The Longitudinal Associations of Body Dissatisfaction with Health and Wellness Behaviors in Midlife and Older Women.
The Longitudinal Associations of Body Dissatisfaction with Health and Wellness Behaviors in Midlife and Older Women.
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DOI：
10.3390/ijerph20247143
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发表时间：
2023-12-05
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最新研究表明，对身体不满（BD）在中年和老年女性中很普遍（即超过70%）。从横截面上看，双相障碍与中年/老年妇女的无数不良健康和保健结果（如抑郁症、饮食失调、营养不良）有关。然而，相对较少的研究调查了双相障碍与该人群健康结果之间的纵向关系。本初步研究调查了一年以上中年/老年女性双相障碍与健康和健康相关生活质量（QOL）的纵向关联。参与者（n = 86，女性，年龄40-72岁，M = 51.49, SD = 7.34, 86%白人）完成了基线（T1）和12个月随访（T2）时双相障碍、心理社会障碍、健康行为和生活质量的自我报告测量。一系列多元线性回归模型包括T1 BD作为T2健康结局的预测变量，所有模型中T1 BMI和年龄共变。一年后，双相障碍与更大的负面情绪和社会心理障碍、更少的体育活动享受以及更差的身体、心理和社会生活质量有关。研究结果表明，双相障碍与女性一生的负面影响有关（ƒ2范围= 0.06-0.60）。未来的研究将双相障碍作为一种独特的、可改变的中年/老年妇女健康结果的风险因素进行调查是有必要的。针对双相障碍的干预措施可以改善这一人群的饮食失调以外的健康指标。
Emerging research suggests that body dissatisfaction (BD) is prevalent among midlife and older women (i.e., upwards of 70%). Cross-sectionally, BD is associated with myriad poor health and wellness outcomes (e.g., depression, disordered eating, bad nutrition) in midlife/older women. However, relatively few studies have examined the longitudinal relations between BD and health outcomes in this population. This preliminary study investigated the longitudinal associations of BD with wellbeing and health-related quality of life (QOL) among midlife/older adult women over one year. Participants (n = 86, women aged 40–72 years, M = 51.49, SD = 7.34, 86% white) completed self-report measures of BD, psychosocial impairment, health behaviors, and QOL at baseline (T1) and 12-month follow-up (T2). A series of multiple linear regression models included T1 BD as the predictor variable of health outcomes at T2, covarying for T1 BMI and age in all models. BD was associated with greater negative emotions and psychosocial impairment, less physical activity enjoyment, and poorer physical, psychological, and social QOL one year later. Findings suggest that BD is associated with negative consequences for women across the lifespan (ƒ2 ranges = 0.06–0.60). Future research investigating BD as a unique, modifiable risk factor for health outcomes among diverse samples of midlife/older women is warranted. Targeting BD in interventions may improve health indices beyond eating disorders for this population.