Body Dissatisfaction in Individuals with Obesity Compared to Normal-Weight Individuals: A Systematic Review and Meta-Analysis

Natascha-Alexandra Weinberger, Anette Kersting, Steffi G Riedel-Heller, Claudia Luck-Sikorski, Natascha-Alexandra Weinberger, Anette Kersting, Steffi G Riedel-Heller, Claudia Luck-Sikorski

Abstract

Background: Body dissatisfaction has been identified as a psychological correlate of obesity that is related to disordered eating, poor self-esteem, and depression. However, not all individuals with obesity are equally vulnerable to these correlates, and 'normative discontent' is present in individuals with normal weight, too. In this light, the complex relationship of body image and individual weight status seems like a worthwhile direction of research inquiry. As such, this review aims to systematically explore the degree of body dissatisfaction in individuals with obesity compared to normal-weight individuals.

Methods: A systematic literature search was conducted. All quantitative studies of adult samples reporting results regarding differences in body dissatisfaction between individuals with normal weight and obesity were included.

Results: 17 articles were found. Across studies, individuals with obesity reported higher body dissatisfaction than normal-weight individuals (questionnaires: d = 0.89, 95% CI = 0.63-1.16, p < 0.001; silhouette scales: d = 1.41, 95% CI = 0.57-2.25, p < 0.001). Meta-regression revealed a significant association of female gender and higher body dissatisfaction (b = 0.60, p = 0.007).

Conclusion: The findings underline the severity of body dissatisfaction among individuals with obesity and especially among women. Future research recommendations are discussed.

© 2016 The Author(s) Published by S. Karger GmbH, Freiburg.

Figures

Fig. 1
Fig. 1
Flow diagram of study selection. Adapted from [26].
Fig. 2
Fig. 2
Meta-analysis of differences in body dissatisfaction questionnaire scores between individuals with obesity and normal-weight among male and female samples. Abbreviations: 1 = male; 2 = female; SMD = standardized mean difference; CI = confidence interval; LB = lower body; UB = upper body.

