global data cost-effectively, reliably, and accurately. The Pillbox project of the United States National Library of Medicine (NLM Pillbox) is an often cited example of how healthcare can be improved using big-data [4,5]. Although the NLM Pillbox was shut down in January 2021, similar technologies are being utilized [6], including health projects in other countries [7]. Pillbox served as a large, powerful public service database with information on a wide range of both prescription and over-the-counter (OTC) drugs. It was designed to help users to rapidly identify such drugs based on their ingredients and appearance. It simultaneously delivered and collected information based on user queries, which enhanced convenience, saved costs, and improved consumer safety, among other benefits. Big-data analysis by supercomputers such as IBM Watson that utilize machine learning and artificial intelligence algorithms, can improve diagnosis, minimize errors, and improve care [8].
Another example of Big-data application was Google’s influenza forecast (Google Flu Trends). Massive amounts of data obtained from global online search patterns from dozens of countries generated real-time insights and “nowcasts” about suspected influenza activity worldwide. In 2009, Google predicted the spread of the flu 7–10 days earlier than the U.S. Centers for Disease Control and Prevention based on such online search data about the flu [9]. Several countries, including South Korea, India, and China have compared the predictive value of such data from online searches with actual numbers obtained from traditional public health approaches [10,11,12,13]. Predictive analyses using social big-data can also reliably predict other global seasonal trends, e.g., mental health issues like depression [14,15]. Big-data analyses have limitations, but upgrades and improvements are constantly provided with the aim of improving accuracy and precision [16,17].
1.2. Dieting
Dieting and weight loss efforts are global pursuits, considering the known health risks of obesity. Dieting mostly refers to a change in eating habits, but it is often included with increased physical activity or exercise as part of a weight management regimen [18,19]. Obesity, especially central or visceral obesity, is an established risk factor for several diseases, especially cardiovascular disease, type II diabetes, musculoskeletal diseases, and cancer [20,21,22]. Obesity is also a factor in mental health disorders and depression [23,24,25], with potential adverse effects on interpersonal relationships [26].
Global rates of obesity are on the rise, with an obesity epidemic observed in the Arab/Muslim world [27], with seasonal trends observed in dieting and weight loss efforts in Western societies [28,29,30]. Therefore, global health efforts aimed at prevention of obesity are warranted [31,32].
With the advent on the Internet and social media, there is a heavy profit-driven fad industry online [33]. Much of this is wholly cosmetic, driven by a heavy emphasis on body image [34,35,36]. Such fads and food trends based on pseudo-science and quackery not only fail to deliver the results promised but also pose a real risk to individual health and well-being [34,37,38].
1.3. Aims and Goals
We aimed to explore whether the massive amounts of data generated during online search interest in dieting and weight loss could be harnessed, using Big-data analysis, with a view to its potential incorporation in global health obesity prevention efforts. We aimed to explore whether there were seasonal trends, and perhaps an optimal time to potentially target people with online search interests in dieting. In this pursuit, we hypothesized that “Interest or attempt to explore dieting online would be tend to be seasonal.” Our study, therefore, (i) examined the time series and seasonality of dieting globally, using social Big-data collected from online portals, and (ii) aimed to suggest timely health intervention strategies based on such findings.
2. Methods
2.1. Searching Tools and Keyword
Data was collected through Google web portal (Menlo Park, CA, USA), the most widely used global search engine, with its share of global search averaging 85–90% in most markets, except China [39]. Since January 2004, Google has provided information on time-critical search terms through Google Trends. Such searches can be categorized as searches via the general web, by images, by shopping, or on YouTube, etc. Searches were further categorized and analyzed according to global or individual country statistics. For South Korea, the search engine Naver was added, as its share of the South Korean market was 59% in December 2020, exceeding that of Google [40].
This search terms “diet,” “dieting,” and “weight loss” were used, and the monthly Pearson’s correlation coefficient between the three words was 0.946~0.980 (Table 1). Of these, the search volume for “diet” was overwhelmingly high. Since the terms weight loss and weight control could convey other meanings, the search term “diet” was finally selected.
Table 1.
Diet | Dieting | Weight Loss | |
---|---|---|---|
Diet | 1.000 | 0.980 <0.000 |
0.975 <0.000 |
Dieting | 0.980 <0.000 |
1.000 | 0.946 <0.000 |
Weight loss | 0.975 <0.000 |
0.946 <0.000 |
1.000 |
Correlations were presented using Pearson’s coefficients with p-values; correlations are at statistically significant level at p-value < 0.05 and indicates having the associations between search terms diet, dieting, and weight loss.
