TikTok on the clock but the #fitspo don't stop: The impact of TikTok fitspiration videos on women's body image concerns

Does TikTok contribute to eating disorders? A comparison of the TikTok algorithms belonging to individuals with eating disorders versus healthy controls

TikTok employs sophisticated algorithms to deliver users increasingly personalised content over time. We investigated the potential for these algorithms to exacerbate eating disorder symptoms by analysing 1.03 million TikTok videos delivered to 42 individuals with eating disorders (76 % anorexia nervosa) and 49 healthy controls over one month. Within this video corpus, we identified four video categories relevant to eating disorder psychopathology: appearance-oriented videos, dieting videos, exercise videos, and toxic eating disorder (akin to "pro-anorexia") videos. Multi-level models predicted the likelihood of users' algorithms delivering these videos and the likelihood of users "liking" (i.e., volitionally engaging with) these videos. Algorithms belonging to users with eating disorders delivered more appearance-oriented (+146 %), dieting (+335 %), exercise (+142 %), and toxic eating disorder videos (+4343 %). Stronger biases in users' algorithms toward these videos were associated with more severe eating disorder symptoms. Whilst users with eating disorders were slightly more likely to "like" these problematic video categories (e.g., dieting videos: +23 % versus controls), their algorithms were far more likely to deliver these videos in the first place (dieting videos: +335 % versus controls). Our results provide preliminary evidence that the TikTok algorithm might exacerbate eating disorder symptoms via content personalisation processes that are desensitised to volitional user actions (i.e., "liking" videos).

Understanding Fitness Trends in the Virtual Age: A Content Analysis of TikTok Workout Videos

The purpose of this study was to examine the content of workout videos on TikTok. A sample of 297 TikTok workout videos was coded for demographic factors and body shape of content creators, as well as the presence of body positivity messaging, appearance-related messaging, and other relevant themes. The results suggest that TikTok workout content is often presented in a time-lapse format with little verbal instruction, which may make it difficult for viewers to perform the exercises. The majority of the videos depicted young women with athletic bodies and other characteristics associated with culturally based beauty ideals, and approximately half of the videos included non-White content creators. Approximately a quarter of the videos in the sample included objectification and a smaller proportion of the sample included messages about inner positivity. Overall, the TikTok platform may provide underrepresented individuals opportunities to seek out workout content from a more diverse group of instructors; however, the fact that many of these videos including objectifying depictions of the content creators is concerning. Further experimental work is needed in order to more fully elucidate the effects of TikTok workout videos on viewers.

Influence of TikTok on Body Satisfaction Among Generation Z in Indonesia: Mixed Methods Approach

BACKGROUND

As social media platforms gain popularity, their usage is increasingly associated with cyberbullying and body shaming, causing devastating effects.

OBJECTIVE

This study aims to investigate the impact of social media on Generation Z users' body image satisfaction. More specifically, it examines the impact of TikTok on body image satisfaction among TikTok users aged between 17 years and 26 years in Indonesia.

METHODS

The methodology used mixed-method approaches. Quantitative data were obtained from 507 responses to a questionnaire and analyzed using covariance-based structural equation modeling. Qualitative data were obtained from the interviews of 32 respondents and analyzed through content analysis.

RESULTS

This study reveals that upward appearance comparison is influenced by video-based activity and appearance motivation. Conversely, thin-ideal internalization is influenced by appearance motivation and social media literacy. Upward appearance comparisons and thin-ideal internalization comparisons detrimentally impact users' body image satisfaction.

CONCLUSIONS

The results of this study are expected to provide valuable insights for social media providers, regulators, and educators in their endeavors to establish a positive and healthy social media environment for users.

Risks and benefits of social media trends: The influence of "fitspiration", "body positivity", and text-based "body neutrality" on body dissatisfaction and affect in women with and without eating disorders

This online experimental study investigates the effects of the social media trends "fitspiration" (images of thin-muscular women promoting health and fitness), "body positivity" (images of larger female bodies motivating women to love their bodies), and "body neutrality" (illustrations encouraging women to appreciate the body's functions) on body dissatisfaction and affect in women with and without eating disorders (ED). Women with (n = 172) and women without ED (n = 210) were randomly assigned to the conditions "fitspiration", "body positivity", and text-based "body neutrality", each comprising the presentation of 30 Instagram posts. Before and after viewing the posts, participants answered state questionnaires on body dissatisfaction and affect. The results revealed that body dissatisfaction increased after viewing "fitspiration" images and decreased after viewing "body positivity" and text-based "body neutrality" posts. Positive affect decreased following exposure to "fitspiration" and text-based "body neutrality" but remained unchanged following "body positivity". Negative affect decreased following "body positivity" and text-based "body neutrality" content but did not change following exposure to "fitspiration". There was no differential effect on women with versus without ED. This study demonstrates harmful effects of "fitspiration" on body image and affect, indicating the need for prevention programs for both women with and without ED.

