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BMC Pediatrics
Published in: BMC Pediatrics 1/2017

Open Access 01-12-2017 | Research article

Demographic differences in and correlates of perceived body image discrepancy among urban adolescent girls: a cross-sectional study

Authors: Lorraine B. Robbins, Jiying Ling, Kenneth Resnicow

Published in: BMC Pediatrics | Issue 1/2017

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Abstract

Background

Understanding factors related to girls’ body image discrepancy, which is the difference between self-perceived current or actual and ideal body size, is important for addressing body-related issues and preventing adverse sequelae. Two aims were to: 1) examine demographic differences in body image discrepancy; and 2) determine the association of body image discrepancy with weight status, percent body fat, physical activity, sedentary behavior, and cardiovascular (CV) fitness among young adolescent girls.

Methods

The cross-sectional study included a secondary analysis of baseline data from a group randomized controlled trial including 1519 5th–8th grade girls in 24 U.S. schools. Girls completed physical activity and sedentary behavior surveys. To indicate perceived current/actual and ideal body image, girls selected from nine body figures the one that represented how they look now and another showing how they want to look. Girls wore accelerometers measuring physical activity. Height, weight, and percent body fat were assessed. The Progressive Aerobic CV Endurance Run was used to estimate CV fitness. Independent t-test, one- and two-way ANOVA, correlational analyses, and hierarchical linear regressions were performed.

Results

The majority (67.5%; n = 1023) chose a smaller ideal than current/actual figure. White girls had higher body image discrepancy than Black girls (p = .035). Body image discrepancy increased with increasing weight status (F3,1506 = 171.32, p < .001). Moderate-to-vigorous physical activity (MVPA) and vigorous physical activity were negatively correlated with body image discrepancy (r = −.10, p < .001; r = −.14, p < .001, respectively), but correlations were not significant after adjusting for race and body mass index (BMI), respectively. Body image discrepancy was moderately correlated with CV fitness (r = −.55, p < .001). After adjusting for demographics, percent body fat, but not CV fitness or MVPA, influenced body image discrepancy. Girls with higher percent body fat had higher body image discrepancy (p < .001).

Conclusion

This study provided important information to guide interventions for promoting a positive body image among girls.

