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Published in: BMC Psychiatry 1/2012

Open Access 01-12-2012 | Research article

Body dissatisfaction and body mass in girls and boys transitioning from early to mid-adolescence: additional role of self-esteem and eating habits

Authors: Mauno Mäkinen, Leena-Riitta Puukko-Viertomies, Nina Lindberg, Martti A Siimes, Veikko Aalberg

Published in: BMC Psychiatry | Issue 1/2012

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Abstract

Background

In the transition from early to mid-adolescence, gender differences in pubertal development become significant. Body dissatisfaction is often associated with body mass, low self-esteem and abnormal eating habits. The majority of studies investigating body dissatisfaction and its associations have been conducted on female populations. However, some evidence suggests that males also suffer from these problems and that gender differences might already be observed in adolescence.

Aims

To examine body dissatisfaction and its relationship with body mass, as well as self-esteem and eating habits, in girls and boys in transition from early to mid-adolescence.

Methods

School nurses recorded the heights and weights of 659 girls and 711 boys with a mean age of 14.5 years. The Rosenberg Self-Esteem Scale and the Body Dissatisfaction subscale of the Eating Disorder Inventory were used as self-appraisal scales. Eating data were self-reported.

Results

The girls were less satisfied with their bodies than boys were with theirs (mean score (SD): 30.6 (SD 12.2) vs. 18.9 (SD 9.5); p < 0.001). The girls expressed most satisfaction with their bodies when they were underweight, more dissatisfaction when they were of normal weight and most dissatisfaction when they had excess body weight. The boys also expressed most satisfaction when they were underweight and most dissatisfaction when they had excess body weight. The boys reported higher levels of self-esteem than did the girls (mean (SD): 31.3 (4.8) vs. 28.0 (5.9); p < 0.001). The adolescents self-reporting abnormal eating habits were less satisfied with their bodies than those describing normal eating habits (mean (SD): 33.0 (12.9) vs. 21.2 (10.2); p < 0.001).

