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Body image in relation to nutritional status in adults from the Basque Country, Spain

Published online by Cambridge University Press:  24 July 2019

María Eugenia Ibáñez-Zamacona Open the ORCID record for María Eugenia Ibáñez-Zamacona [Opens in a new window] ,
Alaitz Poveda  and
Esther Rebato
María Eugenia Ibáñez-Zamacona*
Affiliation:
Department of Genetics, Physical Anthropology and Animal Physiology, Faculty of Science and Technology, University of the Basque Country (UPV/EHU), Spain
Alaitz Poveda
Affiliation:
Department of Clinical Sciences, Genetic and Molecular Epidemiology Unit, Lund University Diabetes Centre, Lund University, Malmö, Sweden
Esther Rebato
Affiliation:
Department of Genetics, Physical Anthropology and Animal Physiology, Faculty of Science and Technology, University of the Basque Country (UPV/EHU), Spain
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Abstract

The aim of this research was to analyse variation in body image perception and satisfaction by age, sex and nutritional status in an adult sample from the Basque Country, Spain. A case-control study was performed for 227 women and 178 men aged 18–70 years. Stunkard’s silhouettes were used to evaluate Current Body Image (CBI) and Ideal Body Image (IBI), as well as dissatisfaction and inconsistency scores. Nutritional status was assessed following the WHO criteria for BMI in an adult population. The sample was divided into four groups based on sex and age (early adulthood <45 years, and middle/older adulthood ≥45 years). The Mann–Whitney U test was employed to evaluate sex and age differences, and the Gamma coefficient to assess the association between body image variables and nutritional status. Significant age differences in CBI (p<0.05) and sex differences in IBI (p<0.001) were detected. Both variables showed a positive association with BMI (p<0.01), which indicates that BMI is a biological characteristic related to body image satisfaction and influences participants’ perception of themselves. Dissatisfaction scores showed that both sex and age differences (p<0.05) were negatively associated with BMI (p<0.001). Only participants ≥45 years presented sex differences in inconsistency scores (p<0.05); this variable was associated with BMI in women (p<0.01). Preferences in body image showed sexual dimorphism, with women preferring thinner bodies than men – a pattern observed in many Western populations – linked in part to sociocultural pressures. Women were more dissatisfied with their bodies than men; a higher dissatisfaction was observed in older relative to younger participants. The results confirm the association between nutritional status and body size perception and satisfaction, but also the relationship between nutritional status and the reliability with which women can classify themselves; in men, this relationship was not as clear.

Keywords

Body ImageObesity
Type
Research Article
Information
Journal of Biosocial Science , Volume 52 , Issue 2 , March 2020 , pp. 272 - 285
Copyright
© Cambridge University Press 2019 