2.2. Study Population and Data
Three countries were selected from the Northern Hemisphere (the United States (U.S.), Ireland, and the United Kingdom (UK)) and three from the Southern Hemisphere (South Africa, Australia, and New Zealand), which had the highest search volumes for the search term “diet.” The reference standard was based on the search volumes, where interest in the six selected countries was the highest. As diet and weight loss are also influenced by socioeconomic, cultural, and religious factors [41,42], we also selected five predominantly Arab and Muslim countries, excluding Iraq and Turkey, and categorized them further as (i) conservative, (ii) semi-conservative, and (iii) liberal [43]. South Korea was also studied using the Naver search engine, due to its local dominance as aforementioned.
2.3. Theoretical. Model
Cosinor analysis is a method used to evaluate the periodic flow of time series data as a cosine function. This analysis has been frequently used to analyze body cycles (24 h), such as circadian rhythm [44,45,46]. It is also used to demonstrate the seasonality of differences in blood pressure, stroke incidence, and vitamin D concentration in the 12-month follow-up period [47,48,49]. The model equation is f(t) = M+A cos (ωt + Ø), M is midline estimating statistic of rhythm, A (amplitude) is the distance from the highest point, ω is the number of vibrations, Ø (acrophase) is the time from the reference time to the first matching A, t is the time unit [50].
Therefore, when the A is large, the change of the value is large, i.e., the search volume fluctuates more depending on the season. In addition, when acrophore and time are short, it means the period (wave) is lacking in our study.
2.4. Statistical Analyses
The data was analyzed by standardizing the number of periods with the longest search period as 100 and the lowest as 0. In this study, we used web-search data from January 2004 to February 2021, and the time unit being 1 month. On the other hand, South Korea used data starting from February 2016 to February 2021, since no data from Naver was available prior to February 2016. The alpha level was set at t p > 0.05. Data was reported as mean ± SD (standard deviation). Additionally, we reported amplitude and 95% confidence intervals (95% CI) for within-group comparisons. The correlations between search terms were analyzed using Pearson’s coefficients. We used statistical software R version 3.6.2, and the package “cosinor” in R for data analysis.
3. Results
3.1. Descriptive Statistics
The combined results from the two Hemispheres were the highest in January (86.0 ± 16.6) and the lowest in December (41.5 ± 10.6) for on-line diet searches. Most diet searches were performed in January for both the Northern and the Southern Hemispheres. In contrast, December was the month with the lowest on-line searches for diet. For the Arab/Muslim countries, April was the leading month for on-line diet searches (32.3 ± 20.9), with October (25.3 ± 15.8) being the lowest for on-line diet searches. Based on socio-religious categories, for conservative Arab/Muslim countries, their highest online search month was April (40.5 ± 13.9), for semi-conservative countries was June (22.8 ± 24.6), and for liberal countries was March (43.1 ± 18.3). The month with the lowest search interest in diet for conservative countries was March (27.8 ± 13.1), for semi-conservative countries was January (17.0 ± 16.5) and for liberal Arab/Muslim countries was December (30.8 ± 11.4). For South Korea, when searching on Korean internet portals in Korean language only, the results were much higher than those obtained when using English. Therefore, we included both Google and Naver searches for South Korea, where the results based on Google searches were highest in January (23.2 ± 22.4) and lowest in December (16.3 ± 13.5). The results for Naver searches were highest in March (62.2 ± 20.2) and lowest in December (36.2 ± 5.6) (Table 2).
Table 2.
Month | Six Countries with Highest Search Volume Mean (SD) |
Arab and Muslim Countries Mean (SD) |
South Korea Mean (SD) |
||||||
---|---|---|---|---|---|---|---|---|---|
Overall | Northern Hemisphere | Southern Hemisphere | Overall | Conservative | Semi-Conservative | Liberal | Naver | ||
January | 68.0 (16.6)↑ | 66.3 (15.8)↑ | 69.8 (16.8)↑ | 26.6 (16.5) | 33.1 (9.4) | 17.0 (16.5)↓ | 34.1 (13.3) | 23.2 (22.4)↑ | 49.2 (9.0) |
