ORIGINAL PAPER
Changes in satisfaction with body in pregnant women participating in physical exercise classes and childbirth classes
 
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Submission date: 2014-02-22
Acceptance date: 2014-02-23
Online publication date: 2014-08-06
Publication date: 2014-08-08
 
Health Psychology Report 2014;2(3):152–161
 
KEYWORDS
TOPICS
ABSTRACT
Background
During pregnancy, a woman’s body undergoes major transformation contrary to the present ideal image of a slim body shape. Satisfaction with the body is important for a pregnant woman because it is one of the factors that determine her physical and mental well-being. The aim of this study was to compare the changes in the satisfaction with the body in women who regularly participated in physical exercise classes (experimental group) and in women who attended traditional childbirth classes (control group).

Participants and procedure
The research included 74 women aged 22-37 years in the second and third trimesters of their first pregnancy. The experimental group consisted of 39 pregnant women who participated in physical exercise classes from the Active Nine Months program for pregnant women. The control group consisted of 36 pregnant women who participated in typical childbirth classes twice a week. The Body Shape Test for Pregnant Women and the modified version of the Body Satisfaction Scale were used.

Results
After two months, women in both groups perceived their body shape as significantly bigger; the ideal figure became plumper, and the disparity between the actual and the ideal figure increased. Dissatisfaction with torso, motor skills, and appearance did not change in the experimental group; a significant increase of dissatisfaction with appearance and motor skills was observed in the control group.

Conclusions
Regular physical exercise helps pregnant women to maintain positive attitudes towards their body.
 
REFERENCES (41)
1.
Abraham, S., King, W., & Llewellyn, J. (1994). Attitudes to body weight, weight gain and eating behavior in pregnancy. Journal of Psychosomatic Obstetrics and Gynaecology, 15, 189-195.
 
2.
Anderson, V. N., Fleming, A. S., & Steiner, M. (1994). Mood and the transition to motherhood. Journal of Reproductive and Infant Psychology, 12, 69-77.
 
3.
Boscaglia, N., Skouteris, H., & Wertheim, E. H. (2003). 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, 43, 41-45.
 
4.
Cash, T. F. (1996). The treatment of body image disturbance. In: J. Thompson (ed.), Body image, eating disorders, and obesity: an integrative guide for assessment and treatment (pp. 83-107). Washington: APA.
 
5.
Clark, A., Skouteris, H., Werthei, E. H., Paxton, S. J., & Milgrom, J. (2009a). The relationship between depression and body dissatisfaction across pregnancy and the postpartum: A prospective study. Journal of Health Psychology, 14, 23-31. DOI: 10.1177/1359105308097940.
 
6.
Clark, A., Skouteris, H., Wertheim, E. H., Paxton, S. J., & Milgrom, J. (2009b). My baby body: A qualitative insight into women’s body-related experiences and mood during pregnancy and the postpartum. Journal of Reproductive and Infant Psychology, 27, 330-345. DOI: 10.1080/02646830903190904.
 
7.
DiPietro, J. A., Millet, S., Costigan, K. A., Gurewitsch, E., & Caulfield, L. E. (2003). Psychosocial influences on weight gain attitudes and behaviors during pregnancy. Journal of American Dietetic Association, 10, 1314-1319. DOI: 10.1016/S0002-8223(03)01070-8.
 
8.
Downs, D. S., DiNallo, J. M., & Kirner, T. L. (2008). Determinants of pregnancy and postpartum depression: Prospective influences of depressive symptoms, body image satisfaction, and exercise behavior. Annals of Behavioral Medicine, 36, 54-63. DOI: 10.1007/s12160-008-9044-9.
 
9.
Duncombe, D., Wertheim, E. H., Skouteris, H., Paxton, S. J., & Kelly, L. (2008). How well do women adapt to changes in their body size and shape across the course of pregnancy? Journal of Health Psychology, 13, 503-515. DOI: 10.1177/1359105308088521.
 
10.
Faiburn, C. G., Stein, A., & Jones, R. (1992). Eating habits and eating disorders during pregnancy. Psychosomatic Medicine, 54, 665-672.
 
11.
Fisher, E., & Thompson, J. K. (1994). A comparative evaluation of cognitive behavioral therapy (CBT) versus exercise therapy (ET) for the treatment of body image disturbance: Preliminary findings. Behavior Modification, 18, 171-185.
 
12.
Fox, P., & Yamaguchi, C. (1997). Body image change in pregnancy: A comparison of normal weight and overweight primigravidas. Birth, 24, 35-40.
 
13.
Franko, D. L., & Walton, B. E. (1993). Pregnancy and eating disorders: a review and clinical implications. International Journal Eating Disorders, 13, 41-47.
 
14.
Goodwin, A., Astbury, J., & McMeeken, J. (2000). Body image and psychological well-being in pregnancy. A comparison of exercisers and non-exercisers. Australian and New Zealand Journal of Obstetrics and Gynaecology, 40, 442-447.
 
15.
Guszkowska, M., & Sionek, S. (2011). Zmiany oceny ciała i nastroju kobiet uczestniczących w trzymiesięcznym programie ćwiczeń tlenowych [Changes in Bodily Self-Esteem and Mood States in Women Participating in Three-Month Aerobic Exercise Program]. Turystyka i Rekreacja, 7, 121-126.
 
16.
Haakstad, L. A. H., & Bo, K. (2011). Effect of regular exercise on prevention of excessive weight gain in pregnancy: A randomized control trial. European Journal of Contraception & Reproductive Health Care, 16, 116-125. DOI: 10.3109/13625187. 2011.560307.
 