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References

Abbott, RA, Stubbs, LC and Davies, P (2010) Accuracy of weight status perception in contemporary Australian children and adolescents. Journal of Paediatrics and Child Health 46(3), 343–348.CrossRefGoogle ScholarPubMed
Andreyeva, T, Puhl, R and Brownell, K (2008) Changes in perceived weight discrimination among Americans, 1995–1996 through 2004–2006. Obesity (Silver Spring) 16(5), 1129–1134.CrossRefGoogle ScholarPubMed
Barlösius, E and Philipps, A (2015) Felt stigma and obesity: introducing the generalized other. Social Sciences & Medicine 130, 9–15.CrossRefGoogle ScholarPubMed
Barrett, S and Huffman, F (2011) Comparison of self-perceived weight and desired weight versus actual body mass index among adolescents in Jamaica. Revista Panamericana de Salud Pública 29(4), 267–276.CrossRefGoogle ScholarPubMed
Bibiloni, M, Coll, J, Pich, J, Pons, A and Tur, J (2017) Body image satisfaction and weight concerns among a Mediterranean adult population. BMC Public Health 17(1), 39–49.CrossRefGoogle ScholarPubMed
Blashill, AJ and Wilhelm, S (2014) Body image distortions, weight, and depression in adolescent boys: longitudinal trajectories into adulthood. Psychology of Men & Masculinity 15(4), 445–451.CrossRefGoogle ScholarPubMed
Bookwala, J and Boyar, J (2008) Gender, excessive body weight, and psychological well-being in adulthood. Psychology of Women Quarterly 32, 188–195.CrossRefGoogle Scholar
Brennan, M, Lalonde, C and Bain, J (2010) Body image perceptions: do gender differences exist? Psi Chi Journal of Undergraduate Research 15(3), 130–138.Google Scholar
Bulik, C, Wade, T, Heath, A, Martin, N, Stunkard, A and Eaves, L (2001) Relating body mass index to figural stimuli: population-based normative data for Caucasians. International Journal of Obesity 25(10), 1517–1524.CrossRefGoogle ScholarPubMed
Cash, TF and Pruzinsky, T (eds) (2002) Body Image: A Handbook of Theory, Research, and Clinical Practice. Guilford Press, New York.Google Scholar
Chang, F, Lee, C, Chen, P, Chiu, C, Pan, Y and Huang, T (2013) Association of thin-ideal media exposure, body dissatisfaction and disordered eating behaviours among adolescents in Taiwan. Eating Behaviours 14(3), 382–385.CrossRefGoogle ScholarPubMed
Chapman, IM (2008) Obesity in old age. Frontiers of Hormone Research 36, 97–106.CrossRefGoogle ScholarPubMed
Cohelo, EM, Fonseca, SC, Oinro, GS and Mourao-Carvalhal, MI (2016) Factors associated with body image dissatisfaction in Portuguese adolescents: obesity, sports activity and TV watching. Motricidade 12(2), 18–26.Google Scholar
Day, J, Ternouth, A and Collier, DA (2009) Eating disorders and obesity: two sides of the same coin? Epidemiologia e Psichiatria Sociale 18, 96–100.CrossRefGoogle ScholarPubMed
Duncan, D, Wolin, K, Scharoun-Lee, M, Ding, E, Warner, E and Bennett, G (2011) Does perception equal reality? Weight misperception in relation to weight-related attitudes and behaviors among overweight and obese US adults. International Journal of Behavioral Nutrition and Physical Activity 8(1), 20–28.CrossRefGoogle ScholarPubMed
Easton, J, Stephens, C and Sicilia, H (2017) The effect of a medical opinion on self-perceptions of weight for Mexican adults: perception of change and cognitive biases. BMC Obesity 4(1), 16–25.CrossRefGoogle ScholarPubMed
Fallon, AE and Rozin, P (1985) Sex differences in perceptions of desirable body shape. Journal of Abnormal Psychology 94(1), 102–105.CrossRefGoogle ScholarPubMed
Fruh, S, Nadglowski, J, Hal, H, Davis, S, Croo, E and Zlomke, K (2016) Obesity stigma and bias. Journal for Nurse Practitioners 12(7), 425–432.CrossRefGoogle ScholarPubMed
