Skip to main content

Advertisement

Log in

Body dissatisfaction, internalized weight bias and quality of life in young men and women

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Purpose

We examined the relative importance of body dissatisfaction (BD) and internalized weight bias (IWB) in accounting for variance in quality of life (QoL) impairment in an ethnically diverse sample of college students (n = 630) and potential moderation of these associations by sex.

Methods

Participants completed an online survey that included established measures of BD, IWB and QoL. Regression models were used to examine the relative contributions of BD and IWB in accounting for variance in physical and mental QoL impairment.

Results

BD and IWB were highly correlated with bivariate analysis in both women (r = .76) and men (r = .60). In multivariable analysis, IWB was found to be associated with both physical (b = − 1.33, 95% CI − 1.93, − 0.72) and mental (b = − 2.58, 95% CI − 3.45, − 1.72) QoL impairment, whilst BD was not associated with impairment in either physical (b = − 0.29, 95% CI − 0.68, 0.09) or mental (b = − 0.48, 95% CI − 1.03, 0.07) QoL. While levels of both BD and IWB were higher for women than for men, sex did not moderate the association between either BD or IWB and either physical or mental QoL.

Conclusions

The findings support the view that IWB warrants greater attention in interventions seeking to reduce the adverse impact of BD in both women and men and both normal-weight and overweight individuals.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Grogan, S. (2017). Body image: Understanding body dissatisfaction in men, women and children (3rd edn.). Oxon: Routledge.

    Google Scholar 

  2. Griffiths, S., Hay, P., Mitchison, D., Mond, J. M., McLean, S. A., Rodgers, B., et al. (2016). Sex differences in the relationships between body dissatisfaction, quality of life and psychological distress. Australian and New Zealand Journal of Public Health. https://doi.org/10.1111/1753-6405.12538.

    Article  PubMed  Google Scholar 

  3. Griffiths, S., Murray, S. B., Bentley, C., Gratwick-Sarll, K., Harrison, C., & Mond, J. (2017). Sex differences in quality of life impairment associated with body dissatisfaction in adolescents. Journal of Adolescent Health. https://doi.org/10.1016/j.jadohealth.2017.01.016.

    Article  PubMed  Google Scholar 

  4. Mond, J., Mitchison, D., Latner, J., Hay, P., Owen, C., & Rodgers, B. (2013). Quality of life impairment associated with body dissatisfaction in a general population sample of women. BMC Public Health. https://doi.org/10.1186/1471-2458-13-920.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Gall, K., van Zutven, K., Lindstrom, J., Bentley, C., Gratwick-Sarll, K., Harrison, C., et al. (2016). Obesity and emotional well-being in adolescents: Roles of body dissatisfaction, loss of control eating, and self-rated health. Obesity. https://doi.org/10.1002/oby.21428.

    Article  PubMed  Google Scholar 

  6. van Zutven, K., Mond, J., Latner, J., & Rodgers, B. (2015). Obesity and psychosocial impairment: Mediating roles of health status, weight/shape concerns and binge eating in a community sample of women. International Journal of Obesity. https://doi.org/10.1038/ijo.2014.100.

    Article  PubMed  Google Scholar 

  7. Durso, L. E., & Latner, J. D. (2008). Understanding self-directed stigma: Development of the weight bias internalization scale. Obesity. https://doi.org/10.1038/oby.2008.448.

    Article  PubMed  Google Scholar 

  8. Puhl, R. M., Himmelstein, M. S., & Quinn, D. M. (2017). Internalizing weight stigma: Prevalence and sociodemographic considerations in US adults. Obesity. https://doi.org/10.1002/oby.22029.

    Article  PubMed  Google Scholar 

  9. Hilbert, A., Braehler, E., Haeuser, W., & Zenger, M. (2014). Weight bias internalization, core self-evaluation, and health in overweight and obese persons. Obesity. https://doi.org/10.1002/oby.20561.

    Article  PubMed  Google Scholar 

  10. Latner, J. D., Durso, L. E., & Mond, J. M. (2013). Health and health-related quality of life among treatment-seeking overweight and obese adults: Associations with internalized weight bias. Journal of Eating Disorders. https://doi.org/10.1186/2050-2974-1-3.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Puhl, R., & Suh, Y. (2015). Health consequences of weight stigma: Implications for obesity prevention and treatment. Current Obesity Reports. https://doi.org/10.1007/s13679-015-0153-z.

    Article  PubMed  Google Scholar 

  12. Schvey, N. A., & White, M. A. (2015). The internalization of weight bias is associated with severe eating pathology among lean individuals. Eating Behaviors. https://doi.org/10.1016/j.eatbeh.2014.11.001.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Hilbert, A., Baldofski, S., Zenger, M., Lowe, B., Kersting, A., & Braehler, E. (2014). Weight bias internalization scale: Psychometric properties and population norms. Plos One. https://doi.org/10.1371/journal.pone.0086303.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Ratcliffe, D., & Ellison, N. (2015). Obesity and internalized weight stigma: A formulation model for an emerging psychological problem. Behavioural and Cognitive Psychotherapy. https://doi.org/10.1017/S1352465813000763.