17.
Haedt, A., & Keel, P. (2007). Maternal attachment, depression, and body dissatisfaction in pregnant women. Journal of Reproductive and Infant Psychology, 25, 285-295. DOI: 10.1080/02646830701691327.
 
18.
Hofmeyr, G. J., Marcos, E. F., & Butchart, A. M. (1990). Pregnant women’s perceptions of themselves: A survey. Birth, 17, 205-206.
 
19.
Huang, H. C., Wang, S. Y., & Chen, C. H. (2004). Body image, maternal-fetal attachment, and choice of infant feeding method: A study in Taiwan. Birth, 31, 183-188. DOI: 10.111/j.0730-7659.2004.00303.x.
 
20.
Konstanski, M., & Gullone, E. (1998). Adolescent body image dissatisfaction: relationships with self-esteem, anxiety and depression controlling for body mass. Journal of Child Psychology and Psychiatry, 39, 255-262.
 
21.
Koniak-Griffin, D. (1994). Aerobic exercise, psychological well-being, and physical discomforts during adolescent pregnancy. Research in Nursing and Health, 17, 253-263.
 
22.
Lacey, J. H., & Smith, G. (1987). Bulimia nervosa: The impact of pregnancy on mother and baby. British Journal of Psychiatry, 150, 777-781.
 
23.
Lederman, R. P. (1996). Psychosocial adaptation in pregnancy: Assessment of seven dimensions of maternal development. New York: Springer.
 
24.
Marquez-Sterling, S., Perry, A. C., Kaplan, T. A., Halberstein, R. A., & Signorile, J. F. (2000). Physical and psychological changes with vigorous exercise in sedentary primigravidae. Medicine and Science in Sports and Exercise, 32, 58-62.
 
25.
Matsuhashi, Y., & Felice, M. E. (1991). Adolescent body image during pregnancy. Journal of Adolescent Health, 12, 313-315.
 
26.
McCarthy, M. E. (1999). A longitudinal study of body image and adjustment during pregnancy and the puerperium. Dissertation Abstract International, 60, 0836B.
 
27.
Moore, D. S. (1978). The body image in pregnancy. Journal of Nurse Midwifery, 22, 17-27.
 
28.
Płaczkiewicz, M. (2009). Rekreacja ruchowa a poziom optymizmu oraz obraz własnego ciała kobiet ciężarnych [Physical recreation and the level of optimism and body image among pregnant women]. In: M. Guszkowska (ed.), Aktywność ruchowa kobiet. Formy, uwarunkowania, korzyści i zagrożenia [Physical activity of women. Forms, conditions, benefits and risks] (pp. 325-332). Warszawa: Danmar.
 
29.
Rallis, S., Skouteris, H., Wertheim, E. H., & Paxton, S. (2007). Predictors of body image during the first year postpartum: A prospective study. Women & Health, 45, 87-104. DOI: 10.1300/J0l3v45n01-06.
 
30.
Richardson, P. (1990). Women’s experiences of body change during normal pregnancy. Maternal and Child Nursery Journal, 19, 93-111.
 
31.
Russell, W. D. (2002). Comparison of self-esteem, body satisfaction, and social physique anxiety across males of different exercise frequency and racial background. Journal of Sport Behavior, 25, 74-91.
 
32.
Shearer, M. H. (1980). Malnutrition in middle class pregnant women. British Family Journal, 7, 27-35.
 
33.
Skouteris, H., Carr, R., Wertheim, E. H., Paxton, S. J., & Duncombe, D. (2005). A prospective study of factors that lead to body image dissatisfaction during pregnancy. Body Image, 2, 347-361. DOI: 10.1016/j.bodyim.2005.09.002.
 
34.
Slade, P. D., Dewey, M. E., Newton, T., Brodie, D., & Kiemle, G. (1990). Development and preliminary validation of the body satisfaction scale (BSS). Psychology and Health, 4, 213-220.
 
35.
Smolak, L., Murnern, S. K., & Ruble, A. E. (2000). Female athletes and eating problems: A meta-analysis. International Journal of Eating Disorders, 27, 371-380.
 
36.
Stein, A., & Fairburn, C. G. (1996). Eating habits and attitudes in the postpartum period. Psychosomatic Medicine, 58, 321-325.
 
37.
Strang, V. R., & Sullivan, P. L. (1985). Body image attitudes in pregnancy and the postpartum period. Journal of Obstetrics, Gynaecology and Neonatal Nursery, 14, 332-337.
 
38.
Stunkard, A. J., Sorenson, T., & Schlusinger, F. (1983). Use of Danish adoption registers for the study of obesity and thinness. In: S. S. Kety, L. P. Rowland, R. L. Sidman, & S. W. Mathysse (eds.), The genetics of neurological and psychological disorders (pp. 115-120). New York: Raven Press.
 
39.
Treuth, M. S., Butte, N. F., & Puyau, M. (2005). Pregnancy-related changes in physical activity, fitness, and strength. Medicine and Science in Sports and Exercise, 37, 832-837.
 
40.
Walker, L. O. (1998). Weight-related distress in the early month after childbirth. Western Journal of Nursery Research, 20, 30-44.
 
41.
Weissgerber, T. L., Wolfe, L. A., Davies, G. A. L., & Mottola, M. F. (2006). Exercise in the prevention and treatment of maternal-fetal disease: a review of the literature. Applied Physiology, Nutrition and Metabolism, 31, 661-674. DOI: 10.1139/H06-060.
 
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