Kaufer-Horwitz, M, Martínez, J, Goti-Rodríguez, L and Ávila-Rosas, H (2006) Association between measured BMI and self-perceived body size in Mexican adults. Annals of Human Biology 33(5–6), 536–545.CrossRefGoogle ScholarPubMed
Kindes, M (2006) Body Image: New Research. Nova Science Publishers, New York.Google Scholar
Kirk, S, Cockbain, A and Beazley, J (2008) Obesity in Tonga: a cross-sectional comparative study of perceptions of body size and beliefs about obesity in lay people and nurses. Obesity Research and Clinical Practice 2(1), 35–41.CrossRefGoogle ScholarPubMed
Kronenfeld, LW, Reba-Harreleson, L, Von Holle, A, Lynn Reyes, M and Bulik, CM (2010) Ethnic and racial differences in body size perception and satisfaction. Body Image 7(2), 131–136.CrossRefGoogle ScholarPubMed
Latner, J and Stefano, E (2016) Obesity stigmatization and the importance of the research of AJ Stunkard. Current Obesity Reports 5(1), 121–125.CrossRefGoogle Scholar
Lohman, TG, Roche, AF and Martorell, R (1988) Anthropometric Standardization Reference Manual. Human Kinetics Books, Champaign, Illinois.Google Scholar
Mendelson, B, Mendelson, M and White, D (2001) Body-esteem scale for adolescents and adults. Journal of Personality Assessment 76(1), 90–106.CrossRefGoogle ScholarPubMed
Menigoz, K, Nathan, A and Turrel, G (2016) Ethnic differences in overweight and obesity and the influence of acculturation on immigrant bodyweight: evidence from a national sample of Australian adults. BMC Public Health 16, 932–953.CrossRefGoogle ScholarPubMed
Morley, JE (1997) Anorexia of aging: physiologic and pathologic. American Journal of Clinical Nutrition 66, 760–773.CrossRefGoogle ScholarPubMed
Morrison, T, Kalin, R and Morrison, M (2004) Body-image evaluation and body-image investment among adolescents: a test of socio-cultural and social comparison theories. Adolescence 39(155), 571–592.Google Scholar
Muñoz-Cachón, M, Salces, I, Arroyo, M, Ansotegui, L, Rocandio, A and Rebato, E (2009) Overweight and obesity: prediction by silhouettes in young adults. Obesity (Silver Spring) 17(3), 545–549.CrossRefGoogle ScholarPubMed
Muth, J and Cash, TF (1997) Body image attitudes: what difference does gender make? Journal of Applied Social Psychology 27(16), 1438–1452.CrossRefGoogle Scholar
Nagasaka, K, Tamakoshi, K, Matsushita, K, Toyoshima, H and Yatsuya, H (2008) Development and validity of the Japanese version of body shape silhouette: relationship between self-rating silhouette and measured body mass index. Nagoya Journal of Medical Science 70(3-4), 89–96.Google ScholarPubMed
Naghshizadian, R, Rahnemai-Azar, A, Kella, K, Weber, M, Calin, M, Bibi, S and Farkas, D (2014) Patient perception of ideal body weight and the effect of body mass index. Journal of Obesity 2014, 1–5.CrossRefGoogle ScholarPubMed
Neagu, A (2015) Body image: a theoretical framework. Proceedings of the Romanian Academy Series B 17(1), 29–38.Google Scholar
Onyike, C, Crum, R, Lee, H, Lyketsos, C and Eaton, W (2003) Is obesity associated with major depression? Results from the third national health and nutrition examination survey. American Journal of Epidemiology 158(12), 1139–1147.CrossRefGoogle ScholarPubMed
Padgett, J and Biro, F (2003) Different shapes in different cultures: body dissatisfaction, overweight, and obesity in African-American and Caucasian females. Journal of Pediatric and Adolescent Gynecology 16(6), 349–354.CrossRefGoogle ScholarPubMed
Pruzinsky, T and Cash, TF (2002) Understanding body images: historical and contemporary perspectives. In Cash, TF, and Pruzinsky, T (eds) Body Image: A Handbook of Theory, Research, And Clinical Practice. Guilford Press, New York, pp. 3–12.Google Scholar
Puhl, R and Heuer, CA (2010) Obesity stigma: important considerations for public health. American Journal of Public Health 100(6), 1019–1028.CrossRefGoogle ScholarPubMed
