Children's body image concerns and eating disturbance: a review of the literature

In recent years a large number of studies have examined body image concerns, and early symptoms of eating disturbance among children. However, to date there has been no synthesis or evaluation of these studies. The purpose of the present article is to review and evaluate the research that has examined body image concerns, and eating attitudes and behaviors among children 6 to 11 years of age. The instruments used to assess body image concerns and eating disturbance in children closely resemble those used with adolescents and adults. Overall, the psychometric data for these instruments are very good and there is sufficient evidence indicating that they can be used reliably and validly. In addition, similar variables to those studied in adolescent and adult samples have been found to be associated with children's body image concerns and early eating disturbance. These include gender, age, body mass index, race, sociocultural pressures, and self-concept. Our understanding of the development of body image concerns and eating disturbance in children is limited, however, by the fact that most of the research in this field has been based on cross-sectional data, and the studies have focused almost exclusively on weight-loss cognitions and behaviors.

Body image and body change techniques among young adolescent boys

The aim of the present study was to examine the level of body image disturbance among adolescent boys and to determine how body image disturbance was related to body change techniques. Twenty boys from year 7 (mean age = 12.55 years, SD = 0.61) and 20 boys from year 9 (mean age = 14.85 years, SD = 0.59) were interviewed individually about their body image and body change strategies. The boys were questioned about the importance and their satisfaction with their weight, body size, body shape, muscle tone and parts of their body and the frequency with which they used the following techniques: eating less to lose weight, eating more to gain weight, and exercise to change body size, shape or muscle tone. The results demonstrated that of those boys who wanted to change their body (50 per cent), 12 wanted to lose weight and eight wanted to gain weight. The most frequent strategy used to change body size or shape was exercise, rather than changing eating patterns. Year 7 boys were more satisfied with their weight than year 9 boys, and boys with a larger body mass index (BMI) were less satisfied with their muscle tone and more likely to change their eating habits to decrease their body size or shape than boys with a smaller BMI. The implications of these findings for obtaining a better understanding of how male body image and body change strategies are different from girls are discussed.

Body image ideal among males and females: sociocultural influences and focus on different body parts

Past research has obtained mixed findings in relation to gender differences and other factors that shape ideal body image. The current study was designed to investigate these differences further, using a digital body image program to assess body image individually. As expected, females desired a body that was smaller than their current size, whereas males were split between wanting a smaller and larger body. The perceived messages from peers and parents were consistent with the individual's ideal image. Gender differences were also found with ratings of attractiveness and effectiveness. Females rated messages from peers and parents as more important than did males. For both males and females, opposite sex peers were the most important influences, and parents the least important.

An evaluation of the construct of body image

Provides information on two studies which were designed to evaluate the efficacy of a multidimensional model of body image that incorporated the dimensions of perception, effect, cognition and behavior. Methodology used in the study; Results and general discussion.

Body image and physical disability - personal perspectives

The current study used qualitative methodology to investigate the body image concerns of people with physical disabilities. Three males and four females aged between 22 and 50 years, in Melbourne, Australia, participated in the study. Three participants were heterosexual, two were homosexual and two described their sexual identity as predominantly heterosexual but ‘bicurious’. The data were gathered through individual interviews of approximately 2 h duration, where participants responded to a set of predetermined open-ended questions. The study found that bodily impairment had a negative influence on the participants’ psychological experiences, feelings and attitudes toward their own bodies. The impact of feedback from the social environment was highlighted, and there was evidence suggesting that individuals gradually adjust to their different bodies and increasingly accept their disabilities over time.

Media influences on body image and disordered eating among Indigenous adolescent Australians

There has been no previous investigation of body image concerns and body change strategies among indigenous Australians. This study was designed to investigate the level of body satisfaction, body change strategies, and perceived media messages about body change strategies among 50 indigenous (25 males, 25 females) and 50 non-indigenous (25 males, 25 females) Australian adolescents (mean age 14.05, SD = 1.05). Consistent with past studies, girls were more likely to be dissatisfied with their weight and engage in strategies to lose weight. However, contrary to expectations, indigenous adolescents engaged in more strategies to lose weight, increase weight, and increase muscles than did non-indigenous adolescents, despite perceiving fewer media messages about losing weight. Additional factors that may explain the findings and the need for further research with different cultural groups are highlighted.

A longitudinal study of body image and strategies to lose weight and increase muscles in children

A longitudinal study was used to examine age differences in the role of body mass index (BMI) and sociocultural pressures in predicting changes in body image and strategies to both lose weight and increase muscles among 443 children aged between 8 and 12 years (207 boys, 236 girls) over a 16-month period. The strongest predictors of body image and these strategies were BMI, the media and mothers, and to a lesser extent fathers and best friends. Girls were focused on losing weight, whereas boys were focused on both increasing muscle and losing weight. Surprisingly, there was a reduction in strategies both to lose weight and increase muscles as children approached adolescence. The implications of these findings for preventative educational programs for boys and girls are discussed.