Smoothies, bone broth, and fitspo: the historicity of TikTok postpartum bounce-back culture

TikTok, a now iconoclastic social media platform, hosts millions of videos on health, wellness and physical fitness, including content on postpartum wellness and 'bouncing back'. At present, few studies analyse the content of postpartum videos urging viewers to bounce-back or the potential influence of these videos. Given the acknowledged relationship between social media use and adverse mental health outcomes (eg, lowered self-esteem, increased stress, disordered eating risk), an investigation of bounce-back-related postpartum content on TikTok explores important intersections between wellness and fitness cultures and the embodied experience of postpartum recovery. Using a qualitative thematic analysis of bounce-back videos (n=175), we explore three themes: (1) Smoothies: eat, but don't be fat; (2) Bone broth: bounce-back with today's wellness trends; (3) Fitspo: moving your body matters. Importantly, videos recycle historically constructed thinking about what makes a 'good' or 'bad' body, invoke vintage diet-culture tropes (ie, drinking water to fill up before eating), and maintain potentially dangerous expectations for caregivers rooted in historical gender, race and class constructs. This results in a postfeminist mishmash of modern maternity practices and traditional hierarchies. Unpacking the historicity of TikTok content assists health practitioners, scholars and users in understanding the potential impacts of video content on new parents, as well as how to flag and contextualise potentially harmful content. Future studies should examine other TikTok subcultures, including teen mothers and trans parents, and explore the messaging directed at and the impact on those communities.

#ForYou? the impact of pro-ana TikTok content on body image dissatisfaction and internalisation of societal beauty standards

Videos glamourising disordered eating practices and body image concerns readily circulate on TikTok. Minimal empirical research has investigated the impact of TikTok content on body image and eating behaviour. The present study aimed to fill this gap in current research by examining the influence of pro-anorexia TikTok content on young women's body image and degree of internalisation of beauty standards, whilst also exploring the impact of daily time spent on TikTok and the development of disordered eating behaviours. An experimental and cross-sectional design was used to explore body image and internalisation of beauty standards in relation to pro-anorexia TikTok content. Time spent on TikTok was examined in relation to the risk of developing orthorexia nervosa. A sample of 273 female-identifying persons aged 18-28 years were exposed to either pro-anorexia or neutral TikTok content. Pre- and post-test measures of body image and internalisation of beauty standards were obtained. Participants were divided into four groups based on average daily time spent on TikTok. Women exposed to pro-anorexia content displayed the greatest decrease in body image satisfaction and an increase in internalisation of societal beauty standards. Women exposed to neutral content also reported a decrease in body image satisfaction. Participants categorised as high and extreme daily TikTok users reported greater average disordered eating behaviour on the EAT-26 than participants with low and moderate use, however this finding was not statistically significant in relation to orthorexic behaviours. This research has implications for the mental health of young female TikTok users, with exposure to pro-anorexia content having immediate consequences for internalisation and body image dissatisfaction, potentially increasing one's risk of developing disordered eating beliefs and behaviours.

"You started working out to get a flat stomach and a fat a$$": A content analysis of fitspiration videos on TikTok

Fitspiration presents idealised bodies to viewers, emphasising a fit ideal to women and a muscular ideal to men. Previous content analyses have focused on images from Instagram, with research yet to examine video content on TikTok or verify the accuracy of the diet and exercise information posted by fitness influencers. This content analysis examined 200 videos from popular TikTok fitspiration hashtags (fitness, fitspo, gymtok, fittok). Two independent coders used a standardised codebook containing definitions and examples for coding. Overall, 78 % of videos showed only women, and 10 % of videos showed only men. Videos of women included both fit and thin idealised bodies, whole body and specific body part objectification, harmful themes, and promoted appearance-related reasons for exercise more frequently than videos containing men. Videos of men included muscular idealised bodies and objectification through face obscurity (excluding the face from view) more frequently than videos of women. Most videos were posted by fitness influencers, and 60 % of videos presented incorrect or harmful information. Findings suggest that fitspiration TikTok content contains characteristics known to negatively impact body image and highlights gendered differences in content themes. Further investigation is required on the promotion of appearance reasons to exercise, and the credibility of information and content creators.

