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Eating Behavior, Body Image, Obesity Relation with Menopausal Symptoms and Life Quality

Year 2025, Volume: 9 Issue: 3, 504 - 515, 30.09.2025
https://doi.org/10.30621/jbachs.1661106

Abstract

References

  • Tezce MA, Beydağ KD. Menopausal perspective and sexual quality of life of women in menopause. Sağlık ve Toplum 2021;31(1):175-186.
  • Abay H, Kaplan S. Menopause-specific quality of life scales: literature review. J Educ Res Nurs 2020;17(3):256-263.
  • Kurt G, Arslan H. Health problems of women in menopause and their coping methods. Cukurova Med J 2020;45(3):910-920.
  • Üçtepe E, Esen FN, Tümer S, Mancılar H, Yeşilyurt A. KCNB1 frameshift variant caused inherited intellectual disability, developmental delay, and seizure. Intractable Rare Dis Res 2022;11(4):219-221.
  • Arar-Alparslan M, Erbil N. Studies examining the quality of life of menopausal women in Turkey: a systematic review. Androl Bul 2022;24(1):42-50.
  • Ambikairajah A, Walsh E, Cherbuin N. A review of menopause nomenclature. Reprod Health 2022;19(1):29.
  • Thomas B. Manual of dietetic practice. 3rd ed. Oxford: Blackwell Science; 2004.
  • WHO. Obesity: Preventingandmanagingthe global epidemic. Technical Report Series No: 894. Geneva: World HealthOrganization; 2000.
  • Li N, Yang T, Yu WQ, Liu H. Is waist-to-height ratio superior to body mass index and waist circumference in predicting the incidence of hypertension? Ann Nutr Metab 2019;74(3):215-223.
  • Garner DM, Garfinkel PE. The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med 1979;9(2):273-279.
  • Savaşır I, Erol N. Yeme Tutum Testi: Anoreksi Nervoza Belirtileri İndeksi. Psikoloji Derg 1989;7(23):19-25.
  • Vincent C, Bodnaruc AM, Prud’homme D, Guenette J, Giroux I. Disordered eating be haviours during the menopausal transition: a systematic review. ApplPhysiolNutrMetab2024;49:1286–1308.
  • Özkan A, Çayircioğlu Ş, Karagöz İ, Kocatürk RR, Özcan ÖÖ, Karahan M. Investigation of the relationship between eating attitudes, self-esteem, anxiety, and depression levels of postmenopausal women. J Neurobehav Sci 2021;8:233-239.
  • Mangweth-Matzek B, Hoek HW. Epidemiology and treatment of eating disorders in middle and older aged women. Curr Opin Psychiatry 2017;30(6):446-451.
  • Secord PF, Jourard SM. The appraisal of body cathexis: body cathexis and the self. J Consult Psychol 1953;17(5):343-347.
  • Hovardaoğlu S. Body perception scale. J Psychiatry Psychol Psychopharmacol 1993;1(1):26-33.
  • Schneider HPG, Heinemann LAJ, Thiele K, Rosemeier HP, Potthoff P, Behre HM. The Menopause Rating Scale (MRS): cultural and linguistic validation into English. Life Med Sci Online 2002;3:1-8.
  • Gürkan ÖC. Reliability and validity of the Turkish form of the menopause symptoms assessment scale. Nurs Forum 2005;40(1):30-35.
  • Hilditch JR, Lewis J, Peter A, van Maris B, Ross A, Franssen E, Guyatt GH, Norton PG, Dunn E. A menopause-specific quality of life questionnaire: development and psychometric properties. Maturitas 2008;61(1-2):107-121.
  • Şahin NH, Kharbouch SB. Determining the privacy of life in menopausal periods. Florence Nightingale Nurs J 2007;15(59):82-90.
  • Büyüköztürk Ş, Kılıç ÇE, Akgün ÖE, Karadeniz Ş, Demirel F. Bilimsel araştırma yöntemleri. 2nd ed. Ankara: Pegem Akademi; 2008.
  • Metintaş S, Arıkan İ, Kalyoncu C, Ozalp S. Menopause Rating Scale as a screening tool in rural Turkey. Rural Remote Health 2010;10:1230.
  • Heinemann LAJ, Do Minh T, Strelow F, Gerbsch S, Schnitker J, Schneider HPG. The Menopause Rating Scale (MRS) as outcome measure for hormone treatment? A validation study. Health Qual Life Outcomes 2004;2:67.
  • Bozkurt ÖD, Sevil Ü. Menopause and sexual life. CBU-SBED 2016;3(4):497-503. Nappi RE, Siddiqui E, Todorova L, Rea C, Gemmen E, Schultz NM. Prevalence and quality-of-life burden of vasomotor symptoms associated with menopause: a European cross-sectional survey. Maturitas 2023;167:66-74.
