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Body image perception among men in three countries.

OBJECTIVE: The authors tested the hypothesis that men in modern Western societies would desire to have a much leaner and more muscular body than the body they actually had or perceived themselves to have. METHOD: The height, weight, and body fat of college-aged men in Austria (N=54), France (N=65), and the United States (N=81) were measured. Using the somatomorphic matrix, a computerized test devised by the authors, the men chose the body image that they felt represented 1) their own body, 2) the body they ideally would like to have, 3) the body of an average man of their age, and 4) the male body they believed was preferred by women. The men's actual fat and muscularity was compared with that of the four images chosen. RESULTS: Only slight demographic and physical differences were found among the three groups of men. Modest differences were found between the men's measured fat and the fat of the images chosen. However, measures of muscularity produced large and highly significant differences. In all three countries, men chose a ideal body that was a mean of about 28 lb (13 kg) more muscular than themselves and estimated that women preferred a male body about 30 lb (14 kg) more muscular than themselves. In a pilot study, however, the authors found that actual women preferred an ordinary male body without added muscle. CONCLUSIONS: The wide discrepancy between men's actual muscularity and their body ideals may help explain the apparent rise in disorders such as muscle dysmorphia and anabolic steroid abuse.

Austria↗

Contrast-enhanced magnetic resonance body imaging 5.

Many new techniques and applications in magnetic resonance imaging of the body have been introduced in the last decade and, at the same time, a wide variety of contrast media have become available for different imaging strategies. The aim of this article is to review the current use of contrast agents in body MRI. Extracellular and hepatobiliary gadolinium chelates, as well as iron oxide-based contrast media, are discussed and their use in different areas of the body highlighted. Topics to be covered include breast imaging, imaging of the thorax and the mediastinum, and imaging of the upper abdomen, kidneys, and pelvis. Established applications as well as new emerging indications are discussed, and the impact on improved detection and characterization of pathologies is demonstrated.

Abdomen↗

[Effects of surgery type on body image, sexuality, self-esteem, and marital adjustment in breast cancer: a controlled study].

OBJECTIVE: To examine the effects of surgery type on body image, sexuality, self-esteem and marital adjustment, and to determine the most frequent sexual dysfunction seen among breast cancer survivors. METHOD: A total of 75 breast cancer survivors (50 patients underwent total mastectomy alone and 25 underwent total mastectomy with breast reconstruction), and 50 healthy volunteers were recruited. All subjects were given the Rosenberg Self-esteem Scale (RS), Body Cathexis Scale (BCS), Golombok Rust Inventory of Sexual Satisfaction (GRISS), and Dyadic Adjustment Scale (DAS) after the Structured Clinical Interview Diagnosis for DSM-III-R, Non-Patient Form (SCID-NP) had been applied. RESULTS: The mean scores obtained from GRISS and DAS were similar, but there was a significant statistical difference in terms of the mean scores of the RS and BCS between the three groups. The sexual functioning profile of the subjects was examined by transforming the subscales scores of GRISS into standardized stanine scores. A significant statistical difference in non- communication and avoidance areas of sexual relations was found between the subjects. CONCLUSION: Surgery type had no effect on sexual satisfaction or marital adjustment. Total mastectomy had a negative impact on breast perception and self-esteem. Avoidance and non-communication areas of sexual relations were the most frequent sexual dysfunctions seen among breast cancer survivors. Young patients preferred breast reconstruction more widely.

Adult↗

Gender differences in the association among nicotine dependence, body image, depression, and anxiety within a college population.

Previous research has linked female weight concerns and smoking. This study examined whether poor body image and other eating disorder variables, after controlling for symptoms of anxiety and depression, were predictive of smoking severity in a sample of 478 college students (n=215 males, n=246 females). Contrary to our hypotheses and recent research, the predictors were not associated with nicotine dependence for females (R(2)=.00), and only dieting was negatively associated with nicotine dependence for males. These findings might be attributable to differences in how nicotine dependence is operationalized, the use of point prevalence symptom data versus lifetime prevalence of psychopathology, the severity of psychopathology in the present sample, or the use of a cross-sectional as opposed to a longitudinal design.

Adolescent↗

Whole body imaging in blunt multisystem trauma patients without obvious signs of injury: results of a prospective study.

HYPOTHESIS: The use of liberal whole body imaging (pan scan) in patients based on mechanism is warranted, even in evaluable patients with no obvious signs of chest or abdominal injury. DESIGN: Prospective observational study. SETTING: Academic level I trauma center. PATIENTS: All patients admitted following blunt multisystem trauma. INTERVENTION: Pan scan, including computed tomography (CT) of the head, cervical spine, chest, abdomen, and pelvis, with the following inclusion criteria: (1) no visible evidence of chest or abdominal injury, (2) hemodynamically stable, (3) normal abdominal examination results in a neurologically intact patient or unevaluable abdominal examination results secondary to a depressed level of consciousness, and (4) significant mechanisms of injury. Radiological findings and changes in treatment based on these findings were recorded. MAIN OUTCOME MEASURE: Any alteration in the normal treatment plan as a direct result of CT scan findings. These alterations include early hospital discharge, admission for observation, operative intervention, and additional diagnostic studies or interventions. RESULTS: One thousand patients underwent pan scan during the 18-month observation period, of which 592 were evaluable patients with no obvious signs of abdominal injury. Clinically significant abnormalities were found in 3.5% of head CT scans, 5.1% of cervical spine CT scans, 19.6% of chest CT scans, and 7.1% of abdominal CT scans. Overall treatment was changed in 18.9% of patients based on abnormal CT scan findings. CONCLUSIONS: The use of pan scan based on mechanism in awake, evaluable patients is warranted. Clinically significant abnormalities are not uncommon, resulting in a change in treatment in nearly 19% of patients.