Conclusions

Body mass, self-esteem and eating habits revealed a significant relationship with body dissatisfaction in the transitional phase from early to mid-adolescence in girls and boys, but significant gender differences were also found.
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Literature
1.
go back to reference Richter SK: Overview of normal adolescent development. Handbook of child and adolescent psychiatry, Volume 3. Adolescence: development and syndromes. Edited by: Noshpitz JD (editor-in-chief), Flaherty LT, Sarles RM. 1997, John Wiley & Sons, New York, 15-25. Richter SK: Overview of normal adolescent development. Handbook of child and adolescent psychiatry, Volume 3. Adolescence: development and syndromes. Edited by: Noshpitz JD (editor-in-chief), Flaherty LT, Sarles RM. 1997, John Wiley & Sons, New York, 15-25.
2.
go back to reference Sarles RM: Encounter with new body changes. Handbook of child and adolescent psychiatry, Volume 3. Adolescence: development and syndromes. Edited by: Noshpitz JD (editor-in-chief), Flaherty LT, Sarles RM. 1997, John Wiley & Sons, New York, 43-51. Sarles RM: Encounter with new body changes. Handbook of child and adolescent psychiatry, Volume 3. Adolescence: development and syndromes. Edited by: Noshpitz JD (editor-in-chief), Flaherty LT, Sarles RM. 1997, John Wiley & Sons, New York, 43-51.
3.
go back to reference Garner DM: Eating Disorder Inventory-2. Professional Manual. 1991, Psychological Assessment Resources, Odessa, Florida Garner DM: Eating Disorder Inventory-2. Professional Manual. 1991, Psychological Assessment Resources, Odessa, Florida
4.
go back to reference Presnell K, Bearman SK, Stice E: Risk factors for body dissatisfaction in adolescent boys and girls: a prospective study. Int J Eat Disord. 2004, 36: 389-401.CrossRefPubMed Presnell K, Bearman SK, Stice E: Risk factors for body dissatisfaction in adolescent boys and girls: a prospective study. Int J Eat Disord. 2004, 36: 389-401.CrossRefPubMed
5.
go back to reference Neumark-Sztainer D, Story M, Hannan PJ, Perry C, Irving LM: Weight-related concerns and behaviors among overweight and nonoverweight adolescents. Implications for preventing weight-related disorders. Arch Ped Adolesc Med. 2002, 156: 171-178.CrossRef Neumark-Sztainer D, Story M, Hannan PJ, Perry C, Irving LM: Weight-related concerns and behaviors among overweight and nonoverweight adolescents. Implications for preventing weight-related disorders. Arch Ped Adolesc Med. 2002, 156: 171-178.CrossRef
6.
go back to reference Stice E, Whitenton K: Risk factors for body dissatisfaction in adolescent girls: a longitudinal investigation. Dev Psychol. 2002, 38: 669-678.CrossRefPubMed Stice E, Whitenton K: Risk factors for body dissatisfaction in adolescent girls: a longitudinal investigation. Dev Psychol. 2002, 38: 669-678.CrossRefPubMed
7.
go back to reference Rosenblum GD, Lewis M: The relations among body image, physical attractiveness, and body mass in adolescence. Child Dev. 1999, 70: 50-64.CrossRefPubMed Rosenblum GD, Lewis M: The relations among body image, physical attractiveness, and body mass in adolescence. Child Dev. 1999, 70: 50-64.CrossRefPubMed
8.
go back to reference Jones DC: Body image among adolescent girls and boys: a longitudinal study. Dev Psychol. 2004, 40: 823-835.CrossRef Jones DC: Body image among adolescent girls and boys: a longitudinal study. Dev Psychol. 2004, 40: 823-835.CrossRef
9.
go back to reference Graber JA, Brooks-Gunn J, Paikoff RL, Warren MP: Prediction of eating problems: an 8- year study of adolescent girls. Dev Psychol. 1994, 30: 823-834.CrossRef Graber JA, Brooks-Gunn J, Paikoff RL, Warren MP: Prediction of eating problems: an 8- year study of adolescent girls. Dev Psychol. 1994, 30: 823-834.CrossRef
10.
go back to reference Cohane GH, Pope HG: Body image in boys: a review of the literature. Int J Eat Disord. 2001, 29: 373-379.CrossRefPubMed Cohane GH, Pope HG: Body image in boys: a review of the literature. Int J Eat Disord. 2001, 29: 373-379.CrossRefPubMed
