Although body image is a complex construct which includes all of how we see, think
and feel about our whole bodies, in contemporary society the major focus has become
weight. This is not surprising when the current beauty ideals for women inordinately
emphasise thinness, and “thinness equals attractiveness” (1). However, most of the
research on body image has been conducted with high school or university students
and consequently samples have been restricted to a narrow age range in the teens and
early 20s. This paper presents a brief overview of the key findings from research,
which has included older adults.
Large-scale surveys
Several large-scale surveys of body image have now included older women up to the
age of 75. These find substantial levels of body dissatisfaction, with more than 70%
of women aged 30-74 wishing to be thinner even though most were of normal weight;
(2) and nearly one half of women aged 18 to 70 reporting preoccupation with being
or becoming overweight and wholesale displeasure with their weight, lower torso
(hips, buttocks, thighs and legs) and mid-torso (waist and stomach) (3). In the largest
survey to date, of the readership of the magazine Psychology Today (over 3000
women and 500 men aged 13-90 years), Garner and Kearney-Cooke (4) report very
high levels of body dissatisfaction for women. Whereas the overwhelming majority
of dissatisfied women want to lose weight, men who are dissatisfied appear to be
more evenly divided between those who wish to lose, and those who wish to gain,
weight.
A number of studies have compared young and older adults on figure rating scales, in
which people are asked to choose their current and ideal figures from a series of
silhouette drawings ranging from very thin to very fat (7, 8, 9, 10). These have
In the main these findings have been replicated with other measures. For women,
desire to be thinner does not change with age (5, 2), nor does importance of weight
control (12), overweight preoccupation (3), global body image (13), satisfaction with
appearance (4, 14,15) or satisfaction with body parts (16, 3). However, Pliner et al.
(12), and Thompson et al. (15), found that the importance of physical appearance, as
opposed to satisfaction, did diminish with age.
Some of these studies show no difference in body image between adult men and
women (14). On the other hand, Paxton and Phythian (13) showed healthier body
image for men than women across all ages from 40-79 years, but in older men there
was a decrease in perceived attractiveness and fitness and an increase in the
importance of health. Likewise, Garner and Kearney-Cooke (4) report that men are
much less dissatisfied with their appearance across the board than women, but are
most dissatisfied in the 30-39 and 50-59 year old age range.
Two studies have specifically investigated elderly samples. Hetherington and Burnett
(5) found elderly women (60-78 years) to report significantly greater satisfaction with
their bodies than young women (18-31 years), and Janelli (1993) found old women
(mean age = 76) and old men (mean age = 72) not to differ on satisfaction with body
parts, although all in fact indicated slight satisfaction. It seems likely that people
adjust their standards of attractiveness as they age so as to compare themselves with
their peers. The fact that the five body parts elderly women were most dissatisfied
with were their eyes, hands, fingers, body weight and legs, may suggest a shift to
focusing on functional aspects of their bodies.
The research indicates that body dissatisfaction is related to lower self-esteem for
adult women over about 30 years (17, 18) but perhaps not for younger women (8).
Threats are imposed on body image throughout the life cycle (19). Older people are
more likely to endure medical problems or chronic illness, restrictions in social and
personal activities, and changes in status and relationships with families and friends,
in addition to physiological changes in weight, posture, skin and hair quality (20).
However, the specific aspects of the ageing process which impact on body image
have not been researched.
Similarly little has been done on the milestones in women’s lives. Garner and
Kearney-Cooke (4) report that pregnancy is increasingly seen as an encumbrance to
body image and some women are choosing not to have children for this reason.
Deeks (21) reports great dissatisfaction with the body post-menopausally, although 5
years later women liked and felt more comfortable with their bodies.
Other variables
Both Wilcox (14) and Paxton and Phythian (13) found that healthy individuals rated
their appearance more positively than less healthy individuals, regardless of their age
or gender.
Wilcox (14) also found that for women who did not exercise, age was associated with
lower body satisfaction, but for those who exercised, increasing age was associated
with greater body satisfaction. Thus, in addition to the physical benefits of exercise
for older women, exercise may also benefit older women’s body attitudes.
Conclusions
It needs to be borne in mind that all the studies reviewed look at age differences,
rather than age changes. To investigate age changes properly we need to trace the
same individuals over time in longitudinal studies.
Nevertheless, in the main and with very few exceptions, we can conclude that women
show considerable body dissatisfaction and weight concern whatever their age, at
least up until quite elderly. Given the variety of methods and age groups, body image
has been shown to be remarkably stable across the entire life span for women. This
lends further support to Rodin et al.’s (1985) conceptualisation of weight as a
“normative discontent” for women.
For men, the picture is less clear. There have been fewer studies with mixed results.
Although young men have much better body image than young women, the findings
from studies with older men suggest that they also experience body dissatisfaction as
2. Allaz A.F., Bernstein M., Rouget P., Archinard M., & Morabia A. (1998).
Body weight preoccupation in middle-age and ageing women: A general
population survey. International Journal of Eating Disorders, 23, 287-294.
4. Garner D. & Kearney-Cooke A. (1997). The 1997 body image survey results.
Psychology Today, January/February 1997, pp. 30-36, 38-40, 42-44, 75-76,
78, 80, 84.
5. Hetherington M.M. & Burnett L. (1994). Ageing and the pursuit of slimness:
Dietary restraint and weight satisfaction in elderly women. British Journal of
Clinical Psychology, 33, 391-400.
9. Lamb C. S., Jackson L. A., Cassidy P. B., & Priest D. J. (1993). Body figure
preferences of men and women: A comparison of two generations. Sex Roles,
28, 345-358.
10. Altabe M. & Thompson, J. K. (1993). Body image changes during early
adulthood. International Journal of Eating Disorders, 13, 323-328.
14. Wilcox, S. (1997). Age and gender in relation to body attitudes: Is there a
double standard of aging? Psychology of Women Quarterly, 21, 549-565.
15. Thompson, S. C., Thomas, C., Rickabaugh, C. A., Tantamjarik, P., Otsuki, T.,
Pan, D., Garcia, B. F. & Sinar, E. (1998). Primary and secondary control over
age-related changes in physical appearance. Journal of Personality, 66, 583-
605.
18. Tiggemann, M. & Stevens, C. (in press). Weight concern across the lifespan:
Relationship to self-esteem and feminist identity. International Journal of
Eating Disorders.
19. Janelli, L. M. (1993). Are there body image differences between older men
and women? Western Journal of Nursing Research, 15, 327-339.
20. Chrisler, J. C. & Ghiz, L. (1993). Body image issues of older women.
Women and Therapy, 14, 67-75.
21. Deeks, A. (1998). Body image, menopause and the older woman. Everybody.
Newsletter of the Body Image & Better Health Program. No. 11, Winter 1996.