Adult↗

Body image and eating behavior in adolescent boys.

A questionnaire about attitudes toward body weight and shape, and eating and weight control practices, was administered to 895 adolescent boys. Overall, 42% were dissatisfied with their weight and 33% with their body shape. Sixty-eight percent of the dissatisfied normal weight boys thought they were underweight and 32% thought they were overweight. Subjects dissatisfied with their body shape were most likely to desire an increased chest and arm size and decreased abdomen size. Binge eating (24%) and fasting (12%) were the most prevalent eating practices and were more common in boys dissatisfied with weight or shape. There was no difference in prevalence of eating practices between boys wishing to gain and boys wishing to lose weight. Although many boys were concerned about body weight and shape, they wished to increase weight and muscularity, rather than lose weight. Binge eating was common, but was not related to the binge-purge cycle described in girls, because losing weight is not a major concern, and other weight control practices were not more common among boys who wanted to lose weight vs gain.

Adolescent↗

A prototype system and reconstruction algorithms for electrical impedance technique in medical body imaging.

We have developed an impedance imaging system to reconstruct cross-sectional images of the body's electrical characteristics based on static tissue impedance. The hardware system consists of a data collection subsystem and the Intel 380 host microcomputer system with an Intel 80286 microprocessor, an Intel 80287 numeric data processor, and an Intel 80186 microprocessor-based display board. The system is capable of initiating a data collection from an array of current-sensing electrodes and reconstructing impedance images based on these data measurements. We have tested the data collection subsystem with physical phantom models, and we have found that the prototype system is capable of discriminating high resistivity regions in contrast with the low resistivity background. Our system is flexible in that each electrode's function (sensing currents, applying voltages, grounding body surfaces, and disconnected from the body) can be programmed individually so that a variety of electrode configurations for different projection techniques can be tested for optimal system performance. Various reconstruction algorithms have been developed and tested particularly for this imaging modality. Since a computer body model is needed for some impedance reconstruction algorithms, we have created two- and three-dimensional computer body models based on the finite element method approach, and verified our finite element modelling technique by building physical phantoms and comparing measured experimental results with simulation results predicted by the computer model. We have found that the sensitivity is a function of position, pixel size (image resolution) and background resistivity. We have also tried to compensate the low sensitivity of impedance changes in the central region.(ABSTRACT TRUNCATED AT 250 WORDS)

Algorithms↗

Comparative genetic approach to the study of body image of children from 4 to 14 years of age using the fairy tale of the ant.

This work was designed to study the body image of 3 groups of normal children (ns = 40) whose ages were 4 to 14 years with the assistance of a new projective technique, the tale of the ant from Royer. The data provide partial validation of this new procedure. Indicators of normal and pathological answers are given. Directions for research are suggested.

Adolescent↗

Body image and weight change in middle age: a qualitative study.

AIMS: To explore men's and women's experiences of weight change in adulthood, body image preferences and beliefs about the health consequences of overweight and to inform the development of a primary care intervention to prevent obesity. SAMPLE: Seventy-two men and women aged 35-55, with a range of BMIs from 22 to 29.9, were identified from two UK general practice registers and invited to participate in an interview about experiences of weight change in adulthood. METHODS: Audio tape recorded, semi-structured interviews were conducted in respondents' homes by trained researchers. Open-ended questions were used to collect experiences of weight change since early adulthood and views about weight change in middle age. Illustrations of a range of men's and women's body shapes were used to prompt discussion of respondents' preferences for male and female body shapes and their perspectives of the health, social and practical problems associated with underweight and overweight. The data were analysed using both quantitative and qualitative methods. RESULTS: Some 87% (33/38) of the women and 59% (20/34) of the men said that they had ever tried to lose weight. At least one instance of successful weight loss was reported by 58% of the women and 47% of the men, although many of these attempts were relatively short-lived and often motivated by specific goals such as a holiday or a wedding. Respondents were sceptical of the possibility of controlling weight without considerable personal sacrifice. Explanations for middle-age weight gain included a sedentary lifestyle, as well as several gender-specific reasons, including hormonal changes and comfort eating for women and beer drinking for men. Nearly all (97%) respondents associated heart disease with overweight, while diabetes was mentioned by only 22% and none mentioned cancer. CONCLUSION: People who have gained weight in middle age may be deterred from trying to prevent further gain by pessimism about the effort required. The efficacy of interventions to encourage relatively small substitutions and changes to diet and physical activity need to be tested. Interventions to help prevent weight gain in middle age could include information about the less widely known health risks such as diabetes and cancer.