February | 56.4 (13.0) | 56.4 (11.7) | 56.4 (14.3) | 32.2 (21.6) | 39.3 (13.3) | 21.0 (21.9) | 40.9 (18.6) | 20.3 (13.1) | 56.7 (25.2) |
March | 54.9 (12.9) | 53.8 (11.9) | 56.1 (13.9) | 31.9 (22.3) | 27.8 (13.1)↓ | 22.0 (23.5) | 43.1 (18.3)↑ | 17.7 (13.5) | 62.2 (20.2)↑ |
April | 57.1 (13.0) | 56.8 (10.5) | 57.3 (15.2) | 32.3 (20.9)↑ | 40.5 (13.9)↑ | 21.0 (21.1) | 40.9 (17.3) | 17.8 (10.1) | 58.7 (15.3) |
May | 57.6 (13.1) | 57.9 (12.4) | 57.3 (13.9) | 30.8 (18.2) | 37.9 (12.9) | 20.2 (18.6) | 39.1 (13.3) | 18.8 (9.5) | 58.1 (15.7) |
June | 54.8 (12.4) | 55.6 (10.7) | 54.0 (13.9) | 31.5 (22.0) | 34.5 (9.1) | 22.8 (24.6)↑ | 39.1 (19.3) | 21.1 (10.8) | 49.7 (9.6) |
July | 54.8 (12.8) | 53.7 (11.6) | 55.9 (14.0) | 26.7 (17.7) | 30.4 (8.8) | 18.6 (19.5) | 33.6 (14.7) | 20.1 (11.1) | 47.1 (6.8) |
August | 54.9 (13.5) | 50.7 (11.1) | 59.1 (14.4) | 26.1 (16.7) | 31.4 (10.4) | 18.4 (18.5) | 32.1 (13.3) | 19.2 (10.7) | 44.3 (4.0) |
September | 55.4 (13.8) | 48.3 (7.9) | 62.5 (14.9) | 29.2 (20.0) | 36.3 (19.3) | 21.1 (21.4) | 34.9 (15.8) | 19.9 (17.3) | 38.3 (4.0) |
October | 52.3 (13.0) | 45.4 (7.3) | 59.3 (13.9) | 25.3 (15.8)↓ | 29.6 (11.1) | 17.8 (18.0) | 31.3 (11.1) | 17.5 (13.6) | 39.3 (4.7) |
November | 49.8 (12.3) | 43.7 (7.5) | 55.9 (13.2) | 26.6 (16.8) | 34.3 (107) | 18.1 (18.6) | 32.6 (12.5) | 15.8 (10.8) | 37.5 (5.3) |
December | 41.5 (10.6) ↑ | 37.2 (7.7)↓ | 45.8 (11.5)↓ | 25.7 (15.2) | 33.6 (10.6) | 18.0 (16.4) | 30.8 (11.4)↓ | 16.3 (13.5)↓ | 36.2 (5.6)↓ |
SD standard deviation; higher the search volume indicates the closer to 100 and the lower the search volume indicates the closer to 0; ↑ indicates highest month for on-line diet searches, ↓ indicates lowest month for on-line diet searches.
3.2. Cosinor Analysis
As a result of cosinor analysis of data from the Northern and Southern Hemispheres, there was seasonality for on-line diet searches (amplitude = 3.08, confidence interval; CI = 2.22~3.94, p < 0.000), with diet searches being the highest in January and the lowest in December. As a result of analyzing only the Northern Hemisphere, seasonality for on-line diet searches (amplitude = 6.76, CI = 5.40~8.12, p < 0.000) was highest in January and lowest was in December. In the Southern Hemisphere, seasonal variation of the curve was not statistically significant (amplitude = 0.63, CI= −1.06~2.32, p = 0.464) as shown in Figure 1, i.e., no seasonality for on-line diet searches was observed in the Southern Hemispheres, Australia, and New Zealand.
When data from the five Arab/Muslim countries were integrated, monthly seasonal periodicity for on-line diet searches was observed (amplitude = 3.15, CI = 1.77~4.53, p < 0.000). For seasonal periodicity on a monthly basis in conservative countries like Saudi Arabia, amplitude = 1.92, CI = −0.48~4.32, p = 0.118, for semi-conservative countries, amplitude = 1.73, CI = −0.51~3.95, p = 0.13), and for liberal countries, amplitude = 5.17, CI = 3.47~6.87, p < 0.000. The trends for the monthly curve of these three groups were similar (Figure 2). There appears to be a degree of seasonality of diet interests. However, the amplitude was smaller than the Northern Hemisphere average.
For South Korea, the seasonal periodicity of monthly data was not seen (amplitude = 0.79, CI = −2.21~2.95, p = 0.778) in the Google data, but seasonal periodicity was statistically significant in data using Naver (amplitude = 11.84, CI = 7.62~16.05, p < 0.000) (Figure 3).
4. Discussion
Public interest in dieting for the purposes of weight management is near universal, but there is little published evidence to support this. Our study aimed to explore and compare global seasonality in diet and dieting trends using social Big-data analysis.
The search term “diet” used in this context is synonymous with dieting for weight loss. Our search terms included “diet,” “dieting,” and “weight loss”; the monthly correlation coefficient between the three words was 0.946~0.980. Of these, the search volume for “diet” was overwhelmingly high. In addition, “diet” was highly correlated with weight loss (r = 0.975, p < 0.000). Therefore, although the word “diet” is a broad term when used alone, in the context of our search, phrases like “going on a diet” are now synonymous with dieting, especially in reference to global obesity and weight loss efforts. Therefore, we considered that the search term “diet” by the selected countries in our study to be representative of global interest in dieting for weight loss.