The Association of Social Media Use and Eating Behaviour of Belgian Adolescent Girls Diagnosed with Anorexia Nervosa-A Qualitative Approach

BACKGROUND

Social media have become integral in adolescents' lives, presenting both opportunities and risks, especially concerning psychiatric issues like eating disorders, prevalent in this vulnerable age group.

METHODS

This qualitative study employed semi-structured interviews with seven adolescent girls (aged 15-17) diagnosed with eating disorders. Interviews covered seven predefined topics, recorded and transcribed for thematic analysis.

RESULTS

Participants identified four key themes: exposure to selective content, biased interpretation, behavioural adaptation, and evolving perspectives during recovery. They highlighted social media's role in exacerbating body dissatisfaction and altering behaviours related to eating disorders.

CONCLUSIONS

This research underscores the critical need for awareness and guidance in adolescents' social media use to mitigate negative impacts, emphasizing the potential link between exposure to specific content and cognitive-behavioural changes in those with eating disorders. Further investigation is warranted to deepen our comprehension of these dynamics.

#WhatIEatInADay: The effects of viewing food diary TikTok videos on young adults' body image and intent to diet

The rise of short-form video content has prompted research into its impact on body image; however, little remains known regarding the effects of exposure to food-related content of this type. The present study aimed to fill this gap in the literature by conducting a between-subjects experiment (N = 316) examining the effects of exposure to low-calorie versus high-calorie "What I Eat in A Day" food diary TikTok videos on young adults' body appreciation, body dissatisfaction, and diet intentions. Additionally, this study sought to explore how social comparison and mood might affect participants' responses to these videos. Results indicate that social comparison mediated the relationship between video type (low- vs high- calorie) and positive mood, such that low-calorie videos increased upward social comparison and decreased positive mood, and high-calorie videos increased downward social comparison and increased positive mood. Positive direct effects of positive mood on body appreciation and diet intentions occurred, and a negative direct effect on body dissatisfaction was found. Additionally, positive mood mediated the path from social comparison to diet intentions. These findings highlight the importance of further research into the nuanced impacts of food diary social media content on young adults' body image and behaviors.

Physical attributes of workout instructors and appearance-related messaging in a sample of home workout videos on YouTube: A content analysis

Given the popularity of home workouts and effects of exposure to media messaging regarding appearance ideals, the purpose of this analysis was to examine the content of YouTube home workout videos. A sample of 298 YouTube home workout videos was coded for demographic factors and body shape of instructors and the presence of body positivity messaging, appearance-related messaging, and other relevant themes. All videos in the sample included detailed instructions and demonstrations of the exercises by instructors. The majority of the videos depicted young White women with low body fat and thin/athletic bodies with visible muscles. Instructors often focused on burning fat/calories but also emphasized body functionality, exercising for fun/enjoyment, and the importance of taking care of one's body. Overall, findings demonstrate that workout instructors on YouTube conformed to unrealistic, narrowly defined appearance ideals present in Western culture, but the messaging in the videos contained many positive and affirming qualities.

Using structural equation modeling to explore the influences of physical activity, mental health, well-being, and loneliness on Douyin usage at bedtime

Douyin is the Chinese version of TikTok. Using Douyin at bedtime is a very common behavior among Douyin users. However, the reasons why users like using Douyin before sleep are yet unclear. We conducted a cross-section survey from January 1st to January 16th, 2023 to capture data to examine the associations of depression, anxiety, life satisfaction, well-being, loneliness, and physical activity with Douyin usage at bedtime. The mediation role of insomnia in these associations was examined. A total of 3,392 participants who met the inclusion criteria were included for analysis. Our structural equation modeling analysis showed that depression on (β = 0.08; p < 0.05), anxiety (β = 0.06; p < 0.05), and loneliness (β = 0.14; p < 0.05) were directly associated with increased Douyin usage at bedtime, and were also indirectly associated with Douyin usage through insomnia (depression: β = 0.18; p < 0.05, anxiety: β = 0.16; p < 0.05, and loneliness: β = 0.12; p < 0.05). Life satisfaction (β = -0.05; p < 0.05) and well-being (β = -0.20; p < 0.05) were directly associated with decreased Douyin usage at bedtime, and were also indirectly associated with Douyin usage through insomnia (life satisfaction: β = -0.09; p < 0.05, and well-being: β = -0.11; p < 0.05). However, physical activity was unexpectedly associated with increased Douyin usage at bedtime (β = 0.20; p < 0.05). In conclusion, our findings shed new light on the specific reasons why Douyin users like using Douyin at bedtime.

