Body image in older, inpatient women and the relationship to BMI, anxiety, depression, and other sociodemographic factors.
BMI
BSQ-34
body image
older
women
Journal
International journal of geriatric psychiatry
ISSN: 1099-1166
Titre abrégé: Int J Geriatr Psychiatry
Pays: England
ID NLM: 8710629
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
received:
02
07
2019
accepted:
07
11
2019
pubmed:
20
11
2019
medline:
13
11
2020
entrez:
20
11
2019
Statut:
ppublish
Résumé
To determine the prevalence of body image dysfunction in a cohort of older, inpatient women, and to examine any associated health or sociodemographic factors. In this cross-sectional, observational study, 50 older women admitted to a subacute hospital completed the Body Shape Questionnaire (BSQ-34), Geriatric Depression Screen (GDS), and Geriatric Anxiety Index (GAI). Additional sociodemographic and health-related data including body mass index (BMI) were collected on all participants. Data were first analysed to determine the prevalence of body image dysfunction. To examine factors significantly associated with body image impairment, partial correlation analyses were initially performed between BSQ-34 score and included variables, followed by stepwise regression analysis undertaken to determine significantly contributing independent variables. Only three out of 50 women displayed body image dysfunction using suggested cut-off scores from the BSQ-34, giving a prevalence rate of only 6%. After controlling for multiple variables however, both higher GDS score and higher BMI were found to be significantly and independently associated with poorer body image, with the strongest association being between higher BSQ-34 score and higher BMI (Spearman rank r = 0.455, P < 0.001). Furthermore, when high BMI and depression occurred together, this association was even greater, accounting for over 50% of the impact on body image scores (P = 0.0001). For this small cohort of older, inpatient women, rates of body image dysfunction were low. There did however appear to be an association between poorer body image and higher BMI and depression rates in the group, which may be worth exploring further in less frail, community-dwelling cohorts.
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
182-187Informations de copyright
© 2019 John Wiley & Sons, Ltd.
Références
National Eating Disorders Collaboration. Australian Department of Health and Ageing. 2011
Peat CM, Peyer NL, Muehlenkamp JJ. Body image and eating disorders in older adults: a review. J Gen Psychol. 2008;135(4):343-358.
Chrisler JC, Ghiz L. Body image issues of older women. Women Ther. 1993;14(1-2):67-75.
Öberg P, Tornstam L. Body images among men and women of different ages. Ageing & Society. 1999;19:629-644.
Hetherington MM, Burnett L. Ageing and the pursuit of slimness: dietary restraint and weight satisfaction in elderly women. Br J Clin Psychol. 1994;33(3):391-400.
Reboussin BA, Rejeski WJ, Martin KA, Callahan K, Dunn AL, King AC. Correlates of satisfaction with body function and body appearance in middle age and older aged adults: the activity counseling trial (ACT). Psychol Med. 2000;15:239-254.
Tiggemann M, Lynch JE. Body image across the life span in adult women: the role of self-objectification. Dev Psychol. 2001;37(2):243-253.
Allaz AF, Bernstein M, Rouget P, Archinard M, Morabai A. Body weight preoccupation in middle-age and ageing women: a general population survey. Int J Eat Disord. 1998;23(3):287-294.
Lewis DM, Cachelin FM. Body image, body dissatisfaction, and eating attitudes in midlife and elderly women. Eat Disord. 2001 Spring;9(1):29-39.
Mangweth-Matzek B, Rupp CL, Hausmann A, et al. Never too old for eating disorders or body satisfaction: a community study of elderly women. Int J Eat Disord. 2006;39(7):583-586.
Ferraro FR, Muehlenkamp JJ, Paintner A, Wasson K, Hager T, Hoverson F. Aging, body image and body shape. J Gen Psychol. 2008;135(4):379-392.
Rozin P, Fallon A. Body image, attitudes to weight, and misperceptions of figure preferences of the opposite sex: a comparison of men and women in two generations. J Abnorm Psychol. 1988;97(3):342-345.
Pliner P, Chaike S, Flett G. Gender differences in concern with body weight and physical appearance over the life span. Pers Soc Psychol Bull. 1990;16:263-273.
Franzoi SL, Koehler V. Age and gender differences in body attitudes: a comparison of young and elderly adults. Int J Aging Hum Dev. 1998;47(1):1-10.
Wilcox S. Age and gender in relation to body attitudes: is there a double standard of aging? Psych Women Quarterly. 1997;21:549-565.
Pruis TA, Janowsky JS. Assessment of body image in younger and older women. J Gen Psych: Experi Psych Compar Psych. 2010;137(3):225-238.
Gosselink CA, Cox DL, McClure SJ, De Jong ML. Ravishing or ravaged: women's relationships with women in the context of aging and Western beauty culture. Int J Aging Hum Dev. 2008;66:307-332.
Dixon JB, Dixon ME, O'Brien PE. Body image: appearance orientation and evaluation in the severely obese. Changes with weight loss. Obes Surg. Feb. 2002;12(1):65-71.
Rodin J, Silberstein L, Striegel-Moore R. Women and weight: a normative discontent. Psych Gender. 1985;5:267-307.
Foster GD, Wadden TA, Vogt RA. Body image in obese women before, during, and after weight loss treatment. Health Psychol. May 1997;16(3):226-229.
Adami GF, Gandolfo P, Campostano A, et al. Body image and body weight in obese patients. Int J Eat Disord Nov. 1998;24(3):299-306.
Kleinspehn-Ammerlahn A, Kotter-Gruhn D, Smith J. Self-perceptions of aging: do subjective age and satisfaction with aging change during old age? J Geron: Psych Scie. 2008;63B:P377-P385.
Guerdjikova AI, O'Melia AM, Mori N, McCoy J, McElroy S. Binge eating disorder in elderly individuals. Int J Eat Disord. 2012;45(7):905-908.
Forman M, Davis WN. Characteristics of middle-aged women in inpatient treatment for eating disorders. Eat Disord. 2005;13(3):231-243.
Berkman L, Berkman C, Kasl S, et al. Depressive symptoms in relation to physical health and functioning in the elderly. Am J Epidemiol. 1986;124(3):372-388.
Glass TA, DeLeon CFM, Bassuk SS, Berkman LF. Social engagement and depressive symptoms in late life: longitudinal findings. J Aging Health. 2006;18:604-627.
Cooper PJ, Taylor MJ, Cooper M, Fairburn CG. The development and validation of the Body Shape Questionnaire. Int J Eat Disord. 1987;6:485-494.
Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS); Recent evidence and development of a shorter version. Clin Gerontol. 1986;5:165-173.
Pachana NA, Byrne GJ, Siddle H, Koloski N, Harley E, Arnold E. Development and validation of the Geriatric Anxiety Inventory. International Journal of Pyschogeriatrics. 2007 Feb;19(1):103-114.
Hickson M, Frost G. A comparison of three methods for estimating height in the acutely ill elderly population. Journal Hum Nutr Diet. Feb. 2003;16(1):13-20.
Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-383.
Rosen JC, Jones A, Ramirez E, Waxman S. Body Shape Questionnaire: studies of validity and reliability. Int J Eat Disord. 1996 Nov;20(3):315-319.