Team plans body image study after bariatric surgeries

PULLMAN, Wash. – The ideal woman should be 5 feet 10 inches-6 feet tall, weigh 110-115 pounds and be size 0-2. That’s according to students in a “Multicultural Perspectives on the Body and Dress” class at Washington State University taught by Linda Bradley.
 
“That’s pretty much what models look like,” said Bradley, a professor and curator in the Department of Apparel, Merchandising, Design and Textiles.
 
Ten years ago, the ideal woman was size 4; 20 years ago, size 8; and 50 years ago, thanks to Marilyn Monroe, size 12.
 
“So the ideals are getting harder and harder to reach,” Bradley said. “Body image is a huge problem in America, and the reason is that our ideals are so unbelievable.”
 
The actual average American woman is 5 feet 4 inches tall, weighs 145 pounds and is size 14, Bradley said. Between the ideal and reality are “multibillion-dollar businesses messing with our heads and making us dissatisfied with our bodies.”
 
Social implications of weight-loss surgery
 
This warped body image has given rise to a host of problems garnering national attention, including obesity, eating disorders and extreme exercise regimens.
 
Bradley, who has taught about the subject since 1986, will head a new multidisciplinary project to explore how people who have undergone bariatric, or weight loss, surgery deal with body image and what impacts this may have for their families.
 
“A great deal of research has confirmed the positive physiological impacts of bariatric surgery; less has been conducted on the psychosocial aspects of changes in patients following the surgery,” she said.
 
“There is evidence in the literature to indicate that, in the postoperative period, people may find improvements in many areas, such as body image, but there can be varied impacts on family relationships, particularly with regard to spouses and children.”
 
Re-educating about body image
 
For example, some preliminary evidence suggests that divorce rates may be higher for postsurgical patients, Bradley said. A new appearance and confidence are more attractive to others, which can affect the social balance in a marriage.
 
Postsurgical patients also may have children who tend to be obese because weight issues are scrutinized more. Bradley hopes the new research will help address this area.
 
“Basically, it’s about re-educating people about body image issues,” she said. “If we dealt with body image early on, it would lead to less obesity and less need for these expensive surgical procedures,” which typically cost $20,000-$30,000.
 
Seed grant funds initial step
 
Bradley and the interdisciplinary team recently received a $5,000 seed grant from WSU’s College of Agricultural, Human and Natural Resource Sciences. It will cover an April 27 seminar in Spokane, which will touch on the obesity problem for health care practitioners and academics.
 
After the seminar, the team will work on developing an external grant to submit to funding sources for obesity research, including the National Institutes of Health, American Diabetes Association and American Society for Metabolic and Bariatric Surgery Foundation.
 
Once funded, team members will survey individuals who come to information sessions for prospective bariatric patients in Spokane. The project will follow those who decide on surgery, tracking them as they negotiate the protocols, have surgery and return for follow-up visits.
 
Other WSU collaborators on the project represent the Puyallup Research and Extension Center, College of Nursing, College of Pharmacy, Department of Human Development, and Health and Wellness Services. Partners outside WSU include Madigan Army Medical Center and Rockwood Bariatric Surgical Group and Weight Loss Surgery Center.
 
Realistic portrayals needed
 
Bariatric surgery is expected to increase over the next decade for several reasons, Bradley said. These include a projected doubling of the number of Americans with diabetes by 2034, an aging U.S. population, the continuing obesity epidemic and procedure/follow-up refinements that will reduce complications.
 
Slower to change are the attitudes about the body that lead to obesity in the first place, she said.
 
For example, few companies take the initiative to portray women and men realistically in their communications media. A notable exception is the Dove® Campaign for Real Beauty, started in 2004 after a study showed “that the definition of beauty had become limiting and unattainable,” according to the campaign’s website.
 
Change is “in process,” in part “as we learn to appreciate other cultures,” Bradley said.
 
“But we’re also finding that the last socially accepted form of discrimination is against obese people,” she said. “It’s such an awful thing we live with here. It’s all our market value and, unfortunately, that hasn’t changed much.”