#workoutathome: How Instructions in the Captions of Fitfluencers' Posts Impact Adolescents' Body Satisfaction and Intention to Exercise

The present study examines how content of fitfluencers can be employed to improve body satisfaction and intention to exercise among adolescents. Specifically, this experimental study (N = 114 adolescents, age: 16-18) compares the effects of fitfluencer content with instructional captions that contain exercise or workout instructions (as a form of edutainment) with those of self-focused fitfluencer captions that emphasize the fitfluencer's appearance. These two types of captions are found to induce no significant differences in either body satisfaction or intention to exercise. In addition, there were no significant indirect effects via state appearance comparison or self-efficacy. The results do show that less state appearance comparisons increase body satisfaction, and that more self-efficacy increases body satisfaction and intention to exercise. The results suggest that instructions in fitfluencer captions do not differ from self-focused captions in their effects on body satisfaction and intention to exercise among adolescents.

'I wish my body looked like theirs!': How positive appearance comments on social media impact adolescents' body dissatisfaction

Despite robust research evidence for the role of attractive-body portrayals in body image, the effect of positive appearance comments that endorse them on social media remains unclear. Therefore, using a between-subject experimental design and the data from 613 Czech adolescents (52% girls) aged 13-18 (M = 15.5, SD = 1.7), the present study examined exposure to positive appearance comments on body dissatisfaction, and the moderating roles of media-ideal internalization, appearance schematicity, body appreciation, and gender. Our data supported the presumed intensifying effect of the positive appearance comments on post-exposure body dissatisfaction, but only for adolescent girls. The impact of positive comments was not moderated by the media-ideal internalization, appearance schematicity, or body appreciation. However, the exploratory results showed that the displayed bodies' perceived attractiveness intensified the positive comments' effect on body dissatisfaction, which makes it a potentially important factor to target for the prevention of negative social media effects on body image. Furthermore, the individual characteristics that moderated the exposure to attractive images in the prior research may not determine the effects of the positive comments. Future research may need to capture factors that specifically influence the processing of such comments, such as susceptibility to peer feedback on physical appearance.

How exposure to body neutrality content on TikTok affects young women's body image and mood

Body neutrality aims to encourage a non-judgmental attitude towards the body and prioritize functionality over appearance. This study examined the impact of exposure to TikTok body neutrality content on young women's body image and mood. The sample comprised 189 undergraduate women (Mage = 19.25, SD = 1.98) who were randomly assigned to view one of three compilation TikTok videos on body neutrality, thin ideal, or art. Controlling for pre-test measures, results showed that women in the body neutrality group reported higher functionality appreciation and body satisfaction than women in the thin ideal and art control groups. Higher levels of positive mood and fewer upward appearance comparisons were reported by women in the body neutrality group relative to the thin ideal group. Although women in the body neutrality and thin ideal groups thought about their appearance and what they were wearing whilst viewing the videos, women in the body neutrality group reported that those thoughts were more positive than those in the thin ideal group. Findings demonstrate that brief exposure to body neutrality content on TikTok may induce immediate positive body image and mood in young women whilst providing a useful alternative to the unrealistic beauty standards popularized on such platforms.

The effects of brief diet and anti-diet social media videos on body image and eating concerns among young women

The effects of photo-based platforms on body image concerns are well documented, yet it is unknown whether these effects replicate across video-based platforms such as TikTok. Thus, this experimental study aimed to examine the relationship between video-based platform use and body image. Women aged 18 to 21 (n = 421) were randomly assigned to watch two brief, consecutive TikTok videos in one of three conditions: (1) diet culture, (2) anti-diet, (3) neutral. Participants allocated to the anti-diet condition reported greater increases in weight and shape satisfaction as compared to the diet culture condition, and greater increases in state body appreciation and state intuitive eating as compared to the neutral condition. In addition, those allocated to the diet culture condition reported greater increases in restriction and urges to exercise, and smaller gains in positive mood, as compared to those in the neutral condition. Social media related rumination and thin-ideal internalization potentiated these effects.