Global interests in this subject based on big-data from online searches could become a useful addition to public health intervention strategies for obesity management, weight loss, and associated diseases. Obesity is an important global public health challenge, as it is a major risk factor for cardiovascular and chronic diseases, with major impact on morbidity, mortality, and health care costs. Effective management of obesity includes prevention of premature death and disability, reducing the economic burden of disease, and the promotion of healthy diets and lifestyles [31,51,52].
With respect to the promotion of healthy diet and lifestyle, our aim was to analyze interest in global dieting and weight loss trends, being cognizant that sociocultural, societal, and traditional practices could potentially play a role. Since dieting and weight loss pursuits are of global interest, with the Internet as a major portal for disseminating information and advertisements, we considered Big-data analysis ideal for studying such large amounts of data on global dieting practices and trends [53,54,55]. No attempt was made to exclude fad diets and weight loss programs, even though these also have potential health risks, including increased risks of eating disorders and mental health problems, including stress, anxiety, and depression [34,56,57,58,59,60,61,62,63,64].
In this study, we found that the search volume for dieting in the Northern and Southern Hemispheres was the highest in January, which coincides with the New Year, where people traditionally make New Year’s resolutions following the Christmas holidays. On the other hand, for the predominantly Arab and Muslim countries, the highest search volumes were in April. For South Korea, the highest search volume was observed in February.
On cosinor analysis, which analyzes periodic trends, online search interest in dieting in the Northern Hemisphere was statistically significantly seasonal, but for the Southern Hemisphere, it was not.
Studies using cosinor analysis tend to show opposite dieting trends of Southern compared to Northern Hemisphere countries [49,65], probably reflecting the divergent seasons. The data on global seasonal trends in dieting is apparently limited, but studies on weight changes in three major countries, including Japan, the United States, and Germany showed a sharp increase from December, with the greatest increase in weight in early January, just after the Christmas holiday [66,67].
In this study, the search volumes of both Northern and Southern Hemispheres were the highest in January. Overall, search interest reached its peak before summer (April) in the Northern Hemisphere and November in the Southern Hemisphere [68,69,70]. For predominantly Arab and Muslim countries, seasonality was not striking, and the magnitude was smaller than that observed for the Northern Hemisphere, with April being the highest point in the periodic rate. Seasonality tended to be a bit more pronounced in the liberal Arab and Muslim countries, compared to their more conservative counterparts.
Finally, in South Korea, data from Naver showed seasonality, with April being the peak month for online diet searches, with the trend of rhythm being similar to that of the Northern Hemisphere. However, there was no statistically significant seasonality in the data from Google, which may be a reflection of the lower percentage of Google searches on this topic in South Korea. Considering this skew, Google searchers in South Korea on the subject of dieting was most likely unrepresentative.
Although our study is exploratory, our Big-data analyses suggest the potential for role for seasonal emphasis on weight control programs. More cost-effective health awareness and prevention weight loss strategies could harness the power of online Big-data analyses and real-time “nowcasting,” for optimal timing of public health interventions for obesity. In the same way, that marketing strategists use such Big-data to target consumers, so, public health authorities too could utilize Big-data for optimal timing of public education and intervention programs.
Strengths and Limitations
The authors are unaware of any previous studies to analyze the global seasonality of diets using social big-data. Big-data analysis of seasonal dieting trends is rather easy to access and analyze and, therefore, potentially more cost effective. This approach can also hold relevance to other areas of public health.
Our study has some limitations. First, we conducted the keywords search terms in English only, which is less representative for countries that do not use English as their primary search language, such as in South Korea and in the Arab and Muslim majority of countries we studied. It may therefore be more accurate to include searches using the preferred language of such countries. Second, it is difficult or near impossible to examine the individual characteristics of each person who performed each search, without breaching social media confidentiality or other agreements. Third, we could not accurately predict the actual figures by analyzing the search volume using web-based methods only.
5. Conclusions
Big-data analysis can reliably analyze the metadata trends such as global seasonal patterns such as search interests in dieting and weight loss. In our study, some degree of seasonal patterns emerged. Weight management and weight loss strategies could consider such trends for optimal timing of their health promotion and intervention strategies. Big-data analytics, including artificial intelligence algorithms, can be harnessed to provide cost-effective insights, as well as optimal approaches and timing of global health promotion and intervention programs.
Acknowledgments
Not applicable.
Author Contributions
M.-B.P. designed the study model and analyzed data. J.M.W. reviewed related literature and suggested the scope. B.E.B. involved designing the study and interpreting the data. All authors have read and agreed to the published version of the manuscript.
Funding
This work is supported by the research grant of Pai Chai University in 2020.
Institutional Review Board Statement
Not applicable.
Informed Consent Statement
Not applicable.
Data Availability Statement
All data can be used and analyzed through ‘https://trends.google.com/’ accessed on 14 March 2021 and ‘https://datalab.naver.com/’ accessed on 14 March 2021.
Conflicts of Interest
The authors declare no conflict of interest.
