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The menopausal transition-A possible window of vulnerability for eating pathology

The International journal of eating disorders, 2013-09, Vol.46 (6), p.609-616 [Peer Reviewed Journal]

Copyright © 2013 Wiley Periodicals, Inc. ;Copyright Wiley Periodicals Inc. Sep 2013 ;ISSN: 0276-3478 ;EISSN: 1098-108X ;DOI: 10.1002/eat.22157 ;PMID: 23847142 ;CODEN: INDIDJ

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  • Title:
    The menopausal transition-A possible window of vulnerability for eating pathology
  • Author: Mangweth-Matzek, Barbara ; Hoek, Hans W. ; Rupp, Claudia I. ; Kemmler, Georg ; Pope Jr, Harrison G. ; Kinzl, Johann
  • Subjects: Adult ; Body Composition ; Body Image ; Body Mass Index ; Body Weight ; Eating disorders ; Feeding and Eating Disorders - epidemiology ; Female ; Humans ; menopausal transition ; Menopause ; Middle age ; Middle Aged ; Pathology ; Perimenopause - physiology ; Perimenopause - psychology ; Premenopause - psychology ; Prevalence ; Questionnaires ; Self image ; Surveys and Questionnaires ; Womens health
  • Is Part Of: The International journal of eating disorders, 2013-09, Vol.46 (6), p.609-616
  • Description: ABSTRACT Objective No published studies, to our knowledge, have examined the association of menopausal status with eating disorders and body image in women. We assessed these associations in a large sample of middle‐aged women. Method We administered an anonymous questionnaire to a randomly selected nonclinical sample of women aged 40–60 in Innsbruck, Austria. The questionnaire covered demographic items, menopausal status, weight history, measures of body image, and current eating disorders as diagnosed by DSM‐IV criteria. Using modified WHO criteria, we classified the respondents' current stage of menopausal transition as premenopausal (N = 192), perimenopausal (N = 110), or naturally postmenopausal (N = 134). In a separate analysis, we also examined the small group of women with surgically induced menopause (N = 12). Results The three groups were similar in all demographic features except age, and did not differ significantly on current body mass index (BMI), weight‐control behaviors, or dieting history after age adjustment. However, perimenopausal women reported a significantly greater prevalence of eating disorders as compared to premenopausal women. Perimenopausal women also reported significantly higher self‐ratings of “feeling fat” and higher Body Shape Questionnaire scores than premenopausal women. Women with surgically induced menopause also showed an elevated prevalence of eating and body image pathology. Discussion Our data suggest that the menopausal transition is associated with an increased prevalence of eating disorders and negative body image. Menopause, like puberty, may perhaps represent a window of vulnerability to these conditions, likely because of changes in hormonal function, body composition, and conceptions of womanhood. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2013; 46:609–616)
  • Publisher: United States: Blackwell Publishing Ltd
  • Language: English
  • Identifier: ISSN: 0276-3478
    EISSN: 1098-108X
    DOI: 10.1002/eat.22157
    PMID: 23847142
    CODEN: INDIDJ
  • Source: MEDLINE
    Alma/SFX Local Collection
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