Abstract

Pregnancy can influence women’s psychological health, including body image and quality of life. This study aimed to examine the relationship between body image and quality of life and their predicting factors in pregnant women. This cross-sectional study was conducted on 250 pregnant women referred to health centers in Ilam City, Iran. Participants were selected using a random sampling method. Data collection tools comprised a sociodemographic questionnaire, Body Image Concern Inventory (BICI), and quality of life questionnaire (Short Form-12). Data were analyzed using statistical software. The mean ± SD of body image concern and quality of life was estimated at 31.77 ± 9.86 and 54.62 ± 15.71, respectively. There was a significant and negative correlation between body image and quality of life (p-value = 0.001, r = -0.313). Also, the most important predictors of body image were vitality, body mass index (BMI), general health, and unintended pregnancy, respectively, and body dissatisfaction was the most significant predictor of quality of life. This study revealed some variables affecting pregnant women’s body image and quality of life. Further studies are required to consider other factors influencing body image and quality of life among pregnant women.

References

1. Moloody M, Soleimani M, Bahrami N, Mohammad Rezaei Z. Striae gravidarum risk factors in primiparae pregnant women. The Journal of Urmia Nursing and Midwifery Faculty. 2014; 12 (3): 207-13.

2. Soma-Pillay P, Catherine N-P, Tolppanen H, Mebazaa A, Tolppanen H, Mebazaa A. Physiological changes in pregnancy. Cardiovascular Journal of Africa. 2016; 27 (2): 89-94.

3. Zarei S, Mirghafourvand M, Mohammad-Alizadeh-Charandabi S, Effati-Daryani F, Shiri-Sarand F. Predictors of quality of life in pregnant women visiting health centers of Tabriz, Iran. Journal of Midwifery and Reproductive Health. 2018; 6 (2): 1223-9.

4. Inanir S, Cakmak B, Nacar MC, Guler AE, Inanir A. Body Image perception and self-esteem during pregnancy. International Journal of Women’s Health and Reproduction Sciences. 2015; 3 (4): 196-200.

5. Eskandarnejad M, Fathzadeh L. The effect of aerobic exercises on body image concern, identity crisis and BMI modification, in girls with body image concern. J Health Promot Manag. 2017; 6 (2): 34-42.

6. Ghazizadeh Hashemi SA, Edalatnoor B, Edalatnoor B, Niksun O. Investigating the level of body image concern among the applicants for rhinoplasty before and after surgery. International Journal of Pediatrics. 2017; 5 (9): 5789-96.

7. Eskandarnejad M, Ebrahimian P. The correlation between women’s body image satisfaction and demographic factors considering the role of sport participation. Journal of Health Promotion Management. 2016; 5 (6): 41-8.

8. Nagl M, Jepsen L, Linde K, Kersting A. Measuring body image during pregnancy: psychometric properties and validity of a German translation of the body image in pregnancy scale (BIPS-G). BMC Pregnancy and Childbirth. 2019; 19 (1): 244.

9. Shoraka H, Amirkafi A, Garrusi B. Review of body image and some of contributing factors in Iranian population. Int J Prev Med. 2019; 10: 19.

10. Rahmanian V, Zolala F, Mohseni M, Baneshi M, KHalili N. Relationship between body image and social participation in pregnant women of Jahrom city, Iran. The Horizon of Medical Sciences. 2017; 23 (2): 111-6.

11. Nayir T, Uskun E, Yurekli MV, Devran H, Celik A, Okyay RA. Does body image affect quality of life?: A population based study. PloS one. 2016; 11 (9): e0163290.

12. Sani A, Peyman N, Esmaeili H. The relationship between obesity and complications during pregnancy and childbirth in dargaz: a cross sectional study. Journal of North Khorasan University of Medical Sciences. 2017; 8 (3): 383-93.

