title: Body image and body satisfaction differ by race in overweight postpartum mothers.
abstract: BACKGROUND
  Body image (BI) and body satisfaction may be important in understanding weight loss behaviors, particularly during the postpartum period. We assessed these constructs among African American and white overweight postpartum women.
  
  
  METHODS
  The sample included 162 women (73 African American and 89 white) in the intervention arm 6 months into the Active Mothers Postpartum (AMP) Study, a nutritional and physical activity weight loss intervention. BIs, self-reported using the Stunkard figure rating scale, were compared assessing mean values by race. Body satisfaction was measured using body discrepancy (BD), calculated as perceived current image minus ideal image (BD<0: desire to be heavier; BD>0: desire to be lighter). BD was assessed by race for: BD(Ideal) (current image minus the ideal image) and BD(Ideal Mother) (current image minus ideal mother image).
  
  
  RESULTS
  Compared with white women, African American women were younger and were less likely to report being married, having any college education, or residing in households with annual incomes >$30,000 (all p < 0.01). They also had a higher mean body mass index (BMI) (p = 0.04), although perceived current BI did not differ by race (p = 0.21). African Americans had higher mean ideal (p = 0.07) and ideal mother (p = 0.001) BIs compared with whites. African Americans' mean BDs (adjusting for age, BMI, education, income, marital status, and interaction terms) were significantly lower than those of whites, indicating greater body satisfaction among African Americans (BD(Ideal): 1.7 vs. 2.3, p = 0.005; BD(Ideal Mother): 1.1 vs. 1.8, p = 0.0002).
  
  
  CONCLUSIONS
  Racial differences exist in postpartum weight, ideal images, and body satisfaction. Healthcare providers should consider tailored messaging that accounts for these racially different perceptions and factors when designing weight loss programs for overweight mothers.
authors.affiliation: Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA. lori.c.edwards@duke.edu
authors.forename: Lori
authors.initials: L
authors.lastname: Carter-Edwards
authors.forename: Lori A
authors.initials: LA
authors.lastname: Bastian
authors.forename: Jessica
authors.initials: J
authors.lastname: Revels
authors.forename: Holiday
authors.initials: H
authors.lastname: Durham
authors.forename: Yuliya
authors.initials: Y
authors.lastname: Lokhnygina
authors.forename: M Ahinee
authors.initials: MA
authors.lastname: Amamoo
authors.forename: Truls
authors.initials: T
authors.lastname: Ostbye
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology; D001828:Body Image; D004522:Educational Status; D005260:Female; D006801:Humans; D007182:Income; D009035:Mothers; D009657:North Carolina; D050177:Overweight / Q000208:ethnology / Q000523:psychology*; D010549:Personal Satisfaction; D049590:Postpartum Period / Q000208:ethnology / Q000523:psychology*; D044465:White People / Q000523:psychology