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Body image and body satisfaction differ by race in overweight postpartum mothers.

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Date
2010-02
Authors
Carter-Edwards, Lori
Bastian, Lori A
Revels, Jessica
Durham, Holiday
Lokhnygina, Yuliya
Amamoo, M Ahinee
Ostbye, Truls
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Abstract
BACKGROUND: Body image (BI) and body satisfaction may be important in understanding weight loss behaviors, particularly during the postpartum period. We assessed these constructs among African American and white overweight postpartum women. METHODS: The sample included 162 women (73 African American and 89 white) in the intervention arm 6 months into the Active Mothers Postpartum (AMP) Study, a nutritional and physical activity weight loss intervention. BIs, self-reported using the Stunkard figure rating scale, were compared assessing mean values by race. Body satisfaction was measured using body discrepancy (BD), calculated as perceived current image minus ideal image (BD<0: desire to be heavier; BD>0: desire to be lighter). BD was assessed by race for: BD(Ideal) (current image minus the ideal image) and BD(Ideal Mother) (current image minus ideal mother image). RESULTS: Compared with white women, African American women were younger and were less likely to report being married, having any college education, or residing in households with annual incomes >$30,000 (all p < 0.01). They also had a higher mean body mass index (BMI) (p = 0.04), although perceived current BI did not differ by race (p = 0.21). African Americans had higher mean ideal (p = 0.07) and ideal mother (p = 0.001) BIs compared with whites. African Americans' mean BDs (adjusting for age, BMI, education, income, marital status, and interaction terms) were significantly lower than those of whites, indicating greater body satisfaction among African Americans (BD(Ideal): 1.7 vs. 2.3, p = 0.005; BD(Ideal Mother): 1.1 vs. 1.8, p = 0.0002). CONCLUSIONS: Racial differences exist in postpartum weight, ideal images, and body satisfaction. Healthcare providers should consider tailored messaging that accounts for these racially different perceptions and factors when designing weight loss programs for overweight mothers.
Type
Journal article
Subject
Adult
African Americans
Body Image
Educational Status
European Continental Ancestry Group
Female
Humans
Income
Mothers
North Carolina
Overweight
Personal Satisfaction
Postpartum Period
Permalink
https://hdl.handle.net/10161/3243
Published Version (Please cite this version)
10.1089/jwh.2008.1238
Publication Info
Carter-Edwards, Lori; Bastian, Lori A; Revels, Jessica; Durham, Holiday; Lokhnygina, Yuliya; Amamoo, M Ahinee; & Ostbye, Truls (2010). Body image and body satisfaction differ by race in overweight postpartum mothers. J Womens Health (Larchmt), 19(2). pp. 305-311. 10.1089/jwh.2008.1238. Retrieved from https://hdl.handle.net/10161/3243.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Lokhnygina

Yuliya Vladimirovna Lokhnygina

Associate Professor of Biostatistics & Bioinformatics
Statistical methods in clinical trials, survival analysis, adaptive designs, adaptive treatment strategies, causal inference in observational studies, semiparametric inference
Ostbye

Truls Ostbye

Professor of Family Medicine and Community Health
Chronic disease epidemiology; obesity; health services research; population health; public health; social medicine; health information systems; health surveys; programme evaluation; clinical trials; aging; nutrition; dementia; Global Health
Alphabetical list of authors with Scholars@Duke profiles.
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