老年女性的身体意象：BMI 和健康行为的中介。
Body image in older women: a mediator of BMI and wellness behaviors.
机构信息
Department of Psychiatry, Barshop Institute for Longevity and Aging Studies, University of Texas Health Science Center San Antonio, San Antonio, TX, USA.
Department of Psychology, University of South Florida, Tampa, Florida, USA.
出版信息
J Women Aging. 2021 May-Jun;33(3):298-311. doi: 10.1080/08952841.2019.1692629. Epub 2019 Nov 21.
Abstract
Negative body image is prevalent among mid- and late-life women. In younger women, negative body image is associated with reduced quality of life (QOL) when controlling for body mass index (BMI), and mediates the relationship between obesity and emotional wellbeing. Yet, much remains unknown about body image in older populations. In our sample of women aged 50-86 ( = 181), negative body image mediated the relationship between BMI and sleep, all four domains of QOL, negative affect, nutritious food consumption, and psychosocial impairment, but not enjoyment of physical activity. Findings suggest negative body image impacts the wellbeing of older women.
摘要
负面的身体意象在中年和晚年女性中很普遍。在年轻女性中，在控制体重指数 (BMI) 的情况下，负面的身体意象与生活质量 (QOL) 的降低有关，并且介导肥胖与情绪健康之间的关系。然而，对于老年人群的身体意象，我们仍然知之甚少。在我们的 50-86 岁女性样本中（n=181），负面的身体意象在 BMI 和睡眠、QOL 的四个领域、负面情绪、营养食物摄入和心理社会障碍之间的关系中起中介作用，但对身体活动的享受没有影响。研究结果表明，负面的身体意象会影响老年女性的幸福感。
相似文献
1
Body image in older women: a mediator of BMI and wellness behaviors.老年女性的身体意象：BMI 和健康行为的中介。
J Women Aging. 2021 May-Jun;33(3):298-311. doi: 10.1080/08952841.2019.1692629. Epub 2019 Nov 21.
2
The Longitudinal Associations of Body Dissatisfaction with Health and Wellness Behaviors in Midlife and Older Women.中年和老年女性体不满意与健康和健康行为的纵向关联。
Int J Environ Res Public Health. 2023 Dec 5;20(24):7143. doi: 10.3390/ijerph20247143.
3
The clinical significance of binge eating among older adult women: an investigation into health correlates, psychological wellbeing, and quality of life.老年女性暴饮暴食的临床意义：对健康相关性、心理健康和生活质量的调查。
J Eat Disord. 2022 Jul 7;10(1):97. doi: 10.1186/s40337-022-00621-x.
4
The effects of body image impairment on the quality of life of non-operated Portuguese female IBD patients.身体形象受损对未接受手术的葡萄牙女性炎症性肠病患者生活质量的影响。
Qual Life Res. 2017 Feb;26(2):429-436. doi: 10.1007/s11136-016-1378-3. Epub 2016 Jul 25.
5
Body image as a mediator of the relationship between body mass index and weight-related quality of life in black women.身体意象作为黑人女性体重指数与体重相关生活质量之间关系的中介。
J Womens Health (Larchmt). 2011 Oct;20(10):1573-8. doi: 10.1089/jwh.2010.2637. Epub 2011 Aug 4.
6
Body image in adult women: Associations with health behaviors, quality of life, and functional impairment.成年女性的身体意象：与健康行为、生活质量和功能障碍的关系。
J Health Psychol. 2019 Sep;24(11):1536-1547. doi: 10.1177/1359105317710815. Epub 2017 Jun 1.
7
More than just body weight: the role of body image in psychological and physical functioning.不仅仅是体重：体像在心理和生理功能中的作用。
Body Image. 2013 Sep;10(4):644-7. doi: 10.1016/j.bodyim.2013.04.007. Epub 2013 May 28.
8
Desire to lose weight, dietary intake and psychological correlates among middle-aged and older women. The CoLaus study.中年和老年女性的减肥意愿、饮食摄入和心理相关因素。科劳研究。
Prev Med. 2018 Aug;113:41-50. doi: 10.1016/j.ypmed.2018.05.011. Epub 2018 May 16.
9
The relationship between quality of life and perceived body weight and dieting history in Dutch men and women.荷兰男性和女性的生活质量与感知体重及节食史之间的关系。
Int J Obes Relat Metab Disord. 2001 Sep;25(9):1386-92. doi: 10.1038/sj.ijo.0801714.
10
Experiences of weightism among sexual minority men: Relationships with Body Mass Index, body dissatisfaction, and psychological quality of life.性少数男性中的体重歧视体验：与身体质量指数、身体不满和心理健康相关。
Soc Sci Med. 2018 Oct;214:35-40. doi: 10.1016/j.socscimed.2018.08.018. Epub 2018 Aug 20.
