OBJECTIVE: To determine body image disturbance and relationship satisfaction between obese and non-obese married women.
METHODS: Study sample consisted of 100 participants. Data was collected through purposive sampling technique from different gyms and nutrient-clinics of Johar Town, Faisal Town and Model Town of Lahore city. Educated females having minimum education level of intermediate belonging to upper and middle-class families were recruited. The shortened form of Body Shape Questionnaire and Relationship Assessment Scale were administered, in addition to collecting demographic information through a semi structure performa. Independent sample t-test and Pearson’s Product-Moment Correlation was used in the analysis of the data, using SPSS v.21.
RESULTS: Most of obese and non-obese married women (n=41/50) were in the age range of 25-35 years and 30-40 years respectively with mean age of 34 years for obese and 33 years for non-obese married women. Husband’s mean age for obese and non-obese was 39 years and 38 years respectively. Almost all the non-obese (n=49/50) while most of the obese (n=39/50) married women were having education level of 16 or more while almost all the non-obese (n=48/50) were working women and most (n=40/50) of the obese were house wives. Thirty-two (32/50) non-obese were having 2-6 years while (n=29/50) obese married women were having 7-9 years of marriage duration. A significant relationship was shown at the level of body image disturbance (p<0.000) and marital satisfaction (p<0.000) between obese and non-obese married women.
CONCLUSION: Obesity has significant impact on body image and relationship satisfaction in married women.
World Health Organization. Obesity and overweight 2016. [Cited on: November 6th, 2018] Available from URL: http://www.who.int/mediacentre/factsheets/fs311/en/
National Institute of Diabetes and Digestive and Kidney Diseases. Overweight and obesity statistics [Internet] 2012. [Cited on: November 20th, 2018] Available from URL: https://www.niddk.nih.gov/health-information/
Burkhauser RV, Cawley J. Beyond BMI: the value of more accurate measures of fatness and obesity in social science research. J Health Econ 2008;27(2):519-29. DOI: 10.1016/j.jhealeco.2007.05.005.
Crowther NJ, Norris SA. The current waist circumference cut point used for the diagnosis of metabolic syndrome in sub-Saharan African women is not appropriate. PLoS One 2012;7(11):e48883. DOI: 10.1371/journal. pone.0048883.
Goswami S, Sachdeva S, Sachdeva R. Body image satisfaction among female college students. Ind Psychiatry J 2012;21(2):168-72. DOI: 10.4103/0972-6748.119653.
Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet 2014 May 29;384(9945):766-81. DOI: 10.1016/S0140-6736(14)60460-8.
Jernigan AM, Tergas AI, Satin AJ, Fader AN. Obesity management in gynecologic cancer survivors: provider practices and attitudes. Am J Obstet Gynecol 2013 May;208(5):408.e1-8. DOI: 10.1016/j.ajog.2013.02.002.
Sallis JF, Owen N, Fische EB. Ecological models of health behavior. In Glanz K, Rimer BK, Viswanath K, editors. Health Behavior and Health Education: Theory, Research, and Practice. 4th ed. 2008. p 465-86. JOSSEY-BASS, a wiley imprint. John Wiley & Sons, San Francisco, USA.
Bandura A. A social cognitive theory of personality. In Pervin L, John O, editors. Handbook of personality. 2nd Ed. 1999. p154-96. Guilford Publications, New York, USA.
Sarwer DB, Lavery M, Spitzer JC. A review of the relationships between extreme obesity, quality of life, and sexual function. Obes Surg 2012 Apr;22(4):668-76. DOI: 10.1007/s11695-012-0588-1.
Paeratakul S, White MA, Williamson DA, Ryan DH, Bray GA. Sex, race/ethnicity, socioeconomic status, and BMI in relation to self‐perception of overweight. Obes Res 2002 May;10(5):345-50. DOI: 10.1038/oby.2002.48.
McNulty JK, Neff LA, Karney BR. Beyond initial attraction: physical attractiveness in newlywed marriage. J Fam Psychol 2008 Feb;22(1):135-43. DOI: 10.1037/0893-3188.8.131.52.