  • Noll M, Zangirolami-Raimundo J, Baracat EC, da Costa Louzada ML, Júnior JMS, Sorpreso ICE. Life habits of postmenopausal women: association of menopause symptom intensity and food consumption by degree of food processing. Maturitas 2022;156:1-11.
  • Cömert NB. Comparison of sexual functions and quality of life between surgical menopausal patients and natural menopausal patients [Medical specialization thesis]. University of Health Sciences, Istanbul; 2019.
  • Cea Garcia J, Marquez Maraver F, Rubio Rodríguez MC. Cross-sectional study on the impact of age, menopause and quality of life on female sexual function. J Obstet Gynaecol 2022;42(5):1225-1232.
  • Hutchings HA, Taylor N, Remesh A, Rafferty J. A study evaluating quality of life and factors affecting it before, during and after menopause. Eur J Obstet Gynecol Reprod Biol 2023;289:100-107.
  • Gümüşay M, Erbil N. The effect of attitudes towards menopause on menopause-specific quality of life of women. Ordu Univ J Nurs Stud 2019;2(2):96-109.
  • Arar-Alparslan M, Erbil N. The effect of menopausal symptoms on women’s daily life activities. Prz Menopauzalny 2023;22(1):6-15.
  • Shobeiri F, Jenabi E, Khatiban M, Hazavehei SMM, Roshanaei G. The effect of educational program on quality of life in menopausal women: a clinical trial. J Menopausal Med 2017;23(2):91-95.
  • Beezhold B, Radnitz C, McGrath RE, Feldman A. Vegans report less bothersome vasomotor and physical menopausal symptoms than omnivores. Maturitas 2018;112:12-17.
  • Tang R, Fan Y, Luo M, Zhang D, Xie Z, Huang F, Wang Y, Liu G, Wang Y, Lin S, Chen R. General and central obesity are associated with increased severity of vasomotor and sexual symptoms of menopause among Chinese women: a longitudinal study. Front Endocrinol (Lausanne) 2022;13:814872.
  • Thurston RC, Chang Y, Mancuso P, Matthews KA. Adipokines, adiposity, and vasomotor symptoms during the menopause transition: findings from the Study of Women’s Health Across the Nation. Fertil Steril 2013;100(3):793-800.e1.
  • Huang WY, Chang CC, Chen DR, Kor CT, Chen TY, Wu HM. Circulating leptin and adiponectin are associated with insulin resistance in healthy postmenopausal women with hot flashes. PLoS One 2017;12(4):e0176430.
  • Gonçalves SF, Silva E, Gomes AR. The influence of BMI and predictors of disordered eating and life satisfaction on postmenopausal women. J Women Aging 2015;27(2):140-156.
  • Yildirim F, Duman NB, Kulakaç Ö. Theeffect of menopause on thesexualfunctionsandmaritaladjustment of thespouses. J MidlifeHealth 2023;14(3):170–175.
  • Nazarpour S, Simbar M, Majd HA, Torkamani ZJ, Andarvar KD, Rahnemaei F. The relationship between postmenopausal women’s body image and the severity of menopausal symptoms. BMC Public Health 2021;21:1094.
  • Vincent C, Bodnaruc AM, Prud’homme D, Olson V, Giroux I. Associationsbetweenmenopauseand body image: a systematicreview. Women’sHealth (Lond)2023;19:17455057231209536.
  • Marlatt KL, Beyl RA, Redman LM. A qualitative assessment of health behaviors and experiences during menopause: a cross-sectional, observational study. Maturitas 2018;116:36-42.
  • Erbil N. Attitudes towards menopause and depression, body image of women during menopause. Alexandria J Med 2018;54(3):241-246.
  • Dhillon TK, Gammage KL. Understanding the relationship between body image and menopause in South Asian Canadian women. Body Image 2023;46:280-293.
  • Thompson KA, Bardone-Cone AM. Menopausal status and disordered eating and body image concerns among middle-aged women. Int J Eat Disord 2019;52(3):314-318.
  • Baker JH, Runfola CD. Eating disorders in midlife women: a perimenopausal eating disorder? Maturitas 2016;85:112-116.
  • Baker JH, Eisenlohr-Moul T, Wu YK, Schiller CE, Bulik CM, Girdler SS. Ovarian hormones influence eating disorder symptom variability during the menopause transition: a pilot study. Eat Behav 2019;35:101337.
  • Oliveira J, Medeiros B. Do emotional dysregulation and body image issues contribute to disordered eating and the onset of eating disorders during menopause? Maturitas 2025;196:108086.

