Eating disorder risk and body image concerns in visually impaired women TA eImagem corporal em deficientes visuais
DOI:
https://doi.org/10.12957/demetra.2024.80291Abstract
Visually impaired individuals may have difficulty perceiving their bodies and may develop body image and eating disorders. The main purpose of this original research was to assess body imageconcernsand risk behaviors for eating disorders (ED) in visually impaired women. The Body Shape Questionnaire (BSQ), Body Checking Questionnaire (BCQ) and Eating Attitudes Test-26 (EAT-26) were used, in addition to determining nutritional status and collecting information on physical exercise, autonomy in the acquisition of supplies and preparation of meals, and the use of social media. Thirty-seven visually impaired women participated in the study, with a mean age of 41.4 ± 13.9 years. It was observed that 78.3% of the participants were overweight, 23.3% had some degree of body image dissatisfaction,and 45.9% hadED risk. Half of the women with low vision had risky behaviors for ED and a mean score on the EAT-26 of 23.1 ± 14.4. In the group with total blindness, direct correlations were observed between the EAT-26 and BCQ (r=0. 542; p=0.013) and BSQ and BCQ (r=0.738; p<0.001) whereas in the low vision group, direct associations were observed between the EAT-26 and BSQ (r=0.581; p=0.018), EAT-26 and BCQ (r=0.643; p=0.007), and BSQ and BCQ (r=0.568; p=0.002). Risk behaviors for ED and low body dissatisfaction were identified among visually impaired women. Further studies are needed to expand the knowledge on this subject in this population.
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REFERÊNCIAS
World Health Organization. World report on vision [Internet]. World Health Organization, editor. Geneva: World Health Organization; 2019 [cited 2023 Sep 21]. 1–180 p. Available from: https://iris.who.int/bitstream/handle/10665/328717/9789241516570-eng.pdf
Ottaiano JAAO, Ávila MP de, Umbelino CC, Taleb AC. As Condições de Saúde Ocular no Brasil [Internet]. 1st ed. Selles A, editor. Conselho Brasileiro de Oftalmologia. São Paulo - SP: CBO; 2019 [cited 2023 Oct 30]. 1–104 p. Available from: https://www.cbo.com.br/novo/publicacoes/condicoes_saude_ocular_brasil2019.pdf
Umbelino CC, Ávila MP de. As Condições de Saúde Ocular no Brasil [Internet]. 1st ed. Selles A, editor. CBO: Conselho Brasileiro de Oftalmologia. São Paulo - SP: CBO; 2023 [cited 2023 Aug 13]. 1-109 p. Available from: https://static.poder360.com.br/2023/06/condicoes-saude-ocular-cbo-2023-oftalmologia.pdf
Gardner RM, Bokenkamp ED. The role of sensory and non-sensory factors in body size estimations of eating disorder subjects. J Clin Psychol. 1996 Jan;52(1):3-15. https://doi.org/10.1002/(SICI)1097-4679(199601)52:1<3:AID-JCLP1>3.0.CO;2-X
Coelho GMO, Portugal MRC. Imagem Corporal e TranstornosAlimentares. In: Appolinario JC, Nunes MA, CordásTákiAthanássios, editors. TranstornosAlimentares: diagnóstico e manejo. 1st ed. Porto Alegre: Artmed; 2022. p. 71-96.
Diehl RM. Jogando com as diferenças: jogos para crianças e jovens com deficiência. 2nd ed. São Paulo: Phorte; 2006. 1-206 p.
Almeida TS, Araújo F V. Diferençasexperienciais entre pessoas com cegueiracongênita e adquirida: uma breve apreciação. Revista Interfaces: Saúde, Humanas e Tecnologia. 2013 Jun;1(3):1-21. https://doi.org/10.16891/24
Eiras LFG, Amorim BB de, Carmo NM, Russo MM. Construção da imagem corporal emdeficientesvisuais. RevistaArquivosemMovimento. 2012 Dec 14;8(2):94-110.
