Body image in older women: a mediator of BMI and wellness behaviors

Kilpela, Lisa Smith; Verzijl, Christina L.; Becker, Carolyn Black

doi:10.1080/08952841.2019.1692629

Cited by 14 publications

(12 citation statements)

References 53 publications

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“…For instance, Mangweth-Matzek et al [2] found that over 60% of women age 60-70 years endorsed body dissatisfaction. Kilpela et al [26] found that negative body image mediated the relation between BMI and both health/ wellness behaviors as well as quality of life among women aged 50 and over. Thus, negative body image appears to be prevalent among older women and increase risk for both disordered eating and poorer health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Binge eating among older women: prevalence rates and health correlates across three independent samples

et al. 2021

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Background Emerging research indicates that binge eating (BE; consuming unusually large amounts of food in one siting while feeling a loss of control) is prevalent among older women. Yet, health correlates of BE in older adult populations are poorly understood. The original study aimed to investigate BE prevalence, frequency, and health correlates in a sample of older adult women. Based on results from this first study, we then sought to replicate findings in two additional samples of older adult women from separate studies. Method Using self-reported frequencies of BE from three separate samples of older women with very different demographics, we compared BE prevalence, frequency, and health correlates among older women. Study 1 (N = 185) includes data collected online (86% White; 59% overweight/obese status). Study 2 (N = 64) was conducted in person at a local food pantry (65% Hispanic; 47% household income < $10,000/year). Study 3 (N = 100) comprises data collected online (72% White; 50% Masters/Doctoral Degree). Results Per DSM-5 frequency criterion of BE at least weekly, we found prevalence rates ranging from 19 to 26% across the three samples. Correlates of BE frequency included elevated negative mood, worry, BMI, and less nutritious food consumption. Conclusions Across three very different samples in terms of race/ethnicity, education, food security status, measurements, and sampling methodology, we found fairly consistent rates of self-reported BE at least weekly (19–26%). Results suggest that BE is related to negative health indices among older women and support the need for more research in this population.

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Section: Introductionmentioning

confidence: 99%

Binge eating among older women: prevalence rates and health correlates across three independent samples

et al. 2021

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“…Another study of older women found that body image mediated the association between BMI and wellness, sleep, psychosocial impairment, and consumption of nutrient dense foods (Kilpela et al, 2019). Coupling the results from the current study with recent research, it appears that body image may be protective against the negative consequences that BMI can have on overall well-being, making body image a promising avenue for weight management intervention.…”

Section: Discussionsupporting

confidence: 71%

“…The positive association between body esteem and quality of life is consistent with previous research with children and adults (Haraldstad et al, 2011;Liu et al, 2019;Nayir et al, 2016;Yilmaz & Yillmaz, 2019). Although body esteem was only associated with quality of life at baseline (not over time), research suggests that body image might be more impactful on overall wellness than BMI (Kilpela et al, 2019;Kolodziejczyk et al, 2015). A study of adolescents with overweight and obesity found that body image mediated the association between BMI and health-related quality of life (Kolodziejczyk et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

An examination of body esteem and health outcomes in community samples of youth and youth in pediatric weight management

Lamb¹

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Existing literature is conflicting about the association between body mass index (BMI), body image, quality of life, and disordered eating in samples of community youth, and youth in pediatric weight management programs. This thesis explored these associations through two studies. Study 1 was a meta-analysis examining the association between BMI and health outcomes and Study 2 was a longitudinal study of the bidirectional associations between these variables in a sample of youth in a weight management program. Meta-analytic results indicated that BMI was significantly associated with body image (r = -0.41; N = 57; p <.001), disordered eating (r = 0.14; N = 46; p <.001), and quality of life (r = -0.22; N = 21; p <.001). However, there were significant sex and construct differences, such that for most body image subgroups the association between BMI and body image was significantly larger for female samples. Additionally, studies that used figure rating scales compared to Likert assessments of body image had stronger associations with BMI and no sex differences. In Study 2, 209 youth (111 female; ages 4-18) were included in a retrospective chart review from a pediatric weight management program. Latent growth modelling was used to examine univariate growth trajectories of each variable and the bidirectional associations between body esteem, disordered eating, quality of life, and BMI over time. It was hypothesized that: 1) higher initial body esteem would be associated with lower disordered eating and higher quality of life at baseline, 2) higher initial body esteem would be associated with more favourable changes in disordered eating and quality of life over time, and 3) increases in body esteem would be associated with decreases in disordered eating and increases in quality of life over time.Results indicated that baseline body esteem was associated with baseline emotional BODY ESTEEM AND OBESITY iii eating and quality of life, however body esteem was relatively stable over time and was not associated with changes in quality of life, or disordered eating over time. These results have implications for our understanding of the stability of body esteem over time, body image measurement and terminology, and its role in pediatric weight management programs.

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“…For instance, Mangweth-Matzek et al (2) found that over 60% of women age 60-70 years endorsed body dissatisfaction. Kilpela et al (23) found that negative body image mediated the relation between BMI and both health/wellness behaviors as well as quality of life among women aged 50 and over. Thus, negative body image appears to be prevalent among older women and increase risk for both disordered eating and poorer health outcomes.…”

Section: Aging As a Risk For Binge Eatingmentioning

confidence: 99%

Binge Eating Among Older Women: Prevalence Rates and Health Correlates Across Three Independent Samples

Wilfred

Becker

Kanzler

et al. 2021

Preprint

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BackgroundEmerging research indicates that older women struggle with binge eating (BE; consuming unusually large amounts of food in one siting while feeling a loss of control) more frequently than once thought. Yet, health correlates of BE in older adult populations are poorly understood. The original goal of the study was to investigate BE prevalence, frequency, and health correlates in a sample of older adult women. Following surprising findings in this first study, we then aimed to replicate findings in two additional samples of older adult women. MethodUsing self-reported frequencies of BE from three separate samples of older women with very different demographics, we compared BE prevalence, frequency, and health correlates among older women. Study 1 (N = 185) includes data collected online (86% White; 59% overweight/obese status). Study 2 (N = 64) was conducted in person at a local food pantry (65% Hispanic; 47% household income < $10,000/year). Study 3 (N = 100) comprises data collected online (72% White; 50% Masters/Doctoral Degree). ResultsPer DSM-5 frequency criterion of BE at least weekly, we found prevalence rates ranging from 19%-26% across the three samples. Correlates of BE frequency included elevated negative mood, worry, BMI, and less nutritious food consumption. ConclusionsAcross three very different samples in terms of race/ethnicity, education, food security status, measurements, and sampling methodology, we found fairly consistent rates of self-reported BE at least weekly (19-26%). BE is related to negative outcomes among older women, supporting the need for more research in this population.

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Body image in older women: a mediator of BMI and wellness behaviors

Cited by 14 publications

References 53 publications

Binge eating among older women: prevalence rates and health correlates across three independent samples

Binge eating among older women: prevalence rates and health correlates across three independent samples

An examination of body esteem and health outcomes in community samples of youth and youth in pediatric weight management

Binge Eating Among Older Women: Prevalence Rates and Health Correlates Across Three Independent Samples

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