References

    1. Friedman MA, Brownell KD. Psychological correlates of obesity: moving to the next research generation. Psychol Bull. 1995;117:3–20.
    1. Wardle J, Cooke L. The impact of obesity on psychological well-being. Best Pract Res Clin Endocrinol Metab. 2005;19:421–440.
    1. Cash TF. Body image: past, present, and future. Body Image. 2004;1:1–5.
    1. Cash TF. Body image: Cognitive behavioral perspectives on body image. In: Cash TF, Pruzinsky T, editors. Body Images: A Handbook of Theory, Research, and Clinical Practice. New York: Guilford Press; 2002. pp. 38–46.
    1. Cash TF. Body-image attitudes: evaluation, investment, and affect. Percept Mot Skills. 1994;78:1168–1170.
    1. Pole M, Crowther JH, Schell J. Body dissatisfaction in married women: the role of spousal influence and marital communication patterns. Body Image. 2004;1:267–278.
    1. Flynn KJ, Fitzgibbon M. Body images and obesity risk among black females: a review of the literature. Ann Behav Med. 1998;20:13–24.
    1. Sarwer DB, Thompson JK, Cash TF. Body image and obesity in adulthood. Psychiatr Clin North Am. 2005;28:69–87.
    1. Gardner RM, Brown DL. Body image assessment: a review of figural drawing scales. Personality and Individual Differences. 2010;48:107–11.
    1. Pull CB, Aguayo GA. Assessment of body-image perception and attitudes in obesity. Curr Opin Psychiatry. 2011;24:41–48.
    1. Schwartz MB, Brownell KD. Obesity and body image. Body Image. 2004;1:43–56.
    1. Grogan S. Body Image: Understanding Body Dissatisfaction in Men, Women and Children. 2nd ed. New York: Routledge; 2008.
    1. Tiggemann M, Slater A. Thin ideals in music television: a source of social comparison and body dissatisfaction. Int J Eat Disord. 2004;35:48–58.
    1. McCabe MP, Ricciardelli LA. Body image dissatisfaction among males across the lifespan: a review of past literature. J Psychosom Res. 2004;56:675–685.
    1. Tiggemann M. Body image across the adult life span: stability and change. Body Image. 2004;1:29–41.
    1. Grogan S. Body image and health: contemporary perspectives. J Health Psychol. 2006;11:523–530.
    1. Hill AJ, Williams J. Psychological health in a non-clinical sample of obese women. Int J Obes Relat Metab Disord. 1998;22:578–583.
    1. Stice E, Shaw HE. Role of body dissatisfaction in the onset and maintenance of eating pathology. J Psychosom Res. 2002;53:985–993.
    1. Sarwer DB, Wadden TA, Foster GD. Assessment of body image dissatisfaction in obese women: specificity, severity, and clinical significance. J Consult Clin Psychol. 1998;66:651–654.
    1. Vieira PN, Palmeira AL, Mata J, Kolotkin RL, Silva MN, Sardinha LB, Teixeira PJ. Usefulness of standard BMI cut-offs for quality of life and psychological well-being in women. Obes Facts. 2012;5:795–805.
    1. Rodin J, Silberstein L, Striegel-Moore R. Women and weight: a normative discontent. Nebr Symp Motiv. 1984;32:267–307.
    1. McLaren L, Kuh D. Body dissatisfaction in midlife women. J Women Aging. 2004;16:35–54.
    1. Feingold A, Mazzella R. Gender differences in body image are increasing. Psychol Sci. 1998;9:190–195.
    1. Muth JL, Cash TF. Body‐image attitudes: what difference does gender make? J Appl Soc Psychol. 1997;27:1438–1452.
    1. Tacconelli E. Systematic reviews: CRD's guidance for undertaking reviews in health care. Lancet Infect Dis. 2010;10:226.
    1. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol. 2009;62:1006–1012.
    1. World Health Organization Obesity: preventing and managing the global epidemic. Report of a WHO consultation. WHO Techn Rep Ser. 2000;894:i–xii. 1-253.
    1. Higgins JPT, editor. Cochrane Handbook for Systematic Reviews of Interventions. Chichester: Wiley-Blackwell; 2008.
    1. Morotti E, Battaglia B, Paradisi R, Persico N, Zampieri M, Venturoli S, Battaglia C. Body mass index, Stunkard Figure Rating Scale, and sexuality in young Italian women: a pilot study. J Sex Med. 2013;10:1034–1043.
    1. Kakeshita IS, de Sousa Almeida S. Relationship between body mass index and self-perception among university students. Rev Saude Publica. 2006;40:497–504.