11.
go back to reference McCabe MP, Ricciardelli LA: Body image dissatisfaction among males across the lifespan: a review of past literature. J Psychosom Res. 2004, 56: 675-685.CrossRefPubMed McCabe MP, Ricciardelli LA: Body image dissatisfaction among males across the lifespan: a review of past literature. J Psychosom Res. 2004, 56: 675-685.CrossRefPubMed
12.
13.
go back to reference Lawler M, Nixon E: Body dissatisfaction among adolescent boys and girls: the effects of body mass, peer appearance culture and internalization of appearance ideals. J Youth Adolescence. 2011, 40: 59-71.CrossRef Lawler M, Nixon E: Body dissatisfaction among adolescent boys and girls: the effects of body mass, peer appearance culture and internalization of appearance ideals. J Youth Adolescence. 2011, 40: 59-71.CrossRef
14.
go back to reference Austin SB, Haines J, Veugelers PJ: Body satisfaction and body weight: gender differences and sociodemographic determinants. BMC Publ Health. 2009, 9: 313-CrossRef Austin SB, Haines J, Veugelers PJ: Body satisfaction and body weight: gender differences and sociodemographic determinants. BMC Publ Health. 2009, 9: 313-CrossRef
15.
go back to reference Furnham A, Calnan A: Eating disturbance, self-esteem, reasons for exercising and body weight dissatisfaction in adolescent males. Eur Eat Disorders Rev. 1998, 6: 58-72.CrossRef Furnham A, Calnan A: Eating disturbance, self-esteem, reasons for exercising and body weight dissatisfaction in adolescent males. Eur Eat Disorders Rev. 1998, 6: 58-72.CrossRef
16.
go back to reference Rosenberg M: Society and adolescent self-image. 1965, Princeton University Press, PrincetonCrossRef Rosenberg M: Society and adolescent self-image. 1965, Princeton University Press, PrincetonCrossRef
17.
go back to reference Frost J, McKelvie S: Self-esteem and body satisfaction in male and female elementary school, high school, and university students. Sex Roles. 2004, 51: 45-54.CrossRef Frost J, McKelvie S: Self-esteem and body satisfaction in male and female elementary school, high school, and university students. Sex Roles. 2004, 51: 45-54.CrossRef
18.
go back to reference Sahlstein E, Allen M: Sex differences in self-esteem: a meta-analytic assessment. Interpersonal communication research: advances through meta-analysis. Edited by: Allen M, Preiss RW, Gayle BM, Burrell NA. 2002, Lawrence Erlbaum Associates, Mahwah, 59-72. Sahlstein E, Allen M: Sex differences in self-esteem: a meta-analytic assessment. Interpersonal communication research: advances through meta-analysis. Edited by: Allen M, Preiss RW, Gayle BM, Burrell NA. 2002, Lawrence Erlbaum Associates, Mahwah, 59-72.
19.
go back to reference French SA, Story M, Perry CL: Self-esteem and obesity in children and adolescents: a literature review. Obes Res. 1995, 3: 479-490.CrossRefPubMed French SA, Story M, Perry CL: Self-esteem and obesity in children and adolescents: a literature review. Obes Res. 1995, 3: 479-490.CrossRefPubMed
20.
go back to reference Wardle J, Cooke L: The impact of obesity on psychological well-being. Best Pract Res Clin Endoc Metab. 2005, 19: 421-440.CrossRef Wardle J, Cooke L: The impact of obesity on psychological well-being. Best Pract Res Clin Endoc Metab. 2005, 19: 421-440.CrossRef
21.
go back to reference Tiggemann M: Body dissatisfaction and adolescent self-esteem: prospective findings. Body Image. 2005, 2: 129-135.CrossRefPubMed Tiggemann M: Body dissatisfaction and adolescent self-esteem: prospective findings. Body Image. 2005, 2: 129-135.CrossRefPubMed
22.
go back to reference Pesa JA, Syre TR, Jones E: Psychosocial differences associated with body weight among female adolescents: the importance of body image. J Adolesc Health. 2000, 26: 330-337.CrossRefPubMed Pesa JA, Syre TR, Jones E: Psychosocial differences associated with body weight among female adolescents: the importance of body image. J Adolesc Health. 2000, 26: 330-337.CrossRefPubMed
