Objectifying fitness: A content and thematic analysis of #Fitspiration images on social media.

Research suggests that exposure to #fitspiration content can result in increased body dissatisfaction. Employing a data-driven approach, the present study examines the nature of images and text contained within #fitspiration posts on social media. First, a content analysis of images labelled as #fitspiration on popular site Instagram (N = 1,000) was performed. People featured in 52% of images, of which nearly 90% of individuals were coded as having low body fat and 55% were coded as muscular. Individuals were typically presented in sexually objectified ways, which varied as a function of gender. Second, a thematic analysis of text from the same set of images (N = 400) was conducted to identify common themes and underlying meaning embedded within the messages. Six themes were developed: (1) Fit is sexy, (2) A fit physique requires commitment and self-regulation, (3) Your choices define you, (4) Pleasure and perseverance through pain, (5) Battle of the selves: You vs. You, and (6) Here’s to us! A celebration of a community. In combination, the analyses demonstrate how text and images found in #fitspiration posts perpetuate pervading sociocultural appearance ideals for men and women, positioning exercise as means to achieving these ideals. Furthermore, #fitspiration sexually objectifies the fit body, with text and images encouraging self-objectification and the distancing of the self from internal bodily functions in physical activity settings. Future research should focus on how #fitspiration content influences individuals in relation to how they think and feel about their body and physical activity

BODY IMAGE, HEALTH, AND PHYSICAL ACTIVITY IN PREGNANT WOMEN: A COMPOSITE ANALYSIS.

Women’s appearances are often judged by stringent, societal expectations, notably that of the thin-ideal. Pregnancy presents a definitive, yet naturally-occurring deviation from this norm. Research findings on how pregnant women cope with bodily changes however, are equivocal. Some feel protected from appearance-related concerns, whilst others experience increased body dissatisfaction. The aim of the present research was to build a composite understanding of factors that have an influence on body image attitudes and coping strategies in nulliparous women. Underpinned by a new realist and pragmatic approach, the research comprised of qualitative and quantitative components. The first aim was to explore messages about the pregnant body, and the role of exercise in UK magazines and online news sites. A qualitative, thematic examination of articles revealed a stark “invisibility” of the pregnant body in fashion magazines and a disparity in exercise messages and bodily portrayals among news and magazine publications. Overwhelmingly, beauty equated with the thin-ideal, not the pregnant body in news sites and fashion magazines. Study 1’s findings and existing pregnancy research guided Study 2; an exploration of women’s thoughts about their pregnant bodies, the role of exercise, and media-related, bodily descriptions. Semi-structured interviews were conducted with nine pregnant women. Thematic analysis revealed that although women accepted their pregnant bodies, they experienced unwelcomed appearance-related comments, comparisons, and physical contact by others. Their pregnant bodies were perceived as being persistently scrutinised. Finally, a quantitative exploration of appearance-related experiences was conducted, using an online questionnaire administered to 181 pregnant women. Guided by Cash’s (2011a) theoretical model, a multitude of complex factors were examined using path analysis. The model revealed that body appreciation / acceptance, body shame and surveillance, fitness / health attitudes, and appearance evaluation / investment were influenced by historical (e.g., self-esteem, public self-consciousness) and proximal factors (e.g., social comparison). Exercise participation, clothing for concealment, and avoidance / fixing behaviours were associated with shame and surveillance, appearance comparisons, and physical discomforts in pregnancy. The present research indicates that women experience complex appearance- and fitness-related issues in pregnancy. The research concludes by highlighting the importance of nurturing self-esteem in pregnancy to increase body confidence and protect against negative coping strategies through the transition towards motherhood