Eating Behavior, Body Image, Obesity Relation with Menopausal Symptoms and Life Quality

Year 2025, Volume: 9 Issue: 3, 504 - 515, 30.09.2025
https://doi.org/10.30621/jbachs.1661106

Abstract

Purpose: This study aimed to examine the relationship between eating behavior, body image, and obesity with menopausal symptoms and quality of life in postmenopausal women.

Methods: A total of 384 postmenopausal women participated in the study. Data were collected through face-to-face questionnaires, including the Menopause Symptoms Assessment Scale, Menopause-Specific Quality of Life Scale, Eating Attitudes Test, and Body Perception Scale. Anthropometric measurements such as weight, height, waist, and hip circumferences were taken according to standard techniques.

Results: Increased body mass index (BMI) was associated with more severe menopausal symptoms and lower physical and sexual quality of life (p<0.05). Higher body satisfaction correlated with fewer menopausal complaints and improved overall quality of life (p<0.05).A 1-unit decrease in the BPS score is related to a 0.331-unit decrease in the MRS score (p<0.05).

Conclusion: Postmenopausal women with a higher tendency toward obesity experience lower body satisfaction, more pronounced menopausal symptoms, and a reduced quality of life. Further multicenter studies with larger sample sizes are recommended to strengthen the evidence.