Footnotes
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
- 1.Wikidepia. Big Data [Internet] [(accessed on 23 February 2021)]; Available online: https://en.wikipedia.org/wiki/Big_data.
- 2.McAfee A., Brynjolfsson E., Davenport T.H., Patil D., Barton D. Big data: The management revolution. Harv. Bus. Rev. 2012;90:60–68. [PubMed] [Google Scholar]
- 3.Gantz J., Reinsel D. The digital universe in 2020: Big data, bigger digital shadows, and biggest growth in the far east. IDC IView IDC Anal. Future. 2012;2007:1–16. [Google Scholar]
- 4.Hoover R., Sheth P., Burde A. Determining the accuracy of open-access databases for identifying commonly prescribed oral medications. J. Am. Pharm. Assoc. 2016;56:37–40. doi: 10.1016/j.japh.2015.11.009. [DOI] [PubMed] [Google Scholar]
- 5.Laffer M.S., Feldman S.R. Improving medication adherence through technology: Analyzing the managing meds video challenge. Ski. Res. Technol. 2014;20:62–66. doi: 10.1111/srt.12084. [DOI] [PubMed] [Google Scholar]
- 6.Annamalai M., Jesintha D.X.M. Smart IoT System Based Patient Monitoring and Medicine Reminder Based on Registry Service Selection Scheme. Eur. J. Mol. Clin. Med. 2021;7:2710–2721. [Google Scholar]
- 7.Manyazewal T., Woldeamanuel Y., Holland D.P., Fekadu A., Blumberg H.M., Marconi V.C. Electronic pillbox-enabled self-administered therapy versus standard directly observed therapy for tuberculosis medication adherence and treatment outcomes in Ethiopia (SELFTB): Protocol for a multicenter randomized controlled trial. Trials. 2020;21:1–13. doi: 10.1186/s13063-020-04324-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Ahmed M.N., Toor A.S., O’Neil K., Friedland D. Cognitive computing and the future of health care cognitive computing and the future of healthcare: The cognitive power of IBM Watson has the potential to transform global personalized medicine. IEEE Pulse. 2017;8:4–9. doi: 10.1109/MPUL.2017.2678098. [DOI] [PubMed] [Google Scholar]
- 9.Carneiro H.A., Mylonakis E. Google trends: A web-based tool for real-time surveillance of disease outbreaks. Clin. Infect. Dis. 2009;49:1557–1564. doi: 10.1086/630200. [DOI] [PubMed] [Google Scholar]
- 10.Cho S., Sohn C.H., Jo M.W., Shin S.-Y., Lee J.H., Ryoo S.M., Kim W.Y., Seo D.-W. Correlation between national influenza surveillance data and google trends in South Korea. PLoS ONE. 2013;8:e81422. doi: 10.1371/journal.pone.0081422. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Kang M., Zhong H., He J., Rutherford S., Yang F. Using google trends for influenza surveillance in South China. PLoS ONE. 2013;8:e55205. doi: 10.1371/journal.pone.0055205. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Dugas A.F., Hsieh Y.-H., Levin S.R., Pines J.M., Mareiniss D.P., Mohareb A., Gaydos C.A., Perl T.M., Rothman R.E. Google Flu Trends: Correlation with emergency department influenza rates and crowding metrics. Clin. Infect. Dis. 2012;54:463–469. doi: 10.1093/cid/cir883. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Bhattacharya I., Ramachandran A., Bhattacharya J., Dogra N. Google trends for formulating GIS mapping of disease outbreaks in India. Int. J. Geoinform. 2013;9:9–19. [Google Scholar]
- 14.Ayers J.W., Althouse B.M., Allem J.-P., Rosenquist J.N., Ford D.E. Seasonality in seeking mental health information on Google. Am. J. Prev. Med. 2013;44:520–525. doi: 10.1016/j.amepre.2013.01.012. [DOI] [PubMed] [Google Scholar]
- 15.Yang A.C., Huang N.E., Peng C.-K., Tsai S.-J. Do seasons have an influence on the incidence of depression? The use of an internet search engine query data as a proxy of human affect. PLoS ONE. 2010;5:e13728. doi: 10.1371/journal.pone.0013728. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Butler D. When Google got flu wrong. Nature. 2013;494:155. doi: 10.1038/494155a. [DOI] [PubMed] [Google Scholar]
- 17.Lazer D., Kennedy R., King G., Vespignani A. The parable of Google Flu: Traps in big data analysis. Science. 2014;343:1203–1205. doi: 10.1126/science.1248506. [DOI] [PubMed] [Google Scholar]
- 18.Valencia W.M., Stoutenberg M., Florez H. Weight loss and physical activity for disease prevention in obese older adults: An important role for lifestyle management. Curr. Diabetes Rep. 2014;14:539. doi: 10.1007/s11892-014-0539-4. [DOI] [PubMed] [Google Scholar]
- 19.England N. Implementing the Five Year forward View for Mental Health. NHS; London, UK: 2016. [Google Scholar]
- 20.CDC The Health Effects of Overweight and Obesity. [(accessed on 27 February 2021)]; Available online: https://www.cdc.gov/healthyweight/effects/index.html.