Men’s Baldness Stigma and Body Dissatisfaction

Introduction: Head hair forms a central component of the sociocultural male appearance ideal (e.g., mesomorphic, tall, young and not bald) and carries masculine connotations and stigma. Immense pressures to conform to this male appearance ideal gives rise to body dissatisfaction. Previous assessments of body dissatisfaction are too narrow, ignoring dissatisfaction beyond mesomorphy such as baldness dissatisfaction. Our study involved two research questions: (i) Do the facial expressions assigned to images of bald and non-bald men differ? and (ii) What forms of body dissatisfaction, including baldness dissatisfaction, do men have and are these related to men’s wellbeing and muscularity behaviours? Method: Eighty-six male participants aged 18–58 years (mean = 23.62; standard deviation = 7.80) were randomly exposed to 10 images of smiling men (half balding and half not) and were asked to rate the facial expression displayed. Participants also rated their body dissatisfaction and wellbeing. Ethics statement: Institutional ethics approval was granted. Results: We found that participants interpreted the facial expressions of images of bald men slightly more negatively than non-bald men. Most participants reported some form of body dissatisfaction correlated with wellbeing and muscularity enhancing behaviours, albeit weakly. Participants also disclosed a range of body dissatisfaction aspects (including surrounding muscularity, body fat, teeth alignment, skin tone and facial hair amount) though generally were not impacted heavily nor highly dissatisfied. Conclusion: These findings underscore the complex challenge in producing a complete assessment of men’s body dissatisfaction and the general resilience men experience with extant appearance pressures around their bodies and head hair

‘When you think of exercising, you don’t really want to think of puking, tears, and pain’: Young adolescents’ understanding of fitness and #fitspiration

Adolescents access information about fitness, including content labelled as #fitspiration, through social media. A total of 77 adolescents (mean age = 12.49; standard deviation = 0.55; girls = 27) participated in semi-structured focus groups to explore their perspectives on #fitspiration and fitness more broadly. Through inductive thematic analysis, four themes were developed: (1) fitness enhances physical function and appearance, but these are not always linked; (2) fitness is transformative but requires hard work; (3) fitness should be an intrinsically motivated personal choice; and (4) pain in the pursuit of fitness. Findings highlight young adolescents’ complex understandings of fitness negotiated through their critical interpretation of #fitspiration

“Hang in there mama!”: The role of online parenting forums in maternal mental health

The perinatal period can be challenging and yet reluctance to disclose wellbeing concerns to health professionals is well documented. The current study sought to explore how women use online parenting forums to seek advice and support for maternal mental health concerns. Forum threads (n = 153) from a popular UK parenting website were analysed to explore postpartum mothers’ discussions about their maternal mental health. Through reflexive thematic analysis, four themes were generated: (1) Navigating the motherhood role: unprepared and overwhelmed; (2) ‘I’m struggling, but looking on here I know I’m no way alone!’; (3) Challenging feelings of failure: ‘it doesn’t make you a bad mother’; and (4) Forums facilitate help seeking. There were two main findings; first, forums may act as a potential solution to providing a supportive, reassuring community and safe space for disclosure around maternal mental health concerns. Furthermore, forums are beneficial in providing women with an honest, realistic view and expectation of motherhood, thus supporting their transition to parenthood. Consequently, forums could be utilised to inform training for healthcare professionals to understand disclosure barriers

"Just Shave It Off"

Introduction Head hair comprises a critical part of the male appearance ideal, which itself is a crucial signifier of a man’s masculinity. However, difficulties in recruitment have meant that research has not yet fully explored how men construct the loss of head hair (baldness), perhaps because it is considered “feminine” to disclose body dissatisfaction experiences to a researcher or other people. Methods and Design Online forums provide an opportunity for the anonymous discussion of body dissatisfaction that may overcome this obstacle. The first 260 forums posts from the two most popular baldness forums were thematically analysed. Ethics Statement Institutional ethics approval was granted. Results and Discussion We identified three themes titled: (1) Baldness is an ugly and demasculinising condition, (2) Baldness is stigmatised by a superficial society and superficial women and (3) Resistance to baldness despair. Our findings show baldness distress, and stigma exist though so does resistance, which can be comforting to men experiencing baldness or any form of body dissatisfaction. Conclusion and Implications Online forums are a salient resource to enhance our understanding of men’s balding concerns and disclosure barriers. Independent, professional and effective baldness support that unpacks baldness masculinised and medicalised framing is recommended

"There are hundreds of thousands online waiting to hold your hand through difficult times”: experiences of using online parenting forums to support postpartum mental health and wellbeing.

