{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T01:00:37Z","timestamp":1790816437290,"version":"4.1.0"},"reference-count":51,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging (NIA)","doi-asserted-by":"publisher","award":["K76AG060003-A1"],"award-info":[{"award-number":["K76AG060003-A1"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Emerging research suggests that body dissatisfaction (BD) is prevalent among midlife and older women (i.e., upwards of 70%). Cross-sectionally, BD is associated with myriad poor health and wellness outcomes (e.g., depression, disordered eating, bad nutrition) in midlife\/older women. However, relatively few studies have examined the longitudinal relations between BD and health outcomes in this population. This preliminary study investigated the longitudinal associations of BD with wellbeing and health-related quality of life (QOL) among midlife\/older adult women over one year. Participants (n = 86, women aged 40\u201372 years, M = 51.49, SD = 7.34, 86% white) completed self-report measures of BD, psychosocial impairment, health behaviors, and QOL at baseline (T1) and 12-month follow-up (T2). A series of multiple linear regression models included T1 BD as the predictor variable of health outcomes at T2, covarying for T1 BMI and age in all models. BD was associated with greater negative emotions and psychosocial impairment, less physical activity enjoyment, and poorer physical, psychological, and social QOL one year later. Findings suggest that BD is associated with negative consequences for women across the lifespan (\u01922 ranges = 0.06\u20130.60). Future research investigating BD as a unique, modifiable risk factor for health outcomes among diverse samples of midlife\/older women is warranted. Targeting BD in interventions may improve health indices beyond eating disorders for this population.<\/jats:p>","DOI":"10.3390\/ijerph20247143","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T08:09:17Z","timestamp":1701763757000},"page":"7143","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["The Longitudinal Associations of Body Dissatisfaction with Health and Wellness Behaviors in Midlife and Older Women"],"prefix":"10.3390","volume":"20","author":[{"given":"Lisa Smith","family":"Kilpela","sequence":"first","affiliation":[{"name":"Department of Medicine, UT Health San Antonio, San Antonio, TX 78229, USA"},{"name":"ReACH Center, UT Health San Antonio, San Antonio, TX 78229, USA"},{"name":"Barshop Institute, UT Health San Antonio, San Antonio, TX 78229, USA"},{"name":"Audie Murphy Veterans Hospital, South Texas VA Health System, San Antonio, TX 78229, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savannah C.","family":"Hooper","sequence":"additional","affiliation":[{"name":"ReACH Center, UT Health San Antonio, San Antonio, TX 78229, USA"},{"name":"Barshop Institute, UT Health San Antonio, San Antonio, TX 78229, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey L.","family":"Straud","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, UT Health San Antonio, San Antonio, TX 78229, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria B.","family":"Marshall","sequence":"additional","affiliation":[{"name":"ReACH Center, UT Health San Antonio, San Antonio, TX 78229, USA"},{"name":"Barshop Institute, UT Health San Antonio, San Antonio, TX 78229, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina L.","family":"Verzijl","sequence":"additional","affiliation":[{"name":"Department of Adolescent Medicine, Dell Children\u2019s Medical Group, University of Texas at Austin, Austin, TX 78712, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany M.","family":"Stewart","sequence":"additional","affiliation":[{"name":"Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, LA 70803, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylur T.","family":"Loera","sequence":"additional","affiliation":[{"name":"ReACH Center, UT Health San Antonio, San Antonio, TX 78229, USA"},{"name":"Department of Psychology, Texas A&M University San Antonio, San Antonio, TX 78224, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn Black","family":"Becker","sequence":"additional","affiliation":[{"name":"Department of Psychology, Trinity University, San Antonio, TX 78212, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,12,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1037\/0022-0167.51.2.178","article-title":"The Relation Between Body Dissatisfaction and Eating Disorder Symptomatology: An Analysis of Moderating Variables","volume":"51","author":"Tylka","year":"2004","journal-title":"J. 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