- 21.Lavie C.J., Milani R.V., Ventura H.O. Obesity and cardiovascular disease: Risk factor, paradox, and impact of weight loss. J. Am. Coll. Cardiol. 2009;53:1925–1932. doi: 10.1016/j.jacc.2008.12.068. [DOI] [PubMed] [Google Scholar]
- 22.Guh D.P., Zhang W., Bansback N., Amarsi Z., Birmingham C.L., Anis A.H. The incidence of co-morbidities related to obesity and overweight: A systematic review and meta-analysis. BMC Public Health. 2009;9:88. doi: 10.1186/1471-2458-9-88. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Scott K.M., Bruffaerts R., Simon G.E., Alonso J., Angermeyer M., de Girolamo G., Demyttenaere K., Gasquet I., Haro J.M., Karam E. Obesity and mental disorders in the general population: Results from the world mental health surveys. Int. J. Obes. 2008;32:192. doi: 10.1038/sj.ijo.0803701. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Wang F., Wild T., Kipp W., Kuhle S., Veugelers P. The influence of childhood obesity on the development of self-esteem. Health Rep. 2009;20:21. [PubMed] [Google Scholar]
- 25.Luppino F.S., de Wit L.M., Bouvy P.F., Stijnen T., Cuijpers P., Penninx B.W., Zitman F.G. Overweight, obesity, and depression: A systematic review and meta-analysis of longitudinal studies. Arch. Gen. Psychiatry. 2010;67:220–229. doi: 10.1001/archgenpsychiatry.2010.2. [DOI] [PubMed] [Google Scholar]
- 26.Fox C.L., Farrow C.V. Global and physical self-esteem and body dissatisfaction as mediators of the relationship between weight status and being a victim of bullying. J. Adolesc. 2009;32:1287–1301. doi: 10.1016/j.adolescence.2008.12.006. [DOI] [PubMed] [Google Scholar]
- 27.Abuyassin B., Laher I. Obesity-linked diabetes in the Arab world: A review. East. Mediterr. Health J. 2015;21:420. doi: 10.26719/2015.21.6.420. [DOI] [PubMed] [Google Scholar]
- 28.Johnson F., Cooke L., Croker H., Wardle J. Changing perceptions of weight in Great Britain: Comparison of two population surveys. BMJ. 2008;337:a494. doi: 10.1136/bmj.a494. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Burke M.A., Heiland F.W., Nadler C.M. From “overweight” to “about right”: Evidence of a generational shift in body weight norms. Obesity. 2010;18:1226–1234. doi: 10.1038/oby.2009.369. [DOI] [PubMed] [Google Scholar]
- 30.Madden K.M. The seasonal periodicity of healthy contemplations about exercise and weight loss: Ecological correlational study. JMIR Public Health Surveill. 2017;3:e92. doi: 10.2196/publichealth.7794. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Deal B.J., Huffman M.D., Binns H., Stone N.J. Perspective: Childhood obesity requires new strategies for prevention. Adv. Nutr. 2020;11:1071–1078. doi: 10.1093/advances/nmaa040. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Low S., Chin M.C., Deurenberg-Yap M. Review on epidemic of obesity. Ann. Acad. Med. Singap. 2009;38:57. [PubMed] [Google Scholar]
- 33.Piernas C., Aveyard P., Jebb S. Recent trends in weight loss attempts: Repeated cross-sectional analyses from the health survey for England. Int. J. Obes. 2016;40:1754. doi: 10.1038/ijo.2016.141. [DOI] [PubMed] [Google Scholar]
- 34.Polivy J., Heatherton T. Encyclopedia of Feeding and Eating Disorders. Springer; Berlin/Heidelberg, Germany: 2015. Spiral Model of Dieting and Disordered Eating; pp. 791–793. [Google Scholar]
- 35.Ferreira C., Trindade I.A., Martinho A. Explaining rigid dieting in normal-weight women: The key role of body image inflexibility. Eat. Weight Disord. Stud. Anorex. Bulim. Obes. 2016;21:49–56. doi: 10.1007/s40519-015-0188-x. [DOI] [PubMed] [Google Scholar]
- 36.Grogan S. Body Image: Understanding Body Dissatisfaction in Men, Women and Children. Taylor & Francis; Abingdon, UK: 2016. [Google Scholar]
- 37.Osborn R.L., Forys K.L., Psota T.L., Sbrocco T. Yo-yo dieting in African American women: Weight cycling and health. Ethn. Dis. 2011;21:274. [PMC free article] [PubMed] [Google Scholar]
- 38.Ismail T.A.T., Jalil R.A., Ishak W.R.W., Hamid N.F., Nik W.S.W., Mohamed H.J.J., Mohd N.H., Arifin W.N., Mohamed W.M.I.W., Ibrahim M.I., et al. Understanding Dieting and Previous Weight Loss Attempts among Overweight and Obese Participants: Insights into My Body Is Fit and Fabulous at Work Program. Korean J. Fam. Med. 2018;39:15–22. doi: 10.4082/kjfm.2018.39.1.15. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Capala M. Global Search Engine Market Share for 2018 in the Top 15 GDP Nations. [(accessed on 10 January 2021)]; Available online: https://alphametic.com/global-search-engine-market-share.