References

  • Tezce MA, Beydağ KD. Menopausal perspective and sexual quality of life of women in menopause. Sağlık ve Toplum 2021;31(1):175-186.
  • Abay H, Kaplan S. Menopause-specific quality of life scales: literature review. J Educ Res Nurs 2020;17(3):256-263.
  • Kurt G, Arslan H. Health problems of women in menopause and their coping methods. Cukurova Med J 2020;45(3):910-920.
  • Üçtepe E, Esen FN, Tümer S, Mancılar H, Yeşilyurt A. KCNB1 frameshift variant caused inherited intellectual disability, developmental delay, and seizure. Intractable Rare Dis Res 2022;11(4):219-221.
  • Arar-Alparslan M, Erbil N. Studies examining the quality of life of menopausal women in Turkey: a systematic review. Androl Bul 2022;24(1):42-50.
  • Ambikairajah A, Walsh E, Cherbuin N. A review of menopause nomenclature. Reprod Health 2022;19(1):29.
  • Thomas B. Manual of dietetic practice. 3rd ed. Oxford: Blackwell Science; 2004.
  • WHO. Obesity: Preventingandmanagingthe global epidemic. Technical Report Series No: 894. Geneva: World HealthOrganization; 2000.
  • Li N, Yang T, Yu WQ, Liu H. Is waist-to-height ratio superior to body mass index and waist circumference in predicting the incidence of hypertension? Ann Nutr Metab 2019;74(3):215-223.
  • Garner DM, Garfinkel PE. The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med 1979;9(2):273-279.
  • Savaşır I, Erol N. Yeme Tutum Testi: Anoreksi Nervoza Belirtileri İndeksi. Psikoloji Derg 1989;7(23):19-25.
  • Vincent C, Bodnaruc AM, Prud’homme D, Guenette J, Giroux I. Disordered eating be haviours during the menopausal transition: a systematic review. ApplPhysiolNutrMetab2024;49:1286–1308.
  • Özkan A, Çayircioğlu Ş, Karagöz İ, Kocatürk RR, Özcan ÖÖ, Karahan M. Investigation of the relationship between eating attitudes, self-esteem, anxiety, and depression levels of postmenopausal women. J Neurobehav Sci 2021;8:233-239.
  • Mangweth-Matzek B, Hoek HW. Epidemiology and treatment of eating disorders in middle and older aged women. Curr Opin Psychiatry 2017;30(6):446-451.
  • Secord PF, Jourard SM. The appraisal of body cathexis: body cathexis and the self. J Consult Psychol 1953;17(5):343-347.
  • Hovardaoğlu S. Body perception scale. J Psychiatry Psychol Psychopharmacol 1993;1(1):26-33.
  • Schneider HPG, Heinemann LAJ, Thiele K, Rosemeier HP, Potthoff P, Behre HM. The Menopause Rating Scale (MRS): cultural and linguistic validation into English. Life Med Sci Online 2002;3:1-8.
  • Gürkan ÖC. Reliability and validity of the Turkish form of the menopause symptoms assessment scale. Nurs Forum 2005;40(1):30-35.
  • Hilditch JR, Lewis J, Peter A, van Maris B, Ross A, Franssen E, Guyatt GH, Norton PG, Dunn E. A menopause-specific quality of life questionnaire: development and psychometric properties. Maturitas 2008;61(1-2):107-121.
  • Şahin NH, Kharbouch SB. Determining the privacy of life in menopausal periods. Florence Nightingale Nurs J 2007;15(59):82-90.
  • Büyüköztürk Ş, Kılıç ÇE, Akgün ÖE, Karadeniz Ş, Demirel F. Bilimsel araştırma yöntemleri. 2nd ed. Ankara: Pegem Akademi; 2008.
  • Metintaş S, Arıkan İ, Kalyoncu C, Ozalp S. Menopause Rating Scale as a screening tool in rural Turkey. Rural Remote Health 2010;10:1230.
  • Heinemann LAJ, Do Minh T, Strelow F, Gerbsch S, Schnitker J, Schneider HPG. The Menopause Rating Scale (MRS) as outcome measure for hormone treatment? A validation study. Health Qual Life Outcomes 2004;2:67.
  • Bozkurt ÖD, Sevil Ü. Menopause and sexual life. CBU-SBED 2016;3(4):497-503. Nappi RE, Siddiqui E, Todorova L, Rea C, Gemmen E, Schultz NM. Prevalence and quality-of-life burden of vasomotor symptoms associated with menopause: a European cross-sectional survey. Maturitas 2023;167:66-74.
  • Noll M, Zangirolami-Raimundo J, Baracat EC, da Costa Louzada ML, Júnior JMS, Sorpreso ICE. Life habits of postmenopausal women: association of menopause symptom intensity and food consumption by degree of food processing. Maturitas 2022;156:1-11.
  • Cömert NB. Comparison of sexual functions and quality of life between surgical menopausal patients and natural menopausal patients [Medical specialization thesis]. University of Health Sciences, Istanbul; 2019.
  • Cea Garcia J, Marquez Maraver F, Rubio Rodríguez MC. Cross-sectional study on the impact of age, menopause and quality of life on female sexual function. J Obstet Gynaecol 2022;42(5):1225-1232.
  • Hutchings HA, Taylor N, Remesh A, Rafferty J. A study evaluating quality of life and factors affecting it before, during and after menopause. Eur J Obstet Gynecol Reprod Biol 2023;289:100-107.
  • Gümüşay M, Erbil N. The effect of attitudes towards menopause on menopause-specific quality of life of women. Ordu Univ J Nurs Stud 2019;2(2):96-109.
  • Arar-Alparslan M, Erbil N. The effect of menopausal symptoms on women’s daily life activities. Prz Menopauzalny 2023;22(1):6-15.
  • Shobeiri F, Jenabi E, Khatiban M, Hazavehei SMM, Roshanaei G. The effect of educational program on quality of life in menopausal women: a clinical trial. J Menopausal Med 2017;23(2):91-95.
  • Beezhold B, Radnitz C, McGrath RE, Feldman A. Vegans report less bothersome vasomotor and physical menopausal symptoms than omnivores. Maturitas 2018;112:12-17.
  • Tang R, Fan Y, Luo M, Zhang D, Xie Z, Huang F, Wang Y, Liu G, Wang Y, Lin S, Chen R. General and central obesity are associated with increased severity of vasomotor and sexual symptoms of menopause among Chinese women: a longitudinal study. Front Endocrinol (Lausanne) 2022;13:814872.
  • Thurston RC, Chang Y, Mancuso P, Matthews KA. Adipokines, adiposity, and vasomotor symptoms during the menopause transition: findings from the Study of Women’s Health Across the Nation. Fertil Steril 2013;100(3):793-800.e1.
  • Huang WY, Chang CC, Chen DR, Kor CT, Chen TY, Wu HM. Circulating leptin and adiponectin are associated with insulin resistance in healthy postmenopausal women with hot flashes. PLoS One 2017;12(4):e0176430.
  • Gonçalves SF, Silva E, Gomes AR. The influence of BMI and predictors of disordered eating and life satisfaction on postmenopausal women. J Women Aging 2015;27(2):140-156.
  • Yildirim F, Duman NB, Kulakaç Ö. Theeffect of menopause on thesexualfunctionsandmaritaladjustment of thespouses. J MidlifeHealth 2023;14(3):170–175.
  • Nazarpour S, Simbar M, Majd HA, Torkamani ZJ, Andarvar KD, Rahnemaei F. The relationship between postmenopausal women’s body image and the severity of menopausal symptoms. BMC Public Health 2021;21:1094.
  • Vincent C, Bodnaruc AM, Prud’homme D, Olson V, Giroux I. Associationsbetweenmenopauseand body image: a systematicreview. Women’sHealth (Lond)2023;19:17455057231209536.
  • Marlatt KL, Beyl RA, Redman LM. A qualitative assessment of health behaviors and experiences during menopause: a cross-sectional, observational study. Maturitas 2018;116:36-42.
  • Erbil N. Attitudes towards menopause and depression, body image of women during menopause. Alexandria J Med 2018;54(3):241-246.
  • Dhillon TK, Gammage KL. Understanding the relationship between body image and menopause in South Asian Canadian women. Body Image 2023;46:280-293.
  • Thompson KA, Bardone-Cone AM. Menopausal status and disordered eating and body image concerns among middle-aged women. Int J Eat Disord 2019;52(3):314-318.
  • Baker JH, Runfola CD. Eating disorders in midlife women: a perimenopausal eating disorder? Maturitas 2016;85:112-116.
  • Baker JH, Eisenlohr-Moul T, Wu YK, Schiller CE, Bulik CM, Girdler SS. Ovarian hormones influence eating disorder symptom variability during the menopause transition: a pilot study. Eat Behav 2019;35:101337.
  • Oliveira J, Medeiros B. Do emotional dysregulation and body image issues contribute to disordered eating and the onset of eating disorders during menopause? Maturitas 2025;196:108086.
There are 46 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Ecem Fidan 0009-0000-1592-7763

