scholarly journals Obesity, Body Image Dissatisfaction, and Sexual Dysfunction: A Narrative Review

Sexes ◽  
2022 ◽  
Vol 3 (1) ◽  
pp. 20-39
Author(s):  
Sean M. McNabney

With approximately two-thirds of the United States adult population classified as overweight or obese, obesity remains a critical public health concern. Obesity not only contributes to several health complications including type 2 diabetes mellitus and cardiovascular disease, but the condition is also associated with sexual dysfunction in both women and men. Despite evidence linking obesity and its concomitant pathophysiology to sexual problems, the potential roles of psychosocial factors such as body image are understudied. This narrative review evaluates the research linkages between obesity and sexual dysfunction, with particular attention to the potential effects of body image dissatisfaction. A literature search of biomedical and psychological databases was used to identify research pertaining to obesity, sexual function, and/or body image constructs. The pathophysiological effects of obesity on sexual function are well-documented in mechanistic studies and animal trials, often with corroboration in human clinical samples. However, very few studies examine obesity, body image, and sexual function in tandem. Body image dissatisfaction appears to independently impinge upon the sexual response cycle and mental health outcomes, irrespective of body weight. While obesity is often associated with negative body image appraisal, it is unclear whether these constructs exert additive, synergistic, or antagonistic effects on sexual responsivity. Additionally, overweight/obese individuals who exhibit higher levels of body image satisfaction or self-confidence appear to be protected from the deleterious effects of obesity on sexual satisfaction, at least to some extent. Greater reliance upon conceptual/theoretical models from the body image literature may better clarify the relationships between these constructs.

2020 ◽  
Vol 10 (3) ◽  
pp. 206-218
Author(s):  
James Collison ◽  
Lisa Harrison

Background: Body dysmorphic disorder encompasses a range of cognitive and behavioural states stemming from distressing, negative evaluations of one’s appearance. Despite the seriousness of this condition, little is known about who is likely to receive a diagnosis and more importantly what the putative risk factors are. This is particularly so among adolescent samples, where the extant literature is considerably smaller. Objective: This study had two broad aims: to estimate the prevalence of body dysmorphic disorder within a young-adult population, and to examine the predictors of body image disturbance. Methods: Three-hundred and four adolescents (242 females; Mage = 17.68) completed the Body Image Disturbance Questionnaire and Body Dysmorphic Disorder Questionnaire, along with measures of clinical psychopathology, self-esteem, experiences of parenting, and bullying. Results: Body dysmorphic disorder was present in 3.9% of the sample, which is in line with previous estimates among adolescents. More interestingly, results indicated that instances of high stress, low self-esteem, and reported experiences of bullying were able to predict 48% of body image dissatisfaction. Conclusions: Psychological interventions should be directed towards adolescents with body image concerns, especially if they also report bullying, elevated stress, or diminished selfesteem. However, additional research is still warranted to gain an increasingly accurate understanding of the prevalence of body dysmorphic disorder and who is susceptible to developing this disorder and how we can best serve these individuals in the community.


Author(s):  
Iasmim Batista Correia ◽  
Nathalie De Almeida Silva ◽  
Paulo Granges e Silva ◽  
Tarciana Nobre de Menezes

Aging leads to psychological losses and various physical changes that, associated with body-stereotyped patterns imposed by society, can cause disturbances in the body image perception (BIP) in the elderly. The aim of this study was to evaluate BIP in older adults living in the city of Campina Grande / PB and its relationship with different anthropometric and body composition indicators. This cross-sectional study was carried out with older adults of both sexes enrolled in the Family Health Strategy of Campina Grande, PB. BIP was considered as a dependent variable and body mass index (BMI), waist circumference (WC), triceps skinfold (TSF), and arm fat area (AFA) as independent variables. The association between BIP and anthropometric indicators was verified using the Pearson chi-square test (X²), simple and multiple logistic regression, with significance level of p <0.05. Overall, 420 older adults were interviewed (68.1% women), of whom 409 reported their actual body image perception. Regarding the perception of idealized body image, 11 individuals did not respond and 230 were satisfied, since 179 desired another silhouette. Individuals with BMI indicative of overweight / obesity were more likely of showing body image dissatisfaction compared to those with normal weight. Subjects with excessive TSF showed greater body image dissatisfaction in relation to those with normal weight. Women were more likely of showing body image dissatisfaction. Thus, it was observed that variables BMI, TSF and sex were independently associated with body image satisfaction.