Background and aims: Internet use in new mothers is common, with increasing numbers of women seeking support online in lieu of consulting health professionals. The current study sought to explore women’s experiences of using online parenting forums to seek advice and support for their maternal mental health. Although benefits of virtual support have previously been highlighted, little research has examined any potential harmful consequences of utilising online forum support for mental health concerns. Methods: New mothers (n=70) completed an online survey as a qualitative account of their motivations for, and experiences of, using online forums. Additionally, mothers were questioned about their experiences of healthcare professional support. Findings: Through reflexive thematic analysis, four themes were generated: (1) The value of shared experiences and empathy; (2) Forum dynamics – a double edged sword; (3) Contextual challenges and opportunities; and (4) Inconsistency of HCP support – the need for an instant solution. Findings emphasised the importance, and effectiveness, of this kind of virtual peer support that forums provide. For many, the responses indicated that forums have a great potential to foster an atmosphere of supportive and helpful feedback, creating a (self-reported) positive impact on postnatal mental health. However, the fact that some women experienced negative feedback led to feelings of motherhood failure on some occasions, and avoidance of posting through fear of negative responses. Conclusion and implications: These findings could inform future decisions made by both parenting website providers and healthcare professionals in making support for mothers more effective and accessible. These may include considerations around the integration of online and offline support services, and the potential increase in trained peer supporters working with mothers

A content analysis of thinspiration, fitspiration, and bonespiration imagery on social media

Background On social media, images such as thinspiration, fitspiration, and bonespiration, are shared to inspire certain body ideals. Previous research has demonstrated that exposure to these groups of content is associated with increased body dissatisfaction and decreased self-esteem. It is therefore important that the bodies featured within these groups of content are more fully understood so that effective interventions and preventative measures can be informed, developed, and implemented. Method A content analysis was conducted on a sample of body-focussed images with the hashtags thinspiration, fitspiration, and bonespiration from three social media platforms. Results The analyses showed that thinspiration and bonespiration content contained more thin and objectified bodies, compared to fitspiration which featured a greater prevalence of muscles and muscular bodies. In addition, bonespiration content contained more bone protrusions and fewer muscles than thinspiration content. Conclusions The findings suggest fitspiration may be a less unhealthy type of content; however, a subgroup of imagery was identified which idealised the extremely thin body type and as such this content should also be approached with caution. Future research should utilise qualitative methods to further develop understandings of the body ideals that are constructed within these groups of content and the motivations behind posting this content

Strengthening and stretching for rheumatoid arthritis of the hand (SARAH):Design of a randomised controlled trial of a hand and upper limb exercise intervention-ISRCTN89936343

Background: Rheumatoid Arthritis (RA) commonly affects the hands and wrists with inflammation, deformity, pain, weakness and restricted mobility leading to reduced function. The effectiveness of exercise for RA hands is uncertain, although evidence from small scale studies is promising. The Strengthening And Stretching for Rheumatoid Arthritis of the Hand (SARAH) trial is a pragmatic, multi-centre randomised controlled trial evaluating the clinical and cost effectiveness of adding an optimised exercise programme for hands and upper limbs to best practice usual care for patients with RA.Methods/design: 480 participants with problematic RA hands will be recruited through 17 NHS trusts. Treatments will be provided by physiotherapists and occupational therapists. Participants will be individually randomised to receive either best practice usual care (joint protection advice, general exercise advice, functional splinting and assistive devices) or best practice usual care supplemented with an individualised exercise programme of strengthening and stretching exercises. The study assessors will be blinded to treatment allocation and will follow participants up at four and 12 months. The primary outcome measure is the Hand function subscale of the Michigan Hand Outcome Questionnaire, and secondary outcomes include hand and wrist impairment measures, quality of life, and resource use. Economic and qualitative studies will also be carried out in parallel.Discussion: This paper describes the design and development of a trial protocol of a complex intervention study based in therapy out-patient departments. The findings will provide evidence to support or refute the use of an optimised exercise programme for RA of the hand in addition to best practice usual care.Trial registration: Current Controlled Trials ISRCTN89936343Keywords: Randomised controlled trial, Rheumatoid arthritis, Exercise, Hand, Rehabilitatio

“Working the System”—British American Tobacco's Influence on the European Union Treaty and Its Implications for Policy: An Analysis of Internal Tobacco Industry Documents

Katherine Smith and colleagues investigate the ways in which British American Tobacco influenced the European Union Treaty so that new EU policies advance the interests of major corporations, including those that produce products damaging to health