    1. Johnstone AM, Stewart AD, Benson PJ, Kalafati M, Rectenwald L, Horgan G. Assessment of body image in obesity using a digital morphing technique. J Hum Nutr Diet. 2008;21:256–267.
    1. Herbozo S, Menzel JE, Thompson JK. Differences in appearance-related commentary, body dissatisfaction, and eating disturbance among college women of varying weight groups. Eat Behav. 2013;14:204–206.
    1. Lipowska M, Lipowski M. Narcissism as a moderator of satisfaction with body image in young women with extreme underweight and obesity. PLoS One. 2015;10:e0126724.
    1. McCabe MP, McGreevy SJ. Role of media and peers on body change strategies among adult men: is body size important? Eur Eat Disord Rev. 2011;19:438–446.
    1. Hrabosky JI, Grilo CM. Body image and eating disordered behavior in a community sample of Black and Hispanic women. Eat Behav. 2007;8:106–114.
    1. Cash TF. The Multidimensional Body-Self Relations Questionnaire, 3rd ed. 2000. Available from the author at .
    1. Baceviciene M, Reklaitiene R, Tamosiunas A. Effect of excess body weight on quality of life and satisfaction with body image among middle-aged Lithuanian inhabitants of Kaunas city. Medicina (Kaunas) 2009;45:565–573.
    1. Watkins JA, Christie C, Chally P. Relationship between body image and body mass index in college men. J Am Coll Health. 2008;57:95–100.
    1. Stunkard AJ, Sorensen T, Schulsinger F. Use of the Danish Adoption Register for the study of obesity and thinness. Res Publ Assoc Res Nerv Ment Dis. 1983;60:115–120.
    1. World Health Organization . WHOQOL User Manual. Geneva: World Health Organization; 1998. (last accessed December 12, 2016).
    1. Fallon EA, Harris BS, Johnson P. Prevalence of body dissatisfaction among a United States adult sample. Eat Behav. 2014;15:151–158.
    1. Garner DM. The Eating Disorder Inventory-3: Professional Manual. Odessa: Psychological Assessment Resources, Inc.; 2004.
    1. Cooper PJ, Taylor MJ, Cooper Z, Fairbum CG. The development and validation of the body shape questionnaire. Int J Eat Disord. 1987;6:485–494.
    1. Jun EM, Choi SB. Obesity, body image, depression, and weight-control behaviour among female university students in Korea. J Cancer Prev. 2014;19:240–246.
    1. Mendelson BK, Mendelson MJ, White DR. Body-esteem scale for adolescents and adults. J Pers Assess. 2001;76:90–106.
    1. Franzoi SL, Shields SA. The Body Esteem Scale: multidimensional structure and sex differences in a college population. J Pers Assess. 1984;48:173–178.
    1. Ricciardelli LA, McCabe MP. Psychometric evaluation of the Body Change Inventory: an assessment instrument for adolescent boys and girls. Eat Behav. 2002;3:45–59.
    1. Streeter VM, Milhausen RR, Buchholz AC. Body image, body mass index, and body composition in young adults. Can J Diet Pract Res. 2012;73:78–83.
    1. Benkeser RM, Biritwum R, Hill AG. Prevalence of overweight and obesity and perception of healthy and desirable body size in urban, Ghanaian women. Ghana Med J. 2012;46:66–75.
    1. Cachelin FM, Monreal TK, Juarez LC. Body image and size perceptions of Mexican American women. Body Image. 2006;3:67–75.
    1. Gilbert-Diamond D, Baylin A, Mora-Plazas M, Villamor E. Correlates of obesity and body image in Colombian women. J Womens Health. 2009;18:1145–1151.
    1. Santos Silva DA, Nahas MV, de Sousa TF, Del Duca GF, Peres KG. Prevalence and associated factors with body image dissatisfaction among adults in southern Brazil: a population-based study. Body Image. 2011;8:427–431.
    1. Stewart AD, Benson PJ, Michanikou EG, Tsiota DG, Narli MK. Body image perception, satisfaction and somatotype in male and female athletes and non-athletes: results using a novel morphing technique. J Sports Sci. 2003;21:815–823.
    1. Cash TF, Szymanski ML. The development and validation of the Body-Image Ideals Questionnaire. J Pers Assess. 1995;64:466–477.
    1. Williamson DA, Davis CJ, Bennett SM, Goreczny AJ, Gleaves DH. Development of a simple procedure for assessing body image disturbances. Behav Assess. 1989;11:433–446.
    1. Fairburn CG, Beglin SJ. Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord. 1994;16:363–370.
    1. Beck AT, Steer R. Manual for revised Beck Depression Inventory. New York: Psychological Corporation; 1987.