Author(s):  
Bhawini Vasudeva

The aim to conduct this research is to enlighten the impact of body image dissatisfaction on an individual’s self-esteem and to examine whether there is a gender difference in this case or not. There are a total of 220 numbers of participants, with equal number of males and females in the sample set. The tool that’d be using here is a modified short version of the Body Shape Questionnaire (BSQ) by Cooper et. Al. in the year in 1987 and The Rosenberg self-esteem scale by Morris Rosenberg (RSES) in the year 1965. The current research proved that whenever there’ll be higher body image dissatisfaction, it’ll result in less self-esteem. Other than that, it stated that females (M= 22.69 and SD= 3.64) have a higher mean score in body image dissatisfaction than and males (M=23.28 and SD= 3.6), therefore, the men have a higher mean score of self-esteem than females.


Author(s):  
Jonathan Diedrich ◽  
Halina Chkourko Gusky ◽  
Izabela Podgorski

AbstractGrowing by an alarming rate in the Western world, obesity has become a condition associated with a multitude of diseases such as diabetes, metabolic syndrome and various cancers. Generally viewed as an abnormal accumulation of hypertrophied adipocytes, obesity is also a poor prognostic factor for recurrence and chemoresistance in cancer patients. With more than two-thirds of the adult population in the United States considered clinically overweight or obese, it is critical that the relationship between obesity and cancer is further emphasized and elucidated. Adipocytes are highly metabolically active cells, which, through release of adipokines and cytokines and activation of endocrine and paracrine pathways, affect processes in neighboring and distant cells, altering their normal homeostasis. This work will examine specifically how adipocyte-derived factors regulate the cellular metabolism of malignant cells within the tumor niche. Briefly, tumor cells undergo metabolic pressure towards a more glycolytic and hypoxic state through a variety of metabolic regulators and signaling pathways, i.e., phosphoinositol-3 kinase (PI3K), hypoxia-inducible factor-1 alpha (HIF-1α), and c-MYC signaling. Enhanced glycolysis and high lactate production are hallmarks of tumor progression largely because of a process known as the Warburg effect. Herein, we review the latest literature pertaining to the body of work on the interactions between adipose and tumor cells, and underlining the changes in cancer cell metabolism that have been targeted by the currently available treatments.


Author(s):  
Amrit Virk ◽  
Parmal Singh

Background: Body image refers to how individuals think, feel and behave in relation to their body and appearance. During adolescence self-perception about their appearance is important to the development of self-esteem and is also understood to be an important predictor of self-worth. Research has shown that inappropriate perception of the body image and dissatisfaction can lead to physical and psychic problems in the youth. In today's society, with the growing sense of ideal body image, adolescents and young adults try to lose or gain body weight to attain perfect body. The objective of the study is to find out the proportion of students dissatisfied with their body image, and the association of various determinants with body image dissatisfaction and self-esteem.  Methods: A cross-sectional study was done among 125 first year medical students located in rural Haryana. A semi-structured questionnaire was used to collect data on various determinants associated with body image dissatisfaction and self-esteem.Results: Body image dissatisfaction was present among 16.8% of the students. Low self-esteem was observed among 21.6% of the students. Low body mass index (<18.5) was found to be significantly associated with body image dissatisfaction. A moderately positive correlation (r=0.384, p<0.001) was observed between self-esteem and body image satisfaction.Conclusions: Study findings support the fact that body image dissatisfaction has its impact on self-esteem among college-going youth. It is imperative that effective interventions be planned to educate the youth on ideal body weight and protect this young generation from pressures and consequences of negative body image.