Adult↗

Restoration of body image and self-esteem for women after cancer treatment: a rehabilitative strategy.

Cancer treatment has the potential for limited or permanent impact on body image and self-esteem. Physical changes that impose cosmetic and appearance challenges can be psychologically immobilizing for women with cancer. Their ability to function within social roles may also be affected. This paper describes a restorative strategy as part of a comprehensive cancer rehabilitation program. Women who have had cancer are invited to an informal event that combines fashion modeling with practical suggestions for adaptive and cosmetic needs. Fashion and beauty products are displayed and informational materials provided. It incorporates components of Look Good ... Feel Better, a joint program of the American Cancer Society, the National Cosmetology Association and the Cosmetic, Toiletry, and Fragrance Association Foundation. Evaluations show this program to be helpful and enjoyable for attendees. Health professionals can utilize this strategy in a variety of settings as a component of a cancer rehabilitation program.

Body Image↗

Distorted body image in normal college women: possible implications for the development of anorexia nervosa.

College women (N = 100) who averaged about 18 years of age were asked to rate the size of their bodies after looking in a mirror, and these ratings were compared to their actual body sizes. Women whose personality characteristics more closely resembled those proposed as basic to anorexic development in Slade's model were more inclined to overestimate body size, but only if they were relatively thin. A motivational role for body-image overestimation was suggested wherein this distortion serves to maintain dieting behavior even when a thin body is attained.

Adolescent↗

Epicutaneous breast forms. A new system promises to improve body image after mastectomy.

Mastectomies will remain a treatment alternative for breast cancer in spite of efforts to perform more breast-conserving treatment. Restoration of body symmetry may then be an important issue, which can be achieved by surgical breast reconstruction or with an epicutaneous breast prosthesis. A new improved system has recently been developed, which is self-adhesive to the thorax wall. In this study we investigated the advantages and disadvantages of the new system. The body image of 55 patients after unilateral mastectomy was assessed before they entered the study and after approximately 6 months of experience with the system. The "Frankfurter Körperkonzeptskalen" plus additional questions concerning problems after mastectomy and the handling of the new breast form were used for the assessment. About 50% of the patients had problems with the adhesiveness of the breast form, which remains a problem to be solved. Patients who suffered badly from mastectomy, have a smooth and plane mastectomy scar, and who were not suffering from hot flushes, which can impair the adhesiveness of the prosthesis, were more likely to profit from the new self-supporting breast forms. Significant differences were observed in the scales "self-acceptance of the body", acceptance of the body by others" for the subsets of patients mentioned above. The differences were less pronounced in patients who were already familiar with another type of epicutaneous breast form, which is attached to an adhesive plate on the thorax wall by nylon touch and close fasteners. Most (90.7%) of the patients would recommend this new type of breast prosthesis for other patients with mastectomy. The concept of self-supporting breast forms is an improvement with respect to social and psychological rehabilitation. According to the manufacturer, the problem with adhesion has meanwhile been solved.

Adult↗

Body image and attitude toward obesity in an historically black university.

INTRODUCTION: The obesity epidemic is a major problem in the United States, particularly among black women. Body image and attitudes toward obesity are important areas to understand and address in any comprehensive approach to this epidemic. METHODS: From an initial evaluation of 200 college students (25 male and 25 female freshmen, sophomores, juniors and seniors each) attending an historically black university, we selected those students who identified themselves as black for data analysis (n = 191). All students underwent height and weight measurement from which body mass index (BMI) was calculated. Each student answered two questions related to nine silhouettes for each sex that progressively moved from extreme thinness to extreme obesity. Also, each student answered 20 questions describing attitudes about obesity. RESULTS: Black college students placed between the 62nd and 72nd percentiles of national BMI data for adolescents. Black female students were more likely than their black male counterparts to be obese. BMI did not vary by sex or grade level. Students of both sexes generally preferred "trim" silhouettes with the caveat that students with BMIs <25 kg/m2 preferred smaller silhouettes than did students with BMIs > or =25 kg/m2. BMI and sex did not favor any particular set of attitudes toward obesity. CONCLUSION: Black male and female college students from an historically black university were largely in the "normal" range of BMI percentiles for sex and age. Our black female students were more likely to be obese than our black male students. Our findings suggest that young black women are tolerant of a variety of body sizes. Based on findings from our Attitudes Toward Obese Persons scale, body size sense of self and sex do not influence attitudes toward obese persons. Further studies are needed.

Adolescent↗

Bulimic symptoms and body-image characteristics among university women.

A nonclinical sample of 102 women students were given the BULIT-R to measure bulimic symptomatology and the Multidimensional Body-Self Relations Questionnaire, a multidimensional measure of body-image parameters. Statistically significant relationships between Appearance Evaluation, Appearance Orientation, and Illness Orientation subscales of the two inventories were identified. These findings indicate that women university students reporting higher scores on bulimic symptoms are more likely to report a general unhappiness with their physical appearance.

Adult↗