Ostojic MS, Hansen AMJ. Sociocultural factors in the development of bulimia nervosa in a blind woman: a case report. International Journal of Eating Disorders. 2013 Sep 24;46(3):284-8. https://doi.org/10.1002/eat.22058
Thomas JJ, Weigel TJ, Lawton RK, Levendusky PG, Becker AE. Cognitive-behavioral treatment of body image disturbance in a congenitally blind patient with anorexia nervosa. Am J Psychiatry. 2012 Jan 1;169(1):16-20. https://doi.org/10.1176/appi.ajp.2010.10040555
Ferreira C, Trindade IA, Martinho A. Explaining rigid dieting in normal-weight women: the key role of body image inflexibility. Eating and Weight Disorders. 2016 Mar;21(1):49-56. https://doi.org/10.1007/s40519-015-0188-x
Silva AFDS, Neves LDS, Japur CC, Penaforte TR, Penaforte FR. Construçãoimagético-discursiva da beleza corporal emmídias sociais: repercussõesnapercepçãosobre o corpo e o comer dos seguidores. DEMETRA: Alimentação, Nutrição&Saúde. 2018 Jul 16;13(2):395-411. https://doi.org/10.12957/demetra.2018.33305
Alvarenga M dos S, Philippi ST, Lourenço BH, Sato P de M, Scagliusi FB. Insatisfação com aimagem corporal emuniversitáriasbrasileiras. J Bras Psiquiatr. 2010 May 17;59(1):44-51. https://doi.org/10.1590/S0047-20852010000100007
Aparicio-Martinez P, Perea-Moreno AJ, Martinez-Jimenez MP, Redel-Macías MD, Pagliari C, Vaquero-Abellan M. Social media, thin-ideal, body dissatisfaction and disordered eating attitudes: An exploratory analysis. Int J Environ Res Public Health. 2019 Oct;16(21):1-16. https://doi.org/10.3390/ijerph16214177
Hogue J V., Mills JS. The effects of active social media engagement with peers on body image in young women. Body Image. 2019 Mar;28:1-5. https://doi.org/: 10.1016/j.bodyim.2018.11.002
Santos MM dos, Moura PS de,Flauzino PA, Alvarenga MDS, Arruda SPM, Carioca AAF. Comportamentoalimentar e imagem corporal emuniversitários da área de saúde. J Bras Psiquiatr. 2021 Apr 16;70(2):126-33. https://doi.org/10.1590/0047-2085000000308
Ashikali EM, Dittmar H. Body image and restrained eating in blind and sighted women: A preliminary study. Body Image. 2010 Mar;7(2):172-5. https://doi.org/10.1016/j.bodyim.2010.01.002
Peres RJ, Espírito-Santo G Do, Espírito FR Do, Ferreira NT, Assis MR De. Insatisfação com aimagem corporal entre pessoas com deficiência visual. Revista Brasileira de Ciências do Esporte. 2015 Sep 8;37(4):362-6. https://doi.org/10.1016/j.rbce.2015.08.013
Fernández-Aranda F, Crespo JM, Jiménez-Murcia S, Krug I, Vallejo-Ruiloba J. Blindness and bulimia nervosa: a description of a case report and its treatment. International Journal of Eating Disorders. 2006 Feb 26;39(3):263-5. https://doi.org/10.1002/eat.20259
World Health Organization. Obesity: Preventing and Managing the Global Epidemic – WHO Technical Report Series. World Health Organization, editor. Geneva: World Health Organization; 2000.
Cooper Z, Fairburn CG, Cooper PJ, Psych D, Taylor MJ. The development and validation of the Body Shape Questionnaire. International Journal of Eating Disorders. 1987 Jul;6(4):485-94. https://doi.org/10.1002/1098-108X(198707)6:4<485::AID-EAT2260060405>3.0.CO;2-O
Di Pietro M, Silveira DX da. Internal validity, dimensionality and performance of the Body Shape Questionnaire in a group of Brazilian college students. Revista Brasileira de Psiquiatria. 2009 Mar;31(1):21-4. https://doi.org/10.1590/S1516-44462008005000017
Reas DL, Whisenhunt BL, Netemeyer R, Williamson DA. Development of the Body Checking Questionnaire: A self-report measure of body checking behaviors. InternationalJournalof Eating Disorders. 2002 Mar 14;31(3):324-33. https://doi.org/10.1002/eat.10012
Campana ANNB. Tradução, adaptação transcultural e validação do “Body Image Avoidance Questionnaire (BIAQ)” e do “Body Checking Questionnaire (BCQ)” para a línguaportuguesa no Brasil [Dissertação]. [Campinas]: UniversidadeEstadual de Campinas; 2007.