Ramírez-Molina, M, Godoy-Izquierdo, D, Vázquez-Pérez, M, Lara-Moreno, R, Navarrón-Vallejo, E, Vélez-Toral, M et al. (2015) Imagen corporal y satisfacción corporal en adultos: diferencias por sexo y edad. Revista Iberoamericana de Psicología del Ejercicio y el Deporte 10(1), 63–68.Google Scholar
Ramos-Valverde, P, Rivera-de-los-Santos, F and Moreno-Rodríguez, C (2010) Diferencias de sexo en imagen corporal, control de peso e índice de masa corporal de los adolescentes españoles. Psicothema 22(1), 779–783.Google Scholar
Rand, C and Wright, B (2000) Continuity and change in the evaluation of ideal and acceptable body sizes across a wide age span. International Journal of Eating Disorders 28(1), 90–100.3.0.CO;2-P>CrossRefGoogle ScholarPubMed
Rodin, J, Silberstein, L and Striegel-Moore, R (1984) Women and weight: a normative discontent. Nebraska Symposium on Motivation 32, 267–307.Google ScholarPubMed
Sánchez-Villegas, A, Madrigal, H, Martínez-González, M, Kearney, J, Gibney, M, de Irala, J and Martínez, J (2001) Perception of body image as indicator of weight status in the European Union. Journal of Human Nutrition and Dietetics 14(2), 93–102.CrossRefGoogle ScholarPubMed
Sarwer, DB, Thompson, JK and Cash, TF (2005) Body image and obesity in adulthood. Psychiatric Clinics of North America 28, 69–87.CrossRefGoogle ScholarPubMed
Schuler, P, Vinci, D, Isosaari, R, Philipp, S, Todorovich, J, Roy, J and Evans, R (2008) Body-shape perceptions and body mass index of older African American and European American women. Journal of Cross-Cultural Gerontology 23(3), 255–264.CrossRefGoogle ScholarPubMed
Schulze, MB and Stefan, N (2011) The body adiposity index and the sexual dimorphism in body fat. Obesity (Silver Spring) 19, 1729.CrossRefGoogle ScholarPubMed
Schwartz, MB and Brownell, KD (2004) Obesity and body image. Body Image 1, 43–56.CrossRefGoogle ScholarPubMed
Smolak, L (2004) Body image in children and adolescents: where do we go from here? Body Image 1, 15–28.CrossRefGoogle Scholar
Solomon-Krakus, S, Sabiston, C, Brunet, J, Castonguay, A, Maximova, K and Henderson, M (2017) Body image self-discrepancy and depressive symptoms among early adolescents. Journal of Adolescent Health 60(1), 38–43.CrossRefGoogle ScholarPubMed
Stunkard, A, Sørensen, T and Schulsinger, F (1983) Use of the Danish adoption register for the study of obesity and thinness. Research Publications-Association for Research in Nervous and Mental Disease 60, 115–120.Google Scholar
Tantleff-Dunn, S, Barnes, RD and Gokee Larose, J (2011) It’s not just a “woman thing:” the current state of normative discontent. Eating Disorders 19(5), 392–402.CrossRefGoogle ScholarPubMed
Tiggemann, M (2004) Body image across the adult life span: stability and change. Body Image 1, 29–41.CrossRefGoogle ScholarPubMed
Tomiyama, A (2014) Weight stigma is stressful. A review of evidence for the cyclic obesity/weight-based stigma model. Appetite 82, 8–15.CrossRefGoogle ScholarPubMed
Weinberger, NA, Kersting, A, Riedel-Heller, SG and Luck-Sikorski, C (2016) Body dissatisfaction in individuals with obesity compared to normal-weight individuals: a systematic review and meta-analysis. Obesity Facts 9, 424–441.CrossRefGoogle ScholarPubMed
WHO (2000) Obesity: Preventing and Managing the Global Epidemic. Report of a WHO consultation, WHO Technical Report Series, 894. WHO, Geneva.Google Scholar
Zaccagni, L, Masotti, S, Donati, R, Mazzoni, G and Gualdi-Russo, E (2014) Body image and weight perceptions in relation to actual measurements by means of a new index and level of physical activity in Italian university students. Journal of Translational Medicine 12(1), 42–49.CrossRefGoogle ScholarPubMed