引用本文的文献
1
The impact of digital literacy on the health behavior of rural older adults: evidence from China.数字素养对中国农村老年人健康行为的影响：来自中国的证据。
BMC Public Health. 2025 Mar 7;25(1):919. doi: 10.1186/s12889-025-21964-5.
2
Cultural Determinants of Body Image: What About the Menopausal Transition?身体形象的文化决定因素：更年期过渡阶段情况如何？
Healthcare (Basel). 2025 Jan 3;13(1):76. doi: 10.3390/healthcare13010076.
3
Level of body mass index, functional fitness, quality of life, and satisfaction with life among women aged 60+ years participating in an organised pro-health training programme.参加有组织的促进健康训练计划的60岁及以上女性的体重指数、身体功能健康、生活质量和生活满意度水平
Prz Menopauzalny. 2024 Sep;23(3):117-126. doi: 10.5114/pm.2024.143478. Epub 2024 Oct 14.
4
Associations between menopause and body image: A systematic review.绝经与身体形象的关系：系统评价。
Womens Health (Lond). 2023 Jan-Dec;19:17455057231209536. doi: 10.1177/17455057231209536.
5
Benefits of Fiber-Enriched Foods on Satiety and Parameters of Human Well-Being in Adults with and without Cardiometabolic Risk.富含纤维的食物对伴有和不伴有心血管代谢风险的成年人的饱腹感和健康参数的益处。
Nutrients. 2023 Sep 6;15(18):3871. doi: 10.3390/nu15183871.
6
Binge eating among older women: prevalence rates and health correlates across three independent samples.老年女性的暴饮暴食：三个独立样本中的患病率及与健康的相关性
J Eat Disord. 2021 Oct 19;9(1):132. doi: 10.1186/s40337-021-00484-8.
7
Tailoring a dissonance-based body image intervention for adult women in a proof of concept trial: The Women's Body Initiative.为概念验证试验中的成年女性量身定制基于不和谐的身体意象干预：女性身体倡议。
Body Image. 2021 Mar;36:269-275. doi: 10.1016/j.bodyim.2021.01.001. Epub 2021 Jan 21.
本文引用的文献
1
Weight Gain in Women at Midlife: A Concise Review of the Pathophysiology and Strategies for Management.中年女性的体重增加：病理生理学简述及管理策略。
Mayo Clin Proc. 2017 Oct;92(10):1552-1558. doi: 10.1016/j.mayocp.2017.08.004.
2
Body image in adult women: Associations with health behaviors, quality of life, and functional impairment.成年女性的身体意象：与健康行为、生活质量和功能障碍的关系。
J Health Psychol. 2019 Sep;24(11):1536-1547. doi: 10.1177/1359105317710815. Epub 2017 Jun 1.
3
Depression Among Older Adults: A 20-Year Update on Five Common Myths and Misconceptions.老年人的抑郁：五大常见误区和误解的 20 年更新。
Am J Geriatr Psychiatry. 2018 Jan;26(1):107-122. doi: 10.1016/j.jagp.2017.06.011. Epub 2017 Jun 16.
4
Association of Mid-Life Changes in Body Size, Body Composition and Obesity Status with the Menopausal Transition.中年时期身体大小、身体成分及肥胖状况的变化与绝经过渡的关联
Healthcare (Basel). 2016 Jul 13;4(3):42. doi: 10.3390/healthcare4030042.
5
Shared risk factors for mood-, eating-, and weight-related health outcomes.情绪、饮食和体重相关健康结果的共同风险因素。
Health Psychol. 2016 Mar;35(3):245-52. doi: 10.1037/hea0000283. Epub 2015 Dec 21.
6
Overweight and Obesity: Prevalence, Consequences, and Causes of a Growing Public Health Problem.超重与肥胖：一个日益严重的公共卫生问题的患病率、后果及成因
Curr Obes Rep. 2015 Sep;4(3):363-70. doi: 10.1007/s13679-015-0169-4.
7
Body Image in Adult Women: Moving Beyond the Younger Years.成年女性的身体意象：超越年轻岁月
Adv Eat Disord. 2015 Jul 1;3(2):144-164. doi: 10.1080/21662630.2015.1012728.
8
Obesity as a Socially Defined Disease: Philosophical Considerations and Implications for Policy and Care.肥胖作为一种社会界定的疾病：哲学思考及其对政策与照护的影响
Health Care Anal. 2016 Mar;24(1):86-100. doi: 10.1007/s10728-015-0291-1.
9
Impact of weight bias and stigma on quality of care and outcomes for patients with obesity.体重偏见和污名对肥胖患者医疗质量及治疗结果的影响。
Obes Rev. 2015 Apr;16(4):319-26. doi: 10.1111/obr.12266. Epub 2015 Mar 5.
10
Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: a randomized clinical trial.正念冥想与睡眠障碍老年人睡眠质量及日间功能损害的改善：一项随机临床试验。
JAMA Intern Med. 2015 Apr;175(4):494-501. doi: 10.1001/jamainternmed.2014.8081.
Zotero 插件