Garner DM, Olmsted MP, Bohr Y, Garfinkel PE. The Eating Attitudes Test: psychometric features and clinical correlates. Psychol Med. 1982 Nov;12(4):871-8. https://doi.org/10.1017/s0033291700049163
Bighetti F. Tradução e validação do Eating Attitudes Test (EAT-26) emadolescentes do sexofemininonacidade de Ribeirão Preto - SP [Internet] [Dissertação]. [Ribeirão Preto]: Universidade de São Paulo; 2003 [cited 2023 Sep 21]. Available from: https://www.teses.usp.br/teses/disponiveis/22/22133/tde-12042004-234230/publico/tese.pdf
Baker D, Sivyer R, Towell T. Body image dissatisfaction and eating attitudes in visually impaired women. International Journal of Eating Disorders. 1998 Dec 7;24(3):319-22. https://doi.org/10.1002/(sici)1098-108x(199811)24:3<319::aid-eat10>3.0.co;2-r
Interdonato GC, Greguol M. Autoanálise da imagem corporal de adolescentes com deficiência visual sedentários e fisicamenteativos. Conexões. 2009 Dec 1;7(3):1-13. https://doi.org/10.20396/conex.v7i3.8637764
França DNO, Azevedo EE de S e. Imagem corporal e sexualidade de adolescentes com cegueira, alunos de umaescolapública especial em Feira de Santana, Bahia. Revista de CiênciasMédicas e Biológicas. 2003 Jan 1;2(2):176-84. https://doi.org/10.9771/cmbio.v2i2.4284
Ferreira EMC, Baumel RCR de C. Narrativasautobiográficas de deficientesvisuaiscongênitos. RevistaEducação Especial [Internet]. 2009 Dec 11 [cited 2023 Sep 21];22(35):351-62. Available from: https://periodicos.ufsm.br/educacaoespecial/article/view/815. https://doi.org/10.5902/1984686X
Sharp CW. Anorexia nervosa and depression in a woman blind since the age of nine months. The Canadian Journal of Psychiatry. 1993 Sep;38(7):469-71. https://doi.org/10.1177/070674379303800701
Cicmil N, Eli K. Body image among eating disorder patients with disabilities: A review of published case studies. Body Image. 2014 Jun;11(3):266-74. https://doi.org/10.1016/j.bodyim.2014.04.001
Kocourkova J, Soltysova M, Mohaplova M, Hrdlicka M. Anorexia nervosa in a blind girl. Neuroendocrinology Letters [Internet]. 2011 Nov 15 [cited 2023 Nov 15];32(6):748-450. Available from: http://nel.altamira.sk/userfiles/articlesnew/NEL320611C03.pdf
Jones N, Bartlett H. The impact of visual impairment on nutritional status: A systematic review. British Journal of Visual Impairment. 2018 Jan 10;36(1):17-30. https://doi.org/10.1177/02646196177308
Jones N, Bartlett HE, Cooke R. An analysis of the impact of visual impairment on activities of daily living and vision-related quality of life in a visually impaired adult population. British Journal of Visual Impairment. 2019 Nov 26;37(1):50-63. https://doi.org/10.1177/026461961881407
Greguol M, Gobbi E, Carraro A. Physical activity practice, body image and visual impairment: A comparison between Brazilian and Italian children and adolescents. Res Dev Disabil. 2014 Jan;35(1):21-6. https://doi.org/10.1016/j.ridd.2013.10.020
Stuart ME, Lieberman L, Hand KE. Beliefs about physical activity among children who are visually impaired and their parents. J Vis Impair Blind. 2006 Apr;100(4):223-34. https://doi.org/10.1177/0145482X0610000405
Brittain I. Perceptions of disability and their impact upon involvement in sport for people with disabilities at all levels. J Sport Soc Issues. 2004 Nov;28(4):429-52. https://doi.org/10.1177/0193723504268729
Hayes SD, Crocker PRE, Kowalski KC. Gender differences in physical self-perceptions, global self-esteem and physical activity: Evaluation of the physical self-perception profile model. J Sport Behav. 1999 Mar;22(1):1-14.
Marmeleira JFF, Fernandes JMG de A, Ribeiro NC, Teixeira J de A, Gutierres Filho PJB. Barreiras para a prática de atividadefísicaempessoas com deficiência visual. Revista Brasileira de Ciências do Esporte. 2018 Jun;40(2):197-204. https://doi.org/10.1016/j.rbce.2017.12.001
Good GA, LaGrow S, Alpass F. An age-cohort study of older adults with and without visual impairments: Activity, independence, and life satisfaction. J Vis Impair Blind. 2008 Sep;102(9):517-27. https://doi.org/10.1177/0145482X081020090
Page A, Papps FA. Eating attitudes of women living with a vision impairment. Psychol Women Q. 2018 Aug 22;42(4):1-12. https://doi.org/10.1177/0361684318792853
Nikodijevic A, Buck K, Fuller-Tyszkiewicz M, de Paoli T, Krug I. Body checking and body avoidance in eating disorders: Systematic review and meta-analysis. European Eating Disorders Review. 2018 Feb 9;26(3):1-27. https://doi.org/10.1002/erv.2585
Walker DC, White EK, Srinivasan VJ. A meta-analysis of the relationships between body checking, body image avoidance, body image dissatisfaction, mood, and disordered eating. International Journal of Eating Disorders. 2018 Mar 8;51(8):1-26. https://doi.org/10.1002/eat.22867
Le LKD, Tan EJ, Perez JK, Chiotelis O, Hay P, Ananthapavan J, et al. Prevention of high body mass index and eating disorders: a systematic review and meta-analysis. Eating and Weight Disorders. 2022 Aug 27;27(8):2989-3003. https://doi.org/10.1007/s40519-022-01458-8
Weinberger NA, Kersting A, Riedel-Heller SG, Luck-Sikorski C. Body dissatisfaction in individuals with obesity compared to normal-weight individuals: A systematic review and meta-analysis. Obes Facts. 2017 Dec 24;9(6):424-41. https://doi.org/10.1159/000454837
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Copyright (c) 2024 Mariana Ribeiro Costa Portugal, Sarah Emanuelle Almeida Fontes da Silva, Julia Duppre de Abreu

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