23.
go back to reference van den Berg PA, Mond J, Eisenberg M, Ackard D, Neumark-Sztainer D: The link between body dissatisfaction and self-esteem in adolescents: similarities across gender, age, weight status, race/ethnicity, and socioeconomic status. J Adolesc Health. 2010, 47: 290-296.CrossRefPubMedPubMedCentral van den Berg PA, Mond J, Eisenberg M, Ackard D, Neumark-Sztainer D: The link between body dissatisfaction and self-esteem in adolescents: similarities across gender, age, weight status, race/ethnicity, and socioeconomic status. J Adolesc Health. 2010, 47: 290-296.CrossRefPubMedPubMedCentral
24.
go back to reference Paxton SJ, Eisenberg ME, Neumark-Sztainer D: Prospective predictors of body dissatisfaction in adolescent girls and boys: a five-year longitudinal study. Dev Psychol. 2006, 42: 888-899.CrossRefPubMed Paxton SJ, Eisenberg ME, Neumark-Sztainer D: Prospective predictors of body dissatisfaction in adolescent girls and boys: a five-year longitudinal study. Dev Psychol. 2006, 42: 888-899.CrossRefPubMed
25.
go back to reference Johnson F, Wardle J: Dietary restraint, body dissatisfaction, and psychological distress: a prospective analysis. J Abnorm Psychol. 2005, 114: 119-125.CrossRefPubMed Johnson F, Wardle J: Dietary restraint, body dissatisfaction, and psychological distress: a prospective analysis. J Abnorm Psychol. 2005, 114: 119-125.CrossRefPubMed
26.
go back to reference Stice E, Shaw HE: Role of body dissatisfaction in the onset and maintenance of eating pathology, A synthesis of research findings. J Psychosom Res. 2002, 53: 985-993.CrossRefPubMed Stice E, Shaw HE: Role of body dissatisfaction in the onset and maintenance of eating pathology, A synthesis of research findings. J Psychosom Res. 2002, 53: 985-993.CrossRefPubMed
27.
28.
go back to reference Garner DM, Olmstead MP, Polivy J: Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. Int J Eat Disord. 1983, 2: 15-34.CrossRef Garner DM, Olmstead MP, Polivy J: Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. Int J Eat Disord. 1983, 2: 15-34.CrossRef
29.
go back to reference Crowther JH, Lilly RS, Crawford PA, Shepherd KL: The stability of the Eating Disorder Inventory. Int J Eat Disord. 1992, 12: 97-101.CrossRef Crowther JH, Lilly RS, Crawford PA, Shepherd KL: The stability of the Eating Disorder Inventory. Int J Eat Disord. 1992, 12: 97-101.CrossRef
30.
go back to reference Leung F, Wang J, Tang CW: Psychometric properties and normative data of the Eating Disorder Inventory among 12 to 18 year old Chinese girls in Hong Kong. J Psychosom Res. 2004, 57: 59-66.CrossRefPubMed Leung F, Wang J, Tang CW: Psychometric properties and normative data of the Eating Disorder Inventory among 12 to 18 year old Chinese girls in Hong Kong. J Psychosom Res. 2004, 57: 59-66.CrossRefPubMed
31.
go back to reference Spillane NS, Boerner LM, Anderson KG, Smith GT: Comparability of the Eating Disorder Inventory-2 between women and men. Assessment. 2004, 11: 85-93.CrossRefPubMed Spillane NS, Boerner LM, Anderson KG, Smith GT: Comparability of the Eating Disorder Inventory-2 between women and men. Assessment. 2004, 11: 85-93.CrossRefPubMed
32.
go back to reference Pietrobelli A, Faith MS, Allison DB, Gallagher D, Chiumello G, Heymsfield SB: Body mass index as a measure of adiposity among children and adolescents: a validation study. J Pediatr. 1998, 132: 204-210.CrossRefPubMed Pietrobelli A, Faith MS, Allison DB, Gallagher D, Chiumello G, Heymsfield SB: Body mass index as a measure of adiposity among children and adolescents: a validation study. J Pediatr. 1998, 132: 204-210.CrossRefPubMed
33.
go back to reference Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: international survey. Br Med J. 2000, 320: 1240-1243.CrossRef Cole TJ, Bellizzi MC, Flegal KM, Dietz WH: Establishing a standard definition for child overweight and obesity worldwide: international survey. Br Med J. 2000, 320: 1240-1243.CrossRef