    1. Reed DL, Thompson JK, Brannick MT, Sacco WP. Development and validation of the Physical Appearance State and Trait Anxiety Scale (PASTAS) J Anxiety Disord. 1991;5:323–332.
    1. Zung WW. A self-rating depression scale. Arch Gen Psychiatry. 1965;12:63–70.
    1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. 4th ed (Text Revision) Washington DC: American Psychiatric Association; 2000.
    1. Cash TF, Melnyk SE, Hrabosky JI. The assessment of body image investment: an extensive revision of the appearance schemas inventory. Int J Eat Disord. 2004;35:305–316.
    1. Grilo CM, Masheb RM. Correlates of body image dissatisfaction in treatment-seeking men and women with binge eating disorder. Int J Eat Disord. 2005;38:162–166.
    1. Inchley J, Currie D, Young T, Samdal O, Torsheim T, Augustson L, Mathison F, Aleman-Diaz A, Barnekow V, editors. Growing up unequal: gender and socioeconomic differences in young people's health and well-being. Health Behaviour in School-Aged Children (HBSC) Study: International Report from the 2013/2014 Survey. Copenhagen: WHO Regional Office for Europe; 2016. Health Policy for Children and Adolescents, No. 7. (last accessed December 12, 2016).
    1. McCreary, Sasse DK. An exploration of the drive for muscularity in adolescent boys and girls. J Am College Health. 2000;48:297–304.
    1. Cafri G, Thompson JK, Ricciardelli L, McCabe M, Smolak L, Yesalis C. Pursuit of the muscular ideal: physical and psychological consequences and putative risk factors. Clin Psychol Rev. 2005;25:215–239.
    1. Wright S, Grogan S, Hunter G. Motivations for anabolic steroid use among bodybuilders. J Health Psychol. 2000;5:566–571.
    1. Puhl RM, Heuer CA. The stigma of obesity: a review and update. Obesity (Silver Spring) 2009;17:941–964.
    1. Sarwer D, Thompson JK. Obesity and body image disturbance. In: Wadden TA, Stunkard AJ, editors. Handbook of Obesity Treatment. New York: Guilford Press; 2002. pp. 447–464.
    1. de Zwaan M, Georgiadou E, Stroh CE, Teufel M, Köhler H, Tengler M, Müller A. Body image and quality of life in patients with and without body contouring surgery following bariatric surgery: a comparison of pre- and post-surgery groups. Front Psychol. 2014;5:1310.
    1. Heinberg LJ, Thompson JK, Matzon J. Body image dissatisfaction as a motivator for healthy lifestyle change: Is some distress beneficial? In: Striegel-Moore RH, Smolak L, editors. Eating Disorders: Innovative Directions in Research and Practice. Washington, DC: American Psychological Association; 2001. pp. 215–232.
    1. Palmeira AL, Branco TL, Martins SC, Minderico CS, Silva MN, Vieira PN, Barata JT, Serpa SO, Sardinha LB, Teixeira PJ. Change in body image and psychological well-being during behavioral obesity treatment: associations with weight loss and maintenance. Body Image. 2010;7:187–193.
    1. Thompson JK, Altabe MN. Psychometric qualities of the figure rating scale. Int J Eat Disord. 1991;10:615–619.
    1. Higgins ET. Self-discrepancy: a theory relating self and affect. Psychol Rev. 1987;94:319–340.
    1. Cafri G, van den Berg P, Brannick MT. What have the difference scores not been telling us? A critique of the use of self-ideal discrepancy in the assessment of body image and evaluation of an alternative data-analytic framework. Assessment. 2010;17:361–376.
    1. Gorber SC, Tremblay M, Moher D, Gorber B. A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obes Rev. 2007;8:307–326.
    1. Niedhammer I, Bugel I, Bonenfant S, Goldberg M, Leclerc A. Validity of self-reported weight and height in the French GAZEL cohort. Int J Obes Relat Metab Disord. 2000;24:1111–1118.
    1. Nawaz H, Chan W, Abdulrahman M, Larson D, Katz DL. Self-reported weight and height: implications for obesity research. Am J Prevent Med. 2001;20:294–298.
    1. Williams EP, Mesidor M, Winters K, Dubbert PM, Wyatt SB. Overweight and obesity: prevalence, consequences, and causes of a growing public health problem. Curr Obes Rep. 2015;4:363–370.
    1. Wardle J, Waller J, Rapoport L. Body dissatisfaction and binge eating in obese women: the role of restraint and depression. Obes Res. 2001;9:778–787.

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