Trial registration

ClinicalTrials.gov Identifier NCT01503333, registration date: January 4, 2012.
Literature
1.
Kann L, McManus T, Harris WA, Shanklin SL, Flint KH, Hawkins J, et al. Youth risk behavior surveillance — United States, 2015. MMWR Surveill Summ. 2016;65(Suppl 6):1–174.
2.
Duchesne AP, Dion J, Lalande D, Bégin C, Émond C, Lalande G, et al. Body dissatisfaction and psychological distress in adolescents: is self-esteem a mediator? J Health Psychol. 2016; doi: 10.​1177/​1359105316631196​.
3.
Voelker DK, Reel JJ, Greenleaf C. Weight status and body image perceptions in adolescents: current perspectives. Adolesc Health Med Ther. 2015;6:149–58.PubMedPubMedCentral
4.
Bearman SK, Martinez E, Stice E, Presnell K. The skinny on body dissatisfaction: a longitudinal study of adolescent girls and boys. J Youth Adolesc. 2006;35:217–29.CrossRefPubMedPubMedCentral
5.
Bucchianeri MM, Fernandes N, Loth K, Hannan PJ, Eisenberg ME, Neumark-Sztainer D. Body dissatisfaction: do associations with disordered eating and psychological well-being differ across race/ethnicity in adolescent girls and boys? Cultur Divers Ethnic Minor Psychol. 2016;22:137–46.CrossRefPubMed
6.
Neumark-Sztainer D, Bauer KW, Friend S, Hannan PJ, Story M, Berge JM. Family weight talk and dieting: how much do they matter for body dissatisfaction and disordered eating behaviors in adolescent girls? J Adolesc Health. 2010;47:270–6.CrossRefPubMedPubMedCentral
7.
Klaczynski PA. A dual-process model of adolescent development: implications for decision making, reasoning, and identity. Adv Child Dev Behav. 2004;32:73–123.CrossRefPubMed
8.
Cash TF. The psychology of physical appearance: aesthetics, attributes, and images. In: Cash TF, Pruzinsky T, editors. Body images: development, deviance and change. New York: Guilford Press; 1990. p. 51–79.
9.
Thompson JK, Heinberg LJ, Altabe M, Tantleff-Dunn S. Exacting beauty: theory, assessment, and treatment of body image disturbance. Washington, DC: American Psychological Association; 1999.CrossRef
10.
Kelly AM, Wall M, Eisenberg ME, Story M, Neumark-Sztainer D. Adolescent girls with high body satisfaction: who are they and what can they teach us? J Adolesc Health. 2005;37:391–6.CrossRefPubMed
11.
Loth KA, Watts AW, van den Berg P, Neumark-Sztainer D. Does body satisfaction help or harm overweight teens? A 10-year longitudinal study of the relationship between body satisfaction and body mass index. J Adolesc Health. 2015;57:559–61.CrossRefPubMedPubMedCentral
12.
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;42:888–99.CrossRefPubMed
13.
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;47:290–6.CrossRefPubMedPubMedCentral
14.
Gilliland MJ, Windle M, Grunbaum JA, Yancey A, Hoelscher D, Tortolero SR, et al. Body image and children's mental health related behaviors: results from the healthy passages study. J Pediatr Psychol. 2007;32:30–41.CrossRefPubMed
15.
Michael SL, Wentzel K, Elliott MN, Dittus PJ, Kanouse DE, Wallander JL, et al. Parental and peer factors associated with body image discrepancy among fifth-grade boys and girls. J Youth Adolesc. 2014;43:15–29.CrossRefPubMed
16.
Ata RN, Ludden AB, Lally MM. The effects of gender and family, friend, and media influences on eating behaviors and body image during adolescence. J Youth Adolesc. 2007;36:1024–37.CrossRef
17.
Wang Z, Byrne NM, Kenardy JA, Hills AP. Influences of ethnicity and socioeconomic status on the body dissatisfaction and eating behaviour of Australian children and adolescents. Eating Behav. 2005;6(1):23–33.CrossRef
18.
Schneider S, Weiss M, Thiel A, Werner A, Mayer J, Hoffmann H, et al. Body dissatisfaction in female adolescents: extent and correlates. Eur J Pediatr. 2013;172:373–84.CrossRefPubMed
19.
Neumark-Sztainer D, Story M, Falkner NH, Beuhring T, Resnick MD. Sociodemographic and personal characteristics of adolescents engaged in weight loss and weight/muscle gain behaviors: who is doing what? Prev Med. 1999;28(1):40–50.CrossRefPubMed