13. Fuller-Tyszkiewicz M, Skouteris H, Watson B, Hill B. Body image during pregnancy: an evaluation of the suitability of the body attitudes questionnaire. BMC Pregnancy and Childbirth. 2012; 12 (1): 91.

14. Solgi Z. The relationship between fear of body image and cognitive emotion regulation strategies with the fear of first delivery in pregnant women. Quarterly of Applied Psychology. 2019; 13 (3): 391-407.

15. Roomruangwong C, Kanchanatawan B, Sirivichayakul S, Maes M. High incidence of body image dissatisfaction in pregnancy and the postnatal period: associations with depression, anxiety, body mass index and weight gain during pregnancy. Sexual & Reproductive Healthcare. 2017; 13: 103-9.

16. Khanjani Z, Babapour J, Saba G. Investigating mental status and body image in cosmetic surgery applicants in comparison with non-applicants. SSU Journals. 2012; 20 (2): 237-48.

17. Meireles JFF, Neves CM, Carvalho PHBd, Ferreira MEC. Body dissatisfaction among pregnant women: an integrative review of the literature. Ciencia & Saude Coletiva. 2015; 20 (7): 2091-103.

18. Ziaei S, Kazemnejad A. Relationship between body mass index and preterm delivery before and during pregnancy. Zahedan Journal of Research in Medical Sciences. 2011; 12 (5): 89-95.

19. Li N, Liu E, Guo J, Pan L, Li B, Wang P, et al. Maternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes. PloS One. 2013; 8 (12): e82310.

20. Lagadec N, Steinecker M, Kapassi A, Magnier AM, Chastang J, Robert S, et al. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy and Childbirth. 2018; 18 (1): 455.

21. Naz S, Hashmi AM, Asif A. Burnout and quality of life in nurses of a tertiary care hospital in Pakistan. JPMA The Journal of the Pakistan Medical Association. 2016; 66 (5): 532-6.

22. Zahedi M, Deris F. The quality of life in pregnant women in Farokhshahr City, 2012. Journal of Clinical Nursing and Midwifery. 2014; 3 (3): 63-9.

23. Tavakoli-Fard N, Mortazavi S-A, Kuhpayehzadeh J, Nojomi M. Quality of life, work ability and other important indicators of women’s occupational health. International Journal of Occupational Medicine and Environmental Health. 2016; 29 (1): 77-84.

24. Rezaei N, Azadi A, Zargousi R, Sadoughi Z, Tavalaee Z, Rezayati M. Maternal health-related quality of life and its predicting factors in the postpartum period in Iran. Scientifica. 2016: 1-8.

25. Littleton HL, Axsom D, Pury CLS. Development of the body image concern inventory. Behaviour Research and Therapy. 2005; 43 (2): 229-41.

26. Elah MN, Sajadinezhad M. The evaluation of psychometric properties of body image concern inventory and examination of a model about the relationship between body mass index, body image dissatisfaction and self-esteem in adolescent girls. Psychological Studies. 2007; 3(1): 83-99.

27. Heidari M, Nezarat S, Eskandari Sabzi H, Mojadam M, Shabani S, Azar M, et al. An analytical survey on the fear of body image and aggression in girl and boy high school students. The J Urmia Nurs Midwifery Fac. 2017; 14 (10): 837-46.

28. Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item short form health survey (SF-12): factor structure, internal consistency and construct validity. BMC Public Health. 2009; 9: 341.

29. Abbaszadeh F, Baghery A, Mehran N. Quality of life among pregnant women. Hayat. 2009; 15 (1): 41-8.

30. Zare F, Aghamolaei T, Ghanbarnejad A, Asadian A, Dadipoor S. Quality of life of pregnant women in Bandar Abbas. Hormozgan Medical Journal. 2015; 19 (4): 267-74.

31. Ponde Nejadan AA, Attari Y, Hossein D. Evaluating the predicting model of life quality based on mindful eating with mediation of bodyimage and eating behaviors among married women with overweight and obesity. Quarterly of Counseling Culture and Psychotherapy. 2018; 9 (34): 141-70.