- 40.Logger. Internet Trend. [(accessed on 27 February 2021)]; Available online: http://internettrend.co.kr/trendForward.tsp.
- 41.McCabe M.P., Waqa G., Dev A., Cama T., Swinburn B.A. The role of cultural values and religion on views of body size and eating practices among adolescents from Fiji, Tonga, and Australia. Br. J. Health Psychol. 2013;18:383–394. doi: 10.1111/j.2044-8287.2012.02090.x. [DOI] [PubMed] [Google Scholar]
- 42.McCabe M.P., Busija L., Fuller-Tyszkiewicz M., Ricciardelli L., Mellor D., Mussap A. Sociocultural influences on strategies to lose weight, gain weight, and increase muscles among ten cultural groups. Body Image. 2015;12:108–114. doi: 10.1016/j.bodyim.2014.10.008. [DOI] [PubMed] [Google Scholar]
- 43.Maziak W. Science, modernity, and the Muslim world: To improve scientific research in Muslim countries requires profound social and economic liberalization of their societies. EMBO Rep. 2017;18:194–197. doi: 10.15252/embr.201643517. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Tanaka T., Natsume T., Shibata H., Nozawa K.-I., Kojima S.-I., Tsuchiya M., Ashida T., Ikeda M. Circadian rhythm of blood pressure in primary aldosteronism and renovascular hypertension: Analysis by the cosinor method. Jpn. Circ. J. 1983;47:788–794. doi: 10.1253/jcj.47.788. [DOI] [PubMed] [Google Scholar]
- 45.Massin M.M., Maeyns K., Withofs N., Ravet F., Gérard P. Circadian rhythm of heart rate and heart rate variability. Arch. Dis. Child. 2000;83:179–182. doi: 10.1136/adc.83.2.179. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Muzhikov V., Vershinina E., Muzhikov R. Possibilities of the Akabane Test and Cosinor Analysis to Predict the Level of Glycemia and the Individual Selection of Drugs and their Doses in the Treatment of Diabetes. Biomed. J. Sci. Tech. Res. 2020;29:22502–22510. doi: 10.26717/BJSTR.2020.29.004814. [DOI] [Google Scholar]
- 47.Portela A., Northrup G., Halberg F., Cornélissen G., Wendt H., Melby J.C., Haus E. Changes in human blood pressure with season, age and solar cycles: A 26-year record. Int. J. Biometeorol. 1996;39:176–181. doi: 10.1007/BF01221388. [DOI] [PubMed] [Google Scholar]
- 48.Oberg A.L., Ferguson J.A., McIntyre L.M., Horner R.D. Incidence of stroke and season of the year: Evidence of an association. Am. J. Epidemiol. 2000;152:558–564. doi: 10.1093/aje/152.6.558. [DOI] [PubMed] [Google Scholar]
- 49.Degerud E., Hoff R., Nygård O., Strand E., Nilsen D., Nordrehaug J.E., Midttun Ø., Ueland P.M., De Vogel S., Dierkes J. Cosinor modelling of seasonal variation in 25-hydroxyvitamin D concentrations in cardiovascular patients in Norway. Eur. J. Clin. Nutr. 2016;70:517. doi: 10.1038/ejcn.2015.200. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Cornelissen G. Cosinor-based rhythmometry. Theor. Biol. Med. Model. 2014;11:16. doi: 10.1186/1742-4682-11-16. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Chan R.S., Woo J. Prevention of overweight and obesity: How effective is the current public health approach. Int. J. Environ. Res. Public Health. 2010;7:765–783. doi: 10.3390/ijerph7030765. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 52.Sassi F. Obesity and the Economics of Prevention. Edward Elgar Publishing; Jotham, UK: 2010. [Google Scholar]
- 53.Kiley R. Medical Information on the Internet: A Guide for Health Professionals. Harcourt Health Sciences; London, UK: 2003. [Google Scholar]
- 54.Winker M.A., Flanagin A., Chi-Lum B., White J., Andrews K., Kennett R.L., DeAngelis C.D., Musacchio R.A. Guidelines for medical and health information sites on the internet: Principles governing AMA web sites. JAMA. 2000;283:1600–1606. doi: 10.1001/jama.283.12.1600. [DOI] [PubMed] [Google Scholar]
- 55.Slater M.D., Zimmerman D.E. Descriptions of Web sites in search listings: A potential obstacle to informed choice of health information. Am. J. Public Health. 2003;93:1281–1282. doi: 10.2105/AJPH.93.8.1281. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 56.Sillence E., Briggs P., Harris P.R., Fishwick L. How do patients evaluate and make use of online health information? Soc. Sci. Med. 2007;64:1853–1862. doi: 10.1016/j.socscimed.2007.01.012. [DOI] [PubMed] [Google Scholar]