20.
Story M, French SA, Resnick MD, Blum RW. Ethnic/racial and socioeconomic differences in dieting behaviors and body image perceptions in adolescents. Int J Eat Disord. 1995;18(2):173–9.CrossRefPubMed
21.
Walters EE, Kendler KS. Anorexia nervosa and anorexic-like syndromes in a population-based female twin sample. Am J Psychiatry. 1995;152(1):64–71.CrossRefPubMed
22.
Deleel ML, Hughes TL, Miller JA, Hipwell A, Theodore LA. Prevalence of eating disturbance and body image dissatisfaction in young girls: an examination of the variance across racial and socioeconomic groups. Psychol Sch. 2009;46(8):767–75.CrossRefPubMedPubMedCentral
23.
O’Dea J. Food habits, body image and self-esteem of adolescent girls from disadvantaged and non-disadvantaged backgrounds. Australian. J Nutr Diet. 1994;51:74–8.
24.
O'Dea JA, Caputi P. Association between socioeconomic status, weight, age and gender, and the body image and weight control practices of 6- to 19-year-old children and adolescents. Health Educ Res. 2001;16(5):521–32.CrossRefPubMed
25.
Saunders JF, Frazier LD. Body dissatisfaction in early adolescence: the coactive roles of cognitive and sociocultural factors. J Youth Adolesc. 2016; doi: 10.​1007/​s10964-016-0559-2.
26.
Wallander JL, Taylor WC, Grunbaum JA, Franklin FA, Harrison GG, Kelder SH, et al. Weight status, quality of life, and self-concept in African American, Hispanic, and white fifth-grade children. Obesity (Silver Spring). 2009;17:1363–8.
27.
ter Bogt TF, van Dorsselaer SA, Monshouwer K, Verdurmen JE, Engels RC, Vollebergh WA. Body mass index and body weight perception as risk factors for internalizing and externalizing problem behavior among adolescents. J Adolesc Health. 2006;39:27–34.CrossRefPubMed
28.
Schubert A, Januario RS, Casonatto J, Sonoo CN. Body image, nutritional status, abdominal strength, and cardiorespiratory fitness in children and adolescents practicing sports. Rev Paul Pediatr. 2013;31(1):71–6.CrossRefPubMed
29.
Añez E, Fornieles-Deu A, Fauquet-Ars J, López-Guimerà G, Punti-Vidal J, Sánchez Carracedo D. Body image dissatisfaction, physical activity and screen-time in Spanish adolescents. J Health Psychol. 2016; doi: 10.​1177/​1359105316664134​.
30.
Kantanista A, Osiński W, Borowiec J, Tomczak M, Król-Zielińska M. Body image, BMI, and physical activity in girls and boys aged 14-16 years. Body Image. 2015;15:40–3.CrossRefPubMed
31.
Burgess G, Grogan S, Burwitz L. Effects of a 6-week aerobic dance intervention on body image and physical self-perceptions in adolescent girls. Body Image. 2006;3:57–66.CrossRefPubMed
32.
Monteiro LA, Novaes JS, Santos ML, Fernandes HM. Body dissatisfaction and self-esteem in female students aged 9-15: the effects of age, family income, body mass index levels and dance practice. J Hum Kinet. 2014;43:25–32.PubMedPubMedCentral
33.
Altıntaş A, Aşçı FH, Kin-İşler A, Güven-Karahan B, Kelecek S, Özkan A, et al. The role of physical activity, body mass index and maturity status in body-related perceptions and self-esteem of adolescents. Ann Human Biol. 2014;41:395–402.CrossRef
34.
Goldfield GS, Adamo KB, Rutherford J, Murray M. The effects of aerobic exercise on psychosocial functioning of adolescents who are overweight or obese. J Pediatr Psychol. 2012;37(10):1136–47.CrossRefPubMed
35.
Goldfield GS, Kenny GP, Alberga AS, Prud'homme D, Hadjiyannakis S, Gougeon R, Phillips P, Tulloch H, Malcolm J, Doucette S, et al. Effects of aerobic training, resistance training, or both on psychological health in adolescents with obesity: the HEARTY randomized controlled trial. J Consult Clin Psychol. 2015;83(6):1123–35.CrossRefPubMed
36.
Robbins LB, Pfeiffer KA, Vermeesch A, Resnicow K, You ZY, An L, et al. “Girls on the Move” intervention protocol for increasing physical activity among low-active underserved urban girls: a group randomized trial. BMC Public Health. 2013;13:474.CrossRefPubMedPubMedCentral