Author(s):  
Akhmad Mukhlis

Penelitian ini bertujuan untuk mengetahui sejauhmana pengaruh pelatihan berpikir positif terhadap ketidakpuasan terhadap citra tubuh. Penelitian ini menggunakan kerangka teori yang mengacu pada the Body Dissatisfaction subscale of the Eating Disorders Inventory-2 (EDI-2) yang disusun oleh Garner dkk.. Subjek adalah remaja perempuan sekolah menengah atas. Subjek memiliki skor EDI-2 tinggi dan bersedia menjadi subjek dibagi kedalam kelompok eksperimen dan kelompok kontrol. Subjek kemudian diminta untuk mengisi EDI-2 sebanyak dua kali yaitu sebelum terapi (pretest), sesaat setelah terapi (posttest) serta diminta untuk menuliskan perkembangan emosinya selama pelatihan. Data dalam penelitian berupa data kuantitatif yang dilengkapi dengan data kualitatif untuk menguatkan penjelasan proses terapi, khususnya dari sisi subjek. Data kuantitatif kemudian dianalisis dengan uji-t dua sampel independen (Independent Sample t-test) dan uji berpasangan (Paired t-test) dengan bantuan program SPSS. Hasil penelitian menunjukkan bahwa pada kelompok eksperimen terdapat perbedaan yang sangat signifikan antara skor EDI-2 pada saat posttest dibandingkan dengan saat pretest peningkatan skor sebesar 17,62 dan p = 0,000 (p &lt; 0,05), sedangkan pada kelompok kontrol tidak ada perbedaan skor yang signifikan (p=0.824). Mengenai hasil-hasil temuan penelitian tersebut akan dipaparkan secara lebih luas di dalam diskusi


2020 ◽  
Author(s):  
Stefania Toselli ◽  
Alessia Grigoletto ◽  
Luciana Zaccagni ◽  
Natascia Rinaldo ◽  
Georgian Badicu ◽  
...  

Abstract Background: Adolescence is a period of life in which students face physical and psychological changes that can destabilise them, and that is characterised by specific health and developmental needs and rights. The aim of this study was to evaluate the longitudinal association between anthropometric, weight status, body composition changes, and body image perception, keeping into account sex and maturity differences in adolescents. Methods: A sample of 134 children (64 males and 70 females) attending secondary school in the Emilia Romagna region (northern Italy) have been followed longitudinally for three consecutive years. Sports practice was assessed by questionnaire, and maturity status was detected. Anthropometric measurements, body composition, and body image perception were carried out. The discrepancy between the actual figure and the ideal figure was used to determine the degree of body image dissatisfaction, while improper perception of weight status was evaluated by means of Feel weight status minus Actual weight status Inconsistency (FAI).Results: A high percentage of the sample (about 90% in both sexes) practiced sport during the three years. In males, since they were approaching the PHV, leg length growth was prevalent. In females, height increment was lower than the one observed in males, such as the sitting height increment was higher than that of leg length. Connected with sexual dimorphism is also the trend of skinfold thicknesses, which generally showed a decrease in males and increase in females during the three years. Percentage of body fat followed the same trend. In both sex, body image perception did not show significant variations with age, and FAI score indicated no inconsistency in weight status perception. A difference in the perception of body image was observed in subjects of different weight status categories in each class. Conclusions: As demonstrated by the present study, the body image perception did not seem to change with age, but associations were found between body image perception and weight status. Monitoring perception in young adolescents, as well as taking into account their maturity and weight status is a priority to prevent nutritional disorders.