- 57.Basch C.H., Ethan D., Kecojevic A. Comparing Health-Related News Articles to Original Research Studies: A Lesson for Research Methods. Pedagog. Health Promot. 2017;3:202–206. doi: 10.1177/2373379916661562. [DOI] [Google Scholar]
- 58.Quick V., Nansel T.R., Liu D., Lipsky L.M., Due P., Iannotti R.J. Body size perception and weight control in youth: 9-year international trends from 24 countries. Int. J. Obes. 2014;38:988–994. doi: 10.1038/ijo.2014.62. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 59.Stice E., Shaw H.E. Adverse effects of the media portrayed thin-ideal on women and linkages to bulimic symptomatology. J. Soc. Clin. Psychol. 1994;13:288–308. doi: 10.1521/jscp.1994.13.3.288. [DOI] [Google Scholar]
- 60.Daniels J. Weight and weight concerns: Are they associated with reported depressive symptoms in adolescents? J. Pediatric Health Care. 2005;19:33–41. doi: 10.1016/j.pedhc.2004.07.007. [DOI] [PubMed] [Google Scholar]
- 61.Mamun A., Cramb S., McDermott B.M., O’callaghan M., Najman J.M., Williams G.M. Adolescents’ perceived weight associated with depression in young adulthood: A longitudinal study. Obesity. 2007;15:3097–3105. doi: 10.1038/oby.2007.369. [DOI] [PubMed] [Google Scholar]
- 62.Herpertz-Dahlmann B., Dempfle A., Konrad K., Klasen F., Ravens-Sieberer U., Group B.S. Eating disorder symptoms do not just disappear: The implications of adolescent eating-disordered behaviour for body weight and mental health in young adulthood. Eur. Child Adolesc. Psychiatry. 2015;24:675–684. doi: 10.1007/s00787-014-0610-3. [DOI] [PubMed] [Google Scholar]
- 63.Richard A., Rohrmann S., Lohse T., Eichholzer M. Is body weight dissatisfaction a predictor of depression independent of body mass index, sex and age? Results of a cross-sectional study. BMC Public Health. 2016;16:863. doi: 10.1186/s12889-016-3497-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 64.Sweeting H., Walker L., MacLean A., Patterson C., Räisänen U., Hunt K. Prevalence of eating disorders in males: A review of rates reported in academic research and UK mass media. Int. J. Men’s Health. 2015;14:14. doi: 10.3149/jmh.1402.86. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 65.Marti-Soler H., Gonseth S., Gubelmann C., Stringhini S., Bovet P., Chen P.-C., Wojtyniak B., Paccaud F., Tsai D.-H., Zdrojewski T. Seasonal variation of overall and cardiovascular mortality: A study in 19 countries from different geographic locations. PLoS ONE. 2014;9:e113500. doi: 10.1371/journal.pone.0113500. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 66.Helander E.E., Wansink B., Chieh A. Weight gain over the holidays in three countries. N. Engl. J. Med. 2016;375:1200–1202. doi: 10.1056/NEJMc1602012. [DOI] [PubMed] [Google Scholar]
- 67.Phelan S., Wing R.R., Raynor H.A., Dibello J., Nedeau K., Peng W. Holiday weight management by successful weight losers and normal weight individuals. J. Consult. Clin. Psychol. 2008;76:442. doi: 10.1037/0022-006X.76.3.442. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 68.Thompson J.K., Heinberg L.J. The media’s influence on body image disturbance and eating disorders: We’ve reviled them, now can we rehabilitate them? J. Soc. Issues. 1999;55:339–353. doi: 10.1111/0022-4537.00119. [DOI] [Google Scholar]
- 69.Yamasaki J., Geist-Martin P., Sharf B.F. Storied Health and Illness: Communicating Personal, Cultural, and Political Complexities. Waveland Press; Long Grove, IL, USA: 2016. [Google Scholar]
- 70.Dutta-Bergman M.J. Primary sources of health information: Comparisons in the domain of health attitudes, health cognitions, and health behaviors. Health Commun. 2004;16:273–288. doi: 10.1207/S15327027HC1603_1. [DOI] [PubMed] [Google Scholar]
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Data Availability Statement
All data can be used and analyzed through ‘https://trends.google.com/’ accessed on 14 March 2021 and ‘https://datalab.naver.com/’ accessed on 14 March 2021.