Ceren Gezer 0000-0002-5647-0103

Publication Date September 30, 2025
Submission Date March 21, 2025
Acceptance Date September 8, 2025
Published in Issue Year 2025 Volume: 9 Issue: 3

Cite

APA Fidan, E., & Gezer, C. (2025). Eating Behavior, Body Image, Obesity Relation with Menopausal Symptoms and Life Quality. Journal of Basic and Clinical Health Sciences, 9(3), 504-515. https://doi.org/10.30621/jbachs.1661106
AMA Fidan E, Gezer C. Eating Behavior, Body Image, Obesity Relation with Menopausal Symptoms and Life Quality. JBACHS. September 2025;9(3):504-515. doi:10.30621/jbachs.1661106
Chicago Fidan, Ecem, and Ceren Gezer. “Eating Behavior, Body Image, Obesity Relation With Menopausal Symptoms and Life Quality”. Journal of Basic and Clinical Health Sciences 9, no. 3 (September 2025): 504-15. https://doi.org/10.30621/jbachs.1661106.
EndNote Fidan E, Gezer C (September 1, 2025) Eating Behavior, Body Image, Obesity Relation with Menopausal Symptoms and Life Quality. Journal of Basic and Clinical Health Sciences 9 3 504–515.
IEEE E. Fidan and C. Gezer, “Eating Behavior, Body Image, Obesity Relation with Menopausal Symptoms and Life Quality”, JBACHS, vol. 9, no. 3, pp. 504–515, 2025, doi: 10.30621/jbachs.1661106.
ISNAD Fidan, Ecem - Gezer, Ceren. “Eating Behavior, Body Image, Obesity Relation With Menopausal Symptoms and Life Quality”. Journal of Basic and Clinical Health Sciences 9/3 (September2025), 504-515. https://doi.org/10.30621/jbachs.1661106.
JAMA Fidan E, Gezer C. Eating Behavior, Body Image, Obesity Relation with Menopausal Symptoms and Life Quality. JBACHS. 2025;9:504–515.
MLA Fidan, Ecem and Ceren Gezer. “Eating Behavior, Body Image, Obesity Relation With Menopausal Symptoms and Life Quality”. Journal of Basic and Clinical Health Sciences, vol. 9, no. 3, 2025, pp. 504-15, doi:10.30621/jbachs.1661106.
Vancouver Fidan E, Gezer C. Eating Behavior, Body Image, Obesity Relation with Menopausal Symptoms and Life Quality. JBACHS. 2025;9(3):504-15.