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0247651
Author(s):  
Nicole Doria ◽  
Matthew Numer

Eating disorders among adolescent girls are a public health concern. Adolescent girls that participate in aesthetic sport, such as dance, are of particular concern as they experience the highest rates of clinical eating disorders. The purpose of this study is to explore the experiences of young girls in the world of competitive dance and examine how these experiences shape their relationship with the body; feminist poststructural discourse analysis was employed to critically explore this relationship. Interviews were conducted across Canada with twelve young girls in competitive dance (14–18 years of age) to better understand how the dominant discourses in the world of competitive dance constitute the beliefs, values and practices about body and body image. Environment, parents, coaches, and peers emerged as the largest influencers in shaping the young dancers’ relationship with their body. These influencers were found to generate and perpetuate body image discourses that reinforce the ideal dancer’s body and negative body image.


2020 ◽  
Author(s):  
Samaneh Youseflu ◽  
Shahideh Jahanian Sadatmahalleh

Abstract Background: This study aimed to test a conceptual model considering the interrelated role of menorrhagia, body image concern, self-esteem, anxiety and depression, sexual function, on quality of life (QOL) of sterilized women.Methods: The current study was conducted as a retrospective cohort study on 200 sterilized women. Data were collected using a socio-demographic checklist, Short Form Health Survey (SF-12), Pictorial Blood Loss Assessment Chart (PBLAC), Female Sexual Function Index (FSFI), Hospital Anxiety and Depression Scale (HADS), Body Image Concern Inventory (BICI), and Rosenberg Self-Esteem Scale.Results: Results show that anxiety (β =-0.51), sexual function (β =0.15) self-esteem (β =0.15), and body image dissatisfaction (β = -0.10) have a direct effect on women’s QOL. Higher level of anxiety, body dissatisfaction with direct effect can be reduce QOL. Anxiety (β =-0.05), sexual function (β =0.20), and menorrhagia (β =-0.09) with indirect effect impress QOL. Higher level of anxiety with indirect effect thorough self-esteem can worsen QOL (β =-0.05).Conclusion: Regarding the psycho-sexual influence of sterilization on women’s QOL, a comprehensive consultation about the negative consequence of sterilization before TL, and psychotherapeutic and psychosexual help after sterilization should be offered.


Author(s):  
Tahereh Eftekhar ◽  
Marzieh Hajibabaei ◽  
Firoozeh Veisi ◽  
Zinat Ghanbari ◽  
Ali Montazeri

Objective: This study aimed to compare women’s body image, sexual function and satisfaction before and after gynecologic cosmetic surgery. The study also aimed to assess women husband’s sexual satisfaction. Materials and methods: This was a pretest-posttest study. A sample of 50 women attending the pelvic floor clinic of Tehran University of Medical Sciences for gynecologic cosmetic surgery was entered into the study. Surgeries included labiaplasty, clitoral hoodectomy, vaginoplasty, vaginal rejuvenation, anterior and posterior colporrhaphy, perineoplasty, and perineorrhaphy. Women were assessed for the Body Image Quality of Life Inventory (BIQLI), the Larson Sexual Satisfaction Questionnaire (LSSQ-F), and Female Sexual Function Inventory (FSFI-6) at two points in time: baseline (one week before surgery) and 3 months after surgery. Similarly, the male partners were assed for sexual satisfaction using the Larson Sexual Satisfaction Questionnaire (LSSQ-M). To analyze the data paired samples t-test was applied. Results: The mean (SD) age of women was 43.36 (8.6) years and the mean (SD) duration of marriage was 22.18 (9.7) years. Ninety-four percent had history of vaginal delivery and 58.7 percent attend surgery due to husband’s sexual dissatisfaction. The results showed that women’s body image, sexual function and couples’ sexual satisfaction improved significantly after gynecologic cosmetic surgery (p ≤ 0.001). Conclusion: The findings suggest that female genital cosmetic surgery improved the body image and sexual function of women and sexual satisfaction in couples that might lead to a more pleasurable and healthier marital relationship.


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