    Article  PubMed  Google Scholar 

  15. Hunger, J. M., & Major, B. (2015). Weight stigma mediates the association between BMI and self-reported health. Health Psychology, 34(2), 172–175.

    Article  PubMed  Google Scholar 

  16. Guardabassi, V., Mirisola, A., & Tomasetto, C. (2017). How is weight stigma related to children’s health-related quality of life? A model comparison approach. Quality of Life Research. https://doi.org/10.1007/s11136-017-1701-7.

    Article  PubMed  Google Scholar 

  17. Pearl, R. L., White, M. A., & Grilo, C. M. (2014). Weight bias internalization, depression, and self-reported health among overweight binge eating disorder patients. Obesity. https://doi.org/10.1002/oby.20617.

    Article  PubMed  Google Scholar 

  18. Boswell, R. G., & White, M. A. (2015). Gender differences in weight bias internalisation and eating pathology in overweight individuals. Advances in Eating Disorders, 3(3), 259–268.

    Article  PubMed  Google Scholar 

  19. Bombak, A. E. (2014). The contribution of applied social sciences to obesity stigma-related public health approaches. Journal of Obesity. https://doi.org/10.1155/2014/267286.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Mond, J. (2015). Optimizing prevention programs and maximizing public health impact are not the same thing. Eating Disorders. https://doi.org/10.1080/10640266.2015.1113824.

    Article  PubMed  Google Scholar 

  21. Palmeira, L., Cunha, M., & Pinto-Gouveia, J. (2017). Processes of change in quality of life, weight self-stigma, body mass index and emotional eating after an acceptance-, mindfulness-and compassion-based group intervention (Kg-Free) for women with overweight and obesity. Journal of Health Psychology. https://doi.org/10.1177/1359105316686668.

    Article  PubMed  Google Scholar 

  22. Mond, J. M., Hay, P. J., Rodgers, B., Owen, C., & Beumont, P. J. V. (2005). Assessing quality of life in eating disorder patients. Quality of Life Research. https://doi.org/10.1007/s11136-004-2657-y.

    Article  PubMed  Google Scholar 

  23. Phelan, S. M., Burgess, D. J., Yeazel, M. W., Hellerstedt, W. L., Griffin, J. M., & van Ryn, M. (2015). Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. Obesity. https://doi.org/10.1111/obr.12266.

    Article  PubMed  Google Scholar 

  24. Palmeira, L., Cunha, M., & Pinto-Gouveia, J. (2017). Process of change in quality of life, weight self-stigma, body mass index and emotional eating after an acceptance-, mindfulness- and compassion-based group intervention (Kg-free) for women with overweight and obesity. Journal of Health Psychology. 1–14, https://doi.org/10.1177/1359105316686668.

  25. Pearl, R. L., Wadden, T., Hopkins, A., Shaw, C. M., Hayes, J. A., Bakizada, M. R., Z, M., et al (2017). Association between weight bias internalization and metabolic syndrome among treatment-seeking individuals with obesity. Obesity, 25, 317–322. https://doi.org/10.1002/oby.21716.

    Article  CAS  PubMed  Google Scholar 

  26. Mond, J. M., Hay, P. J., Darby, A., Paxton, S. J., Quirk, F., Buttner, P., et al. (2009). Women with bulimic eating disorders: When do they receive treatment for an eating problem? Journal of Consulting and Clinical Psychology, 77(5), 835–844.

    Article  CAS  PubMed  Google Scholar 

  27. Wagner, A. F., Stefano, E. C., Cicero, D. C., Latner, J. D., & Mond, J. M. (2016). Eating disorder features and quality of life: Does gender matter? Quality of Life Research. https://doi.org/10.1007/s11136-016-1283-9.

    Article  PubMed  Google Scholar 

  28. Rand-Giovannetti, D., Cicero, D. C., Mond, J. M., & Latner, J. D. (2017). Psychometric properties of the eating disorder examination questionnaire (EDE-Q): A confirmatory factor analysis and assessment of measurement invariance by sex. Assessment. https://doi.org/10.1177/2F1073191117738046.

    Article  PubMed  Google Scholar 

  29. Fairburn, C., & Beglin, S. (1994). Assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders. https://doi.org/10.1002/1098-108X(199412)16:4%3C363::AID-EAT2260160405%3E3.0.CO;2-%23

    Article  PubMed  Google Scholar 

  30. Grilo, C. M., Reas, D. L., Hopwood, C. J., & Crosby, R. D. (2015). Factor structure and construct validity of the eating disorder examination-questionnaire in college students: Further support for a modified brief version, IJED. 48. doi: 10/1002/eat.22358.

  31. Pearl, R. L., & Puhl, R. M. (2014). Measuring internalized weight attitudes across body weight categories: Vaidation of the modified weight bias internalization scale. Body Image. https://doi.org/10.1016/j.bodyim.2013.09.005.

    Article  PubMed  Google Scholar 

  32. Ware, J. E., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.

    Article  Google Scholar 

  33. Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). New York: Guilford Press.