35.
go back to reference Schmitt DP, Allik J: Simultaneous administration of the Rosenberg Self-Esteem Scale in 53 nations: exploring the universal and culture-specific features of global self-esteem. J Pers Soc Psychol. 2005, 89: 623-642.CrossRefPubMed Schmitt DP, Allik J: Simultaneous administration of the Rosenberg Self-Esteem Scale in 53 nations: exploring the universal and culture-specific features of global self-esteem. J Pers Soc Psychol. 2005, 89: 623-642.CrossRefPubMed
36.
go back to reference Abell SC, Richards MH: The relationship between body shape satisfaction and self- esteem: an investigation of gender and class differences. J Youth Adolesc. 1996, 25: 691-703.CrossRef Abell SC, Richards MH: The relationship between body shape satisfaction and self- esteem: an investigation of gender and class differences. J Youth Adolesc. 1996, 25: 691-703.CrossRef
37.
go back to reference Fleming JS, Courtney BE: The dimensionality of self-esteem: II. Hierarchical facet model for revised measurement scales. J Pers Soc Psychol. 1984, 46: 404-421.CrossRef Fleming JS, Courtney BE: The dimensionality of self-esteem: II. Hierarchical facet model for revised measurement scales. J Pers Soc Psychol. 1984, 46: 404-421.CrossRef
39.
go back to reference van der Kooij AJ: Prediction accuracy and stability of regression with optimal scaling transformations. Doctoral thesis. Leiden, Leiden University: Child & Family Studies and Data Theory (AGP-D), Department of Education and Child Studies, Faculty of Social and Behavioral Sciences. 2007 van der Kooij AJ: Prediction accuracy and stability of regression with optimal scaling transformations. Doctoral thesis. Leiden, Leiden University: Child & Family Studies and Data Theory (AGP-D), Department of Education and Child Studies, Faculty of Social and Behavioral Sciences. 2007
40.
go back to reference Cleveland WS, Devlin SJ: Locally weighted regression: an approach to regression analysis by local fitting. J Am Stat Ass. 1988, 83: 596-610.CrossRef Cleveland WS, Devlin SJ: Locally weighted regression: an approach to regression analysis by local fitting. J Am Stat Ass. 1988, 83: 596-610.CrossRef
41.
go back to reference Pallant J: SPSS Survival manual. A step by step guide to data analysis using SPSS program. 2010, Open University Press, Maidenhead, 4 Pallant J: SPSS Survival manual. A step by step guide to data analysis using SPSS program. 2010, Open University Press, Maidenhead, 4
42.
go back to reference van den Berg P, Neumark-Sztainer D: Fat´n happy 5 years later: is it bad for overweight girls to like their bodies?. J Adolesc Health. 2007, 41: 415-417.CrossRefPubMed van den Berg P, Neumark-Sztainer D: Fat´n happy 5 years later: is it bad for overweight girls to like their bodies?. J Adolesc Health. 2007, 41: 415-417.CrossRefPubMed
43.
go back to reference O’Dea JA: Evidence for a self-esteem approach in the prevention of body image and eating problems among children and adolescents. Eat Dis. 2004, 12: 225-239.CrossRef O’Dea JA: Evidence for a self-esteem approach in the prevention of body image and eating problems among children and adolescents. Eat Dis. 2004, 12: 225-239.CrossRef
44.
go back to reference Neumark-Sztainer D: Weight-related behaviors among adolescent girls and boys, Results from a national survey. Arch Pediatr Adolesc Med. 2000, 154: 569-577.CrossRefPubMed Neumark-Sztainer D: Weight-related behaviors among adolescent girls and boys, Results from a national survey. Arch Pediatr Adolesc Med. 2000, 154: 569-577.CrossRefPubMed
45.
go back to reference Chamay-Weber C, Narring F, Michaud P-A: Partial eating disorders among adolescents: a review. J Adolesc Health. 2005, 37: 417-427.CrossRefPubMed Chamay-Weber C, Narring F, Michaud P-A: Partial eating disorders among adolescents: a review. J Adolesc Health. 2005, 37: 417-427.CrossRefPubMed
