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Women

Women is an international, peer-reviewed, open access journal on women's medicine and healthcare published quarterly online by MDPI. 

Quartile Ranking JCR - Q2 (Womens Studies)

All Articles (206)

Body Dissatisfaction and Eating Disorder Risk Indicators in Older Women: Associations with Medically Supervised Dietary Treatment

  • Patrizia Carmen Marruffi-Bonfante,
  • Manuel Rosety-Rodríguez and
  • Javier Riscart-López
  • + 2 authors

Body dissatisfaction and eating disorder (ED) risk indicators can persist into later life but are less frequently assessed in routine care for older women. Among women aged 50 years and older, attendance on dietary care pathways in clinical settings may offer a pragmatic opportunity for early identification (screening) of ED risk indicators and related psychological distress, particularly during the menopausal transition. Thus, the aim of this study was to compare body dissatisfaction and ED risk indicators in older women attending dietary treatment versus those not following a dietary regimen. This cross-sectional study compared women aged ≥50 years without a prior ED diagnosis who were receiving medically supervised dietary treatment (DTG; n = 42) with peers not following any dietary regimen (NDG; n = 40) in Cádiz (Spain). Participants completed the Eating Disorder Inventory-3 Referral Form (EDI-3RF), AF-5 Self-Concept Questionnaire, List of Brief Symptoms (LBS-50), and the International Physical Activity Questionnaire (IPAQ) and underwent anthropometric assessment. Compared with those women in the NDG, those in the DTG had a higher body mass index (p = 0.002), higher drive for thinness (p < 0.001) and body dissatisfaction (p < 0.001), lower physical self-concept (p = 0.001), and higher total EDI-3RF scores (p < 0.001). Based on the EDI-3RF, 11.9% of the DTG met clinical referral criteria versus none in the NDG (p = 0.031). These findings indicate that, in this sample of women aged ≥ 50 years, women attending dietary care pathways exhibited a higher ED risk profile, higher psychopathological symptom levels, and lower physical self-concept than women not following a dietary regimen. Given the cross-sectional design, results should be interpreted as associations and may reflect pre-existing differences among women who enter dietary care; nonetheless, dietary care pathways may represent a practical opportunity to incorporate brief screening for body image concerns and ED risk indicators in older women.

26 February 2026

Flow diagram describing recruitment of participants to the study.

Feminine Gender Norms Among Women with Eating Disorders: Findings from an Exploratory Pilot Study

  • Rosa M. Limiñana-Gras,
  • María Patiño-Ortega and
  • Carmen M. Galvez-Sánchez
  • + 1 author

Eating disorders are multifactorial mental health conditions that predominantly affect adolescent girls and young women and constitute a major public health concern due to their severe and often chronic impact on physical, psychological, and psychosocial functioning. Although existing research suggests that gender-related constructs and traditional gender roles may be associated with the development and expression of eating disorders, empirical evidence using validated measures remains limited. Accordingly, the present study examines health-related variables from a gender-sensitive perspective in a clinical sample of women diagnosed with an eating disorder. Forty women aged 14 to 50 years completed an assessment protocol including measures of gender norms, eating disorder symptoms, mental health, and self-perceived overall health. Results indicated that poorer mental health and self-perceived overall health were significantly associated with higher levels of eating disorder symptomatology. In an exploratory hierarchical regression analysis, overall conformity to traditional feminine gender norms was associated with eating disorder symptomatology after accounting for health-related variables. Exploratory analyses of individual gender norm dimensions indicated that only a small number of associations remained statistically significant after applying a false discovery rate correction. In sum, within the limitations of a modest and heterogeneous clinical sample, the findings suggest that conformity to traditional feminine gender norms is associated with less favorable health indicators and greater eating disorder symptomatology among women with EDs. These results underscore the potential value of incorporating gender-informed perspectives into future research and clinical reflection, while highlighting the need for replication in larger and longitudinally designed studies.

24 February 2026

This cross-sectional study aimed to assess the relationship between the level of physical activity and the severity of depressive symptoms in adult women, taking into account the mediating role of perceived stress and differences in this relationship across levels of depressive symptom severity. The study included 200 women aged 18–65 years. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ), depressive symptom severity was measured with the Beck Depression Inventory (BDI), and perceived stress was evaluated using a standardized stress scale. Descriptive statistics, non-parametric tests, hierarchical regression, mediation analysis with bootstrapping, and quantile regression (Q25, Q50, Q75) were applied, controlling for selected sociodemographic variables. The results showed that perceived stress was the strongest predictor of depressive symptom severity. Physical activity was not a significant independent predictor of depression after adjustment for stress; however, it demonstrated a significant indirect effect through stress reduction. Quantile regression analysis revealed that the protective effect of physical activity was more pronounced in the lower and middle quantiles of depressive symptom severity and attenuated at higher levels of severity. These findings indicate that the relationship between physical activity and depressive symptoms is predominantly indirect and conditional, supporting the integration of physical activity promotion with stress-reduction–focused interventions.

10 February 2026

This study aimed to assess maternal health profiles related to diet, pregnancy, and breastfeeding practices among 437 mothers with children under 24 months in a rural village in Madagascar, and to examine their association with maternal educational attainment using interviews and anthropometric data. Bivariate statistical analyses were performed to explore associations between maternal education level and all studied variables. Multivariate analyses were also conducted but did not yield reliable results and are therefore not presented. The findings showed that higher maternal education was strongly associated with better socioeconomic conditions; improved access to essential resources like food, clean water, and healthcare facilities; and greater dietary diversity. More educated women reported consuming a wider range of foods, reflecting better nutritional quality and potential benefits for maternal health. In contrast, education level did not significantly affect pregnancy-related care or breastfeeding practices as recommended by the WHO. This suggests that while education enhances women’s ability to access and choose nutritious diets, broader cultural or systemic factors may shape maternal care behaviors. Women with higher educational attainment had greater access to diverse and sufficient diets, which may contribute to improved maternal nutritional status. Sustainable interventions aimed at improving women’s education and nutritional literacy are needed to support informed dietary choices and improve maternal and child health outcomes.

5 February 2026

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Women - ISSN 2673-4184