    Google Scholar 

  34. United States Census Bureau, 2017, QuickFacts Hawaii, Retrieved November 2017, from, https://www.census.gov/quickfacts/hi#qf-headnote-a>

  35. University of Hawaii at Manoa. (2016, March). Office of student equity, excellence and diversity. Manoa’s racial and ethnic diversity profile. Honolulu: Author.

    Google Scholar 

  36. Mond, J. M., & Baune, B. T. (2009). Overweight, medical comorbidity and health-related quality of life in a community sample of women and men. Obesity. https://doi.org/10.1038/oby.2009.27.

    Article  PubMed  Google Scholar 

  37. Mond, J. M., Rodgers, B., Hay, P. J., Darby, A., Owen, C., Baune, B. T., et al. (2007). Obesity and impairment in psychosocial functioning in women: The mediating role of eating disorder features. Obesity. https://doi.org/10.1038/oby.2007.329.

    Article  PubMed  Google Scholar 

  38. Mond, J. M., van den Berg, P., Boutelle, K., Neumark-Sztainer, D., & Hannan, P. J. (2011). Obesity, body dissatisfaction, and emotional well-being in early and late adolescence: Findings from the Project EAT Study. Journal of Adolescent Health. https://doi.org/10.1016/j.jadohealth.2010.07.022.

    Article  PubMed  Google Scholar 

  39. Wilson, R. E., Latner, J. D., & Hayashi, K. (2013). More than just body weight: The role of body image in psychological and physical functioning. Body Image. https://doi.org/10.1016/j.bodyim.2013.04.007.

    Article  PubMed  Google Scholar 

  40. Neumark-Sztainer, D., Levine, M. P., Paxton, S. J., Smolak, L., Piran, N., & Wertheim, E. H. (2006). Prevention of body dissatisfaction and disordered eating. What next? Eating Disorders, 14(4), 265–285.

    Article  PubMed  Google Scholar 

  41. Macpherson-Sanchez, A. E. (2015). Integrating fundamental concepts of obesity and eating disorders: Implications for the obesity epidemic. American Journal of Public Health, 105, e71–e85.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Sanchez-Carracedo, D., Neumark-Sztainer, D., & Lopez-Guimera, G. (2012). Integrated prevention of obesity and eating disorders: Barriers, developments and opportunities. Public Health Nutrition. https://doi.org/10.1017/S1368980012000705.

    Article  PubMed  Google Scholar 

  43. Weinberger, N.-A., Kersting, A., Riedel-Heller, S. G., & Luck-Sikorski, C. (2016). Body dissatisfaction in individuals with obesity compared to normal-weight individuals: A systematic review and meta-analysis. Obesity Facts. https://doi.org/10.1159/000454837.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Schaefer, J. T., & Magnuson, A. B. (2014). Review of interventions that promote eating by internal cues. Journal of the Academy of Nutrition and Dietetics. https://doi.org/10.1016/j.jand.2013.12.024.

    Article  PubMed  Google Scholar 

  45. Mitchison, D., & Mond, J. (2015). Epidemiology of eating disorders, eating disordered behaviour, and body image disturbance in males: A narrative review. Journal of Eating Disorders. https://doi.org/10.1186/s40337-015-0058-y.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Brown, T. A., Forney, K. J., Pinner, D., & Keel, P. K. (2017). A randomized controlled trial of the body project: More than muscles for men with body dissatisfaction. International Journal of Eating Disorders. https://doi.org/10.1002/eat.22724.

    Article  PubMed  Google Scholar 

  47. Mitchison, D., Morin, A., Mond, J., Slew-Younan, S., & Hay, P. (2015). The bidirectional relationship between quality of life and eating disorder symptoms: A 9-year community-based study of Australian women. PlosOne. https://doi.org/10.1371/journal.pone.0120591.

    Article  Google Scholar 

  48. Paxton, S. J., Neumark-Sztainer, D., Hannan, P. J., & Eisenberg, M. E. (2006). Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. Journal of Clinical Child and Adolescent Psychology. https://doi.org/10.1207/s15374424jccp3504_5.

    Article  PubMed  Google Scholar 

  49. Purton, T., Officer, C., Bullivant, B., Mitchison, D., Griffiths, S., Murray, S., et al. (2018). Body dissatisfaction, narcissism and self-esteem in young men and women: A moderated mediation analysis. Personality and Individual Differences. https://doi.org/10.1016/j.paid.2018.04.010.

    Article  Google Scholar 

  50. Schlomer, G. L., Bauman, S., & Card, N. A. (2010). Best practices for missing data management in counseling psychology. Journal of Counseling Psychology, 57, 1–10. https://doi.org/10.1037/a0018082.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jonathan Mond.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Purton, T., Mond, J., Cicero, D. et al. Body dissatisfaction, internalized weight bias and quality of life in young men and women. Qual Life Res 28, 1825–1833 (2019). https://doi.org/10.1007/s11136-019-02140-w

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-019-02140-w

Keywords

Navigation