46.
go back to reference Neumark-Sztainer D, Wall M, Story M, Standish AR: Dieting and unhealthy weight control behaviors during adolescence: associations with 10-year changes in body mass index. J Adolesc Health. 2012, 50: 80-86.CrossRefPubMed Neumark-Sztainer D, Wall M, Story M, Standish AR: Dieting and unhealthy weight control behaviors during adolescence: associations with 10-year changes in body mass index. J Adolesc Health. 2012, 50: 80-86.CrossRefPubMed
47.
go back to reference Lissau I, Overpeck MD, Ruan WJ, Due P, Holstein BE, Hediger ML, the Health Behaviour in School-aged Children Obesity Working Group, the Health Behaviour in School-aged Children Obesity Working Group: Body mass index and overweight in adolescents in 13 European countries, Israel, and the United States. Arch Pediatr Adolesc Med. 2004, 158: 27-33.CrossRefPubMed Lissau I, Overpeck MD, Ruan WJ, Due P, Holstein BE, Hediger ML, the Health Behaviour in School-aged Children Obesity Working Group, the Health Behaviour in School-aged Children Obesity Working Group: Body mass index and overweight in adolescents in 13 European countries, Israel, and the United States. Arch Pediatr Adolesc Med. 2004, 158: 27-33.CrossRefPubMed
48.
go back to reference Lobstein T, Frelut M-L: Prevalence of overweight among children in Europe. Obes Rev. 2003, 4: 195-200.CrossRefPubMed Lobstein T, Frelut M-L: Prevalence of overweight among children in Europe. Obes Rev. 2003, 4: 195-200.CrossRefPubMed
49.
go back to reference Kautiainen S, Rimpelä A, Vikat A, Virtanen SM: Secular trends in overweight and obesity among Finnish adolescents in 1977–1999. Int J Obes. 2002, 26: 544-552.CrossRef Kautiainen S, Rimpelä A, Vikat A, Virtanen SM: Secular trends in overweight and obesity among Finnish adolescents in 1977–1999. Int J Obes. 2002, 26: 544-552.CrossRef
51.
go back to reference Sherry B, Jefferds ME, Grummer-Strawn LM: Accuracy of adolescent self-report of height and weight in assessing overweight status. A literature review. Arch Pediatr Adolesc Med. 2007, 161: 1154-CrossRefPubMed Sherry B, Jefferds ME, Grummer-Strawn LM: Accuracy of adolescent self-report of height and weight in assessing overweight status. A literature review. Arch Pediatr Adolesc Med. 2007, 161: 1154-CrossRefPubMed
52.
go back to reference Shore RA, Porter JE: Normative and reliability data for 11 to 18 year olds on the Eating Disorder Inventory. Int J Eat Disord. 1990, 9: 201-207.CrossRef Shore RA, Porter JE: Normative and reliability data for 11 to 18 year olds on the Eating Disorder Inventory. Int J Eat Disord. 1990, 9: 201-207.CrossRef
53.
go back to reference Machado PP, Gonçalves S, Martins C, Soares IS: The Portuguese version of Eating Disorder Inventory: evaluation of its psychometric properties. Eur Eat Disorders Rev. 2001, 9: 43-52.CrossRef Machado PP, Gonçalves S, Martins C, Soares IS: The Portuguese version of Eating Disorder Inventory: evaluation of its psychometric properties. Eur Eat Disorders Rev. 2001, 9: 43-52.CrossRef
54.
go back to reference Keski-Rahkonen A, Bulik CM, Neale BM, Rose RJ, Rissanen A, Kaprio J: Body dissatisfaction and drive for thinness in young adult twins. Int J Eat Disord. 2005, 37: 188-199.CrossRefPubMed Keski-Rahkonen A, Bulik CM, Neale BM, Rose RJ, Rissanen A, Kaprio J: Body dissatisfaction and drive for thinness in young adult twins. Int J Eat Disord. 2005, 37: 188-199.CrossRefPubMed
Metadata
Title
Body dissatisfaction and body mass in girls and boys transitioning from early to mid-adolescence: additional role of self-esteem and eating habits
Authors
Mauno Mäkinen
Leena-Riitta Puukko-Viertomies
Nina Lindberg
Martti A Siimes
Veikko Aalberg
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2012
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-12-35

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