32. Türk KE, Yılmaz M. The effect on quality of life and body image of mastectomy among breast cancer survivors. European Journal of Breast Health. 2018; 14 (4): 205.

33. Gardikiotis I, Manole A, Azoicai D. Quality of life with mastectomy for breast cancer, in terms of patients’ responses of sf-36 questionnaire. The Medical-Surgical Journal. 2015; 119 (2): 529-35.

34. Bagheri M, Mazaheri M. Body image and quality of life in female patients with breast cancer and healthy women. Journal of Midwifery and Reproductive Health. 2015; 3 (1): 285-92.

35. Duncombe D, Wertheim EH, Skouteris H, Paxton SJ, Kelly L. How well do women adapt to changes in their body size and shape across the course of pregnancy? Journal of Health Psychology. 2008; 13 (4): 503-15.

36. Loth KA, Bauer KW, Wall M, Berge J, Neumark-Sztainer D. Body sa - tisfaction during pregnancy. Body Image. 2011; 8 (3): 297-300.

37. Plante A-S, Doyon A-A, Savard C, ÉquiLibre G, Meilleur D, Achim J, et al. Weight changes and body image in pregnant women: a challenge for health care professionals. Canadian Journal of Dietetic Practice and Research. 2020; 81: 1-5.

38. Bagheri M, Dorosty A, Sadrzadeh-Yeganeh H, Eshraghian M, Amiri E, Khamoush-Cheshm N. Pre-pregnancy body size dissatisfaction and excessive gestational weight gain. Maternal and Child Health Journal. 2013; 17 (4): 699-707.

39. Zaltzman A, Falcon B, Harrison ME. Body image in adolescent pregnancy. Journal of Pediatric and Adolescent Gynecology. 2015; 28 (2): 102-8.

40. Sui Z, Turnbull D, Dodd J. Effect of body image on gestational weight gain in overweight and obese women. Women and Birth. 2013; 26 (4): 267-72.

41. Erkaya R, Karabulutlu Ö, Çalik KY. The effect of maternal obesity on self-esteem and body image. Saudi Journal of Biological Sciences. 2018; 25 (6): 1079-84.

42. Boscaglia N, Skouteris H, Wertheim EH. Changes in body image satisfaction during pregnancy: a comparison of high exercising and low exercising women. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2003; 43 (1): 41-5.

43. Senobari M, Azmoude E, Mousavi M. The relationship between body mass index, body image, and sexual function: a survey on Iranian pregnant women. International Journal of Reproductive BioMedicine. 2019; 17 (7): 503.

44. Sutherland R, Finch M, Harrison M, Collins C. Higher prevalence of childhood overweight and obesity in association with gender and socioeconomic status in the hunter region of new south wales. Nutrition & Dietetics. 2008; 65 (3): 192-7.

45. Clark A, Skouteris H, Wertheim EH, Paxton SJ, Milgrom J. The relationship between depression and body dissatisfaction across pregnancy and the postpartum: a prospective study. Journal of Health Psychology. 2009; 14 (1): 27-35.

46. You J, Choo J. Adolescent overweight and obesity: links to socioeconomic status and fruit and vegetable intakes. International Journal of Environmental Research and Public Health. 2016; 13 (3): 307.

47. Kops NL, Bessel M, Knauth DR, Caleffi M, Wendland EM. Body image (dis) satisfaction among low-income adult women. Clinical Nutrition. 2019; 38 (3): 1317-23.

48. Nikniaz Z, Mahdavi R, Amiri S, Ostadrahimi A, Nikniaz L. Factors associated with body image dissatisfaction and distortion among Iranian women. Eating Behaviors. 2016; 22: 5-9.

49. Garrusi B, Nematallahee VR, Etminan A. The relationship of body image with depression and self-esteem in pregnant women. Journal of Health and Development. 2013; 2 (2): 117-27.

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