Arcelus J, Yates A, Whiteley R. Romantic relationships, clinical and sub-clinical eating disorders: A review of the literature. Sex Relation Ther 2012 Jun 18;27(2):147-61. DOI:10.1080/14681994.2012.696095.
Stokes R. Frederick-Recascino C. Women's perceived body image relations with personal happiness. J Women Aging 2003;15(1):17-29. DOI:10.1300/J074v15n01_03.
Zawawi JA. Relationships between Body Mass Index, Body Image Dissatisfaction and Psychological Distress among Fitness Center Female Users in Zarqa-Jordan. Int J Hum Soc Sci 2014;4(1):11-20.
Evans C, Dolan B. Body shape questionnaire: Derivation of shortened “alternate forms”. Int J Eat Disord 1993;13(3):315-21. DOI: 10.1002/1098-108X(199304)13:3<315::AID-EAT2260130310>3.0.CO;2-3.
Keys A, Fidanza F, Karvonen MJ, Kimura N, Taylor HL. Indices of relative weight and obesity. Int J Epidemiol 2014;43(3):655-65. DOI: 10.1093/ije/dyu058.
Hendrick SS. A generic measure of relationship satisfaction. J Marriage Fam 1988;50(1):93-8. DOI:10.2307/352430.
AL-Otaibi HH, Naseef SL, Raouf TA. Body image dissatisfaction, weight status and physical activity among a sample of university students in Saudi Arabia. Food Nutr Sci 2013;4(6):616-25. DOI:10.4236/fns.2013.46079.
Seligman MEP. Positive health. Appl Psychol 2008;57(1):3-18. DOI: 10.1111/j.1464-0597.2008.00351.x.
Yamamiya Y, Cash TF, Melnyk SE, Posavac, HD, Posavac SS. Women's exposure to thin-and-beautiful media images: Body image effects of media-ideal internalization and impact-reduction interventions. Body Image 2004;2(1):74-80. DOI:10.1016/j. bodyim.2004.11.001.
Lovell GP, Gordon JA, Mueller MB, Mulgrew K, Sharman R. Satisfaction of Basic Psychological Needs, Self-Determined Exercise Motivation, and Psychological Well-Being in Mothers Exercising in Group-Based Versus Individual-Based Contexts. Health Care Women Int 2016;37(5):568-82. DOI:10.1080/07399332.2015.1078333.
O'Brien KS, Latner JD, Ebneter D, Hunter JA. Obesity discrimination: the role of physical appearance, personal ideology, and anti-fat prejudice. Int J Obes (Lond) 2013 Mar;37(3):455-60.DOI:10.1038/ijo.2012.52.
Grant PG, Boersma H. Making sense of being fat: A hermeneutic analysis of adults’ explanations for obesity. Couns Psychother Res 2005;5(3):212-20. DOI: 10.1080/17441690500310429.
Choo J, Jeon S, Lee J. Gender differences in health-related quality of life associated with abdominal obesity in a Korean population. BMJ Open 2014 Jan 24;4(1):39-54. DOI: 10.1136/bmjopen-2013-003954.
Bolton MA, Lobben I, Stern TA. The impact of body image on patient care. Prim Care Companion J Clin Psychiatry 2010;12(2):722-34. DOI: 10.4088/PCC.10r00947blu.
Meltzer AL, McNulty JK. Body image and marital satisfaction: evidence for the mediating role of sexual frequency and sexual satisfaction. J Fam Psychol 2011 April 1;24(2):156-64. DOI: 10.1037/a001906.
Pujols Y, Seal BN, Meston CM. The association between sexual satisfaction and body image in women. J Sex Med 2010;7(2 Pt 2):905-16. DOI:10.1111/j.1743-6109.2009.01604.x.
Ludwig J, Sanbonmatsu L, Gennetian L, Adam E, Duncan GJ, Katz LF, et al. Neighborhoods, obesity, and diabetes--a randomized social experiment. N Eng J Med 2011 October 20;365(16):1509-19. DOI: 10.1056/NEJMsa1103216.
Williams K. Has the future of marriage arrived? A contemporary examination of gender, marriage, and psychological well-being. J Health Soc Behav 2014 May 12;44(4):470-87.