Relationship between men's and women's body image and their psychological, social, and sexual functioning

This study was designed to examine the relationships between different aspects of body image and psychological, social, and sexual functioning throughout adulthood. The respondents were 211 men and 226 women (age range 18–86 years; mean = 42.26). Respondents completed measures of self-rated attractiveness, body satisfaction, body image importance, body image behaviors, appearance comparison, social physique anxiety, self-esteem, depression, anxiety, and social and sexual functioning. Body image was associated with self-esteem for all groups, but was unrelated to other aspects of psychological, social, and sexual functioning. There were some exceptions; a disturbance in body image was related to problematic social and sexual functioning among middle-aged men and to depression and anxiety symptoms in late adulthood among men and women. Middle-aged men who presented with the type of body image disturbance typical of women were more likely to have impaired interpersonal functioning. These results demonstrate that social aspects of body image appear to be important in understanding psychological functioning in later life.

Sociocultural influences on adolescent boys' body image and body change strategies

Society provides messages about how people should ideally look and previous research has indicated these messages, both the actual messages provided and the perception of the message, influence body image. Research into male body image has shown males are concerned with having a lean and muscular body and as such, may want to decrease fat and increase their muscles. This paper explored the influence of a range of messages from parents, peers, and the media on a number of different measures of 362 adolescent boys’ body image and body change strategies. Specifically, messages about shape, food, exercise, losing weight and increasing muscles were explored in relation to satisfaction with weight and muscles, and the use of strategies to decrease weight and increase muscles. The findings indicated that parental messages were the strongest influence on body image and that parents, the media, and to a lesser extent messages from male friends were the strongest predictors of body change strategies.

A comparison of the sources and nature of body image messages perceived by indigenous Fijian and European Australian adolescent girls

Australian and Fijian adolescent girls reported on the influence that sociocultural factors, including parents, peers, and the media, had on their body image attitudes. It was expected that messages that promote a thin body would be less prevalent among Fijians, as their cultural traditions place more importance on robust body sizes. An inductive thematic analysis of the girls’ semi-structured interviews indicated that both Fijian (n = 16) and Australian (n = 16) girls (aged 13–17) reported messages from similar sources, which included parents, siblings, and friends/peers. Australian girls consistently reported messages that reinforced thinness. On the other hand, Fijian girls reported messages that emphasized both thinness and robustness. The discussion focuses on the conflict between Western ideals and cultural Fijian traditions and the implications for culturally sensitive interventions.

Adolescent body image and psychosocial functioning

Researchers have highlighted the significance of a poor body image in the development of dysfunctional eating but have systematically investigated few other outcomes. The authors examined the relationships between different aspects of body image and psychosocial functioning. Participants were 245 boys and 173 girls from Grades 8 and 9 (M age = 13.92 years, SD = 0.69 years). Respondents completed measures of physical attractiveness, body satisfaction, body image importance, body image behaviors, appearance comparison, social physique anxiety, self-esteem, depression, anxiety, and same-sex and opposite-sex relations. Whereas girls tended to report a more negative body image than did boys, the relevance of body image to self-esteem was similar for boys and girls. Concern about others' evaluation of their bodies was especially important in understanding low female self-esteem, whereas for boys, ratings of general attractiveness most strongly predicted self-esteem. The authors found a negative body image to be unrelated to symptoms of negative affect but to be strongly associated with poor opposite-sex peer relationships, especially among boys. A negative body image also affected same-sex relations among girls.

A `Rubber-hand` illusion reveals a relationship between perceptual body image and unhealthy body change

The ‘rubber-hand’ illusion, in which individuals misattribute tactile sensations felt by their hand to a rubber prosthetic hand that they see being stimulated, was employed to examine the relationship between perceptual body image and unhealthy body change in 128 volunteers. Variance in unhealthy body development in males (22%) and in bulimic symptomatology in both females and males (10%), was explained by susceptibility to the illusion. The illusion, which is relatively free from cognitive and emotional ‘contamination’, could be used to identify individuals most responsive to therapies designed to correct inaccurate body perceptions–individuals whose perceptual body image is malleable.

Relationship between body image and social and sexual functioning: gender and development trends

The purpose of this study was to examine the relationship between body image and social and sexual functioning. The respondents were 426 men and women from metropolitan and rural Victoria, who ranged in age from 18 to 86 years (mean age = 42.26). Respondents completed measures of attractiveness, body satisfaction, body image importance, body image behaviours, appearance comparison, social physique anxiety, self-esteem, depression, anxiety, and social and sexual functioning. Regression analyses were used to detelmine the prediction of social and sexual functioning by body image variables for men and women of different age groups, beyond the effects of psychological adjustment. The results demonstrated that while there were moderate correlations between body image and sociallsexual functioning variables, many of these relationships were best explained by the shared variance of self-esteem. There were some exceptions, particularly among middle-aged men, which are discussed.