37.
Thompson MA, Gray JJ. Development and validation of a new body-image assessment scale. J Pers Assess. 1995;64:258–69.CrossRefPubMed
38.
Wertheim EH, Paxton SJ, Tilgner L. Test-retest reliability and construct validity of contour drawing rating scale scores in a sample of early adolescent girls. Body Image. 2004;1:199–205.CrossRefPubMed
39.
40.
41.
Prochaska JJ, Sallis JF, Long B. A physical activity screening measure for use with adolescents in primary care. Arch Pediatr Adolesc Med. 2001;155:554–9.CrossRefPubMed
42.
Hänggi JM, Phillips LRS, Rowlands AV. Validation of the GT3X ActiGraph in children and comparison with the GT1M ActiGraph. J Science Med Sport. 2013;16:40–4.CrossRef
43.
Trost SG, Ward DS, Moorehead SM, Watson PD, Riner W, Burke JR. Validity of the computer science and applications (CSA) activity monitor in children. Med Sci Sports Exerc. 1998;30:629–33.CrossRefPubMed
44.
Evenson KR, Catellier DJ, Gill K, Ondrak KS, McMurray RG. Calibration of two objective measures of physical activity for children. J Sports Sci. 2008;26:1557–65.CrossRefPubMed
45.
Trost SG, Loprinzi PD, Moore R, Pfeiffer KA. Comparison of accelerometer cut points for predicting activity intensity in youth. Med Sci Sports Exerc. 2011;43:1360–8.CrossRefPubMed
46.
The Cooper Institute, Meredith MD, Welk JG. Fitnessgram & activitygram test administration manual. 4th ed. Champaign: Human Kinetics; 2010.
47.
Cureton KJ, Sloniger MA, O'Bannon JP, Black DM, McCormack WP. A generalized equation for prediction of VO2peak from 1-mile run/walk performance. Med Sci Sports Exerc. 1995;27:445–51.CrossRefPubMed
48.
Fitzgibbon ML, Stolley MR, Schiffer L, Kong A, Braunschweig CL, Gomez-Perez SL, et al. Family-based hip-hop to health: outcome results. Obesity (Silver Spring). 2013;21:274–83.CrossRef
49.
Morrow JR Jr, Zhu W, Mahar MT. Physical fitness standards for children. In: Plowman SA, Meredith D, editors. Fitnessgram/activitygram reference guide. 4th ed. Dallas: The Cooper Institute; 2013. p. 4-1–4-12.
50.
Jung J, Forbes GB, Lee Y. Body dissatisfaction and disordered eating among early adolescents from Korea and the U.S. Sex Roles. 2009;61:42–54.CrossRef
51.
Pedro TM, Micklesfield LK, Kahn K, Tollman SM, Pettifor JM, Norris SA. Body image satisfaction, eating attitudes and perceptions of female body silhouettes in rural South African adolescents. PLoS One. 2016;11:e0154784.CrossRefPubMedPubMedCentral
52.
Grieser M, MB V, Bedimo-Rung AL, Neumark-Sztainer D, Moody J, Young DR, et al. Physical activity attitudes, preferences, and practices in African American, Hispanic, and Caucasian girls. Health Educ Behav. 2006;33:40–51.CrossRefPubMedPubMedCentral
53.
Holsen I, Carlson Jones D, Skogbrott Birkeland M. Body image satisfaction among Norwegian adolescents and young adults: a longitudinal study of the influence of interpersonal relationships and BMI. Body Image. 2012;9:201–8.CrossRefPubMed
54.
Cash TF. Cognitive behavioral perspectives on body image. In: Cash TF, Pruzinsky T, editors. Body image: a handbook of theory, research, and clinical practice. New York: Guilford Press; 2002. p. 38–46.
55.
Martin KA, Lichtenberger CM. Fitness enhancement and changes in body image. In: Cash TF, Pruzinsky T, editors. Body image: a handbook of theory, research, and clinical practice. New York: Guilford Press; 2002. p. 414–21.
56.
Gardner RM, Brown DL. Body image assessment: a review of figural drawing scales. Pers Individ Dif. 2010;48:107–11.CrossRef
Metadata
Title
Demographic differences in and correlates of perceived body image discrepancy among urban adolescent girls: a cross-sectional study
Authors
Lorraine B. Robbins
Jiying Ling
Kenneth Resnicow
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2017
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-017-0952-3

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