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Body weight dissatisfaction: A comparison of women with and without eating disorders

机译:体重不满:有饮食障碍和没有饮食障碍的女性的比较

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Objective: Body dissatisfaction is present in a majority of women without eating disorders (EDs), and almost all women with EDs. We compared body dissatisfaction in women with and without EDs to determine at which BMI women are content with their weight, and to determine if body dissatisfaction is affected by the presence of purging behaviours. Methods: We assessed women, age 18 to 55 with an ED (N. = 431) and without an ED (N. = 719) using the discrepancy between their current and desired BMI. This measure of body weight dissatisfaction (BWD) has been validated as being representative of overall body dissatisfaction. We also measured perceptions of (i) Body Appearance and (ii) Body Image to confirm our results. Results: Women with and without EDs wished to lose weight until very low weights were achieved (BMI 15-16kg/m2 and BMI 18-19kg/m2 respectively). BWD is higher in women with EDs (median 1.77, IQR 0-4.61) than women without EDs (median 0.85, IQR 0-1.80, p0.001). Purging behaviours in women with EDs were associated with lower BMIs to achieve body satisfaction (BMI 15-16kg/m2) than women who did not purge (16-17kg/m2). Conclusions: Body weight dissatisfaction is highly prevalent amongst women with and without EDs. Understanding body weight dissatisfaction in women with EDs and its association with purging may assist in the prevention, detection and treatment of these disorders. Women with EDs should be informed that body weight dissatisfaction will not resolve with the cessation of their disorder, as it is prevalent within the general population.
机译:目的:大多数没有饮食失调(ED)的女性以及几乎所有患有ED的女性都存在身体不满。我们比较了有和没有ED的女性对身体的不满意程度,以确定哪些BMI妇女满足其体重,并确定身体不满意是否受到清除行为的影响。方法:我们评估了年龄在18至55岁之间患有ED(N. = 431)而没有ED(N. = 719)的女性,其当前BMI与所需BMI之间存在差异。体重不满(BWD)的这种措施已被证实可以代表整体身体不满。我们还测量了对(i)身体外观和(ii)身体图像的感知,以确认我们的结果。结果:有或没有ED的女性希望减肥直到体重达到非常低的水平(分别为BMI 15-16kg / m2和BMI 18-19kg / m2)。患有ED的女性的BWD(中位数1.77,IQR 0-4.61)比没有ED的女性(中位数0.85,IQR 0-1.80,p <0.001)高。与未进行吹扫的女性(16-17kg / m2)相比,患有EDs的女性的吹扫行为与较低的BMI相关,以达到身体满意度(BMI 15-16kg / m2)。结论:体重不满意在有和没有ED的女性中非常普遍。了解患有EDs的妇女的体重不满意及其与清除的关系可能有助于预防,发现和治疗这些疾病。应当告知患有ED的女性,体重不满将不会因其疾病的停止而解决,因为这种疾病在普通人群中很普遍。

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