Changes in body image during a 6-month lifestyle behaviour intervention in a sample of overweight and obese individuals

Abstract

Background: Individuals with long-term chronic body image dissatisfaction may experience excessive stress and negative cognitions and feelings. Changes in negative cognition about body image are often reported as outcomes of obesity treatment. In turn, body image dissatisfaction also influences behavioural adherence and success in weight loss.

Objectives: The purpose of the present study was to elucidate psychological changes during 6 months of lifestyle behaviour intervention and the association of these changes with actual weight loss.

Methods: The study examined associations between body image dissatisfaction and obesity treatment-related variables among 33 overweight and obese adults (age = 38.9 ± 6.5 years) participating in a 6-month diet and exercise weight loss intervention. Measurements of body image dissatisfaction and anthropometric variables were taken at baseline and after 6-months.

Discussion: Significant improvements were observed in all physical variables (e.g. weight, percentage of body fat mass, waist and hip circumference) after intervention. Body image dissatisfaction improved significantly over the treatment, and these changes were associated with changes in obesity indicators.

Conclusions: Changes in weight and body image probably influence each other dynamically. Results from this study support the inclusion of cognitive intervention aimed at improving body image in weight management programs.

Keywords: Body image; Intervention; Negative body cognitions; Obesity; Weight loss.