Does medium matter? Investigating the impact of viewing ideal image or short-form video content on young women's body image, mood, and self-objectification

There is a rising prevalence of short-form videos on social media, particularly since the advent of TikTok. Viewing appearance-ideal images has harmful effects on young women's body image. However, the impacts of viewing appearance-ideal short-form videos on body image are largely unknown. This study investigated the impact of viewing appearance-ideal short-form social media video content on young women's (Mage = 19.19, SD = 1.80) state appearance satisfaction, negative mood, self-objectification, and related constructs, compared to viewing appearance-ideal image content and appearance-neutral content. Young women (N = 211) were shown either: (1) appearance-ideal images, (2) appearance-ideal videos, (3) appearance-neutral images, or (4) appearance-neutral videos. Viewing appearance-ideal content regardless of the medium led to decreased appearance satisfaction, and increased negative mood, and self-objectification, and more state internalisation of appearance ideals compared to viewing appearance-neutral content. Further, if women perceived the appearance-ideal content they viewed to be unedited or unenhanced, they reported less appearance satisfaction after viewing video than image content. Thus, the impact of viewing ideal video and image content taken from social media may have similar effects on young women. However, when ideal content is low in perceived enhancement, viewing videos may be more harmful for appearance satisfaction than viewing images.

Examining health professional perspectives on social media body image movements: A qualitative exploration

There has been a lack of investigation into the understanding of social media body image movements from the healthcare perspective. Health professionals can have a strong influence on how their patients relate to their own bodies, including experiences of weight-based discrimination. This study examined the perspectives of health professionals on body image social media movements and whether they believed they were relevant to their professional practice. This study recruited 30 medical and allied health professionals to participate in semi-structured interviews. Thematic analysis was used to generate common themes across the data. Overall, participants identified benefits associated with body positivity online content, but expressed concerns for the health status of influencers with larger bodies and that overall, the pro-anorexia movement was harmful. Despite having limited understanding and exposure to the body neutrality movement, participants generally preferred it over body positivity. Finally, participants stated that they believed that these movements were relevant to their practice, yet were rarely discussed in consults. These findings suggest there is a lack of body image-based discussions despite the relevance to patient health across multiple domains. This indicates that health professionals may benefit from social media literacy training to support thorough assessment and treatment of their patients.

The body positivity movement is not all that positive on TikTok: A content analysis of body positive TikTok videos

This analysis examined the content of 342 body positive videos on TikTok. Videos were gathered by searching #body positivity and coded for diversity, positive body image messages, negative appearance-focused messages, other relevant themes, and contradictory messaging. Results demonstrate that body positivity videos on TikTok often portrayed young, White women with unrealistic beauty ideals. Approximately 93% of the videos embodied Western culturally based beauty ideals somewhat or to a great extent, while 32% of the videos portrayed larger bodies. Only 32.2% of the videos contained explicit positive body image messaging, and negative appearance-focused themes or objectifying content was rare. Contradictory messaging was not present. Overall, body positive videos on TikTok rarely displayed features aligned with positive body image and promoted unrealistic beauty ideals but also rarely included explicit negative appearance-focused messaging. Future research examining effects of exposure to body positivity messaging on TikTok, in comparison to other social media platforms, is warranted.

#BoPo: Does viewing body positive TikTok content improve body satisfaction and mood?

Body positivity - often referenced on social media as "#BoPo" - encourages acceptance towards all body types, including one's own body, and challenges the societal ideal of the very thin body. The current study examined whether viewing body-positive TikTok content improves state mood and body satisfaction. Participants were female undergraduate students (N = 156) who completed an online study where they were randomly assigned to view either body-positive, body-focused, or control TikTok videos for five minutes. Before and after viewing the TikTok content, participants completed questionnaire items to assess state affect and body satisfaction alongside other variables. Mixed between-within subject ANOVAs demonstrated that participants in the body-positive condition experienced an increase in body satisfaction and a decrease in negative affect after viewing the body-positive TikTok videos. In contrast, those in the body-focused condition experienced a decline in body satisfaction and positive affect and an increase in negative affect. This study provides preliminary evidence that TikTok content may be used as a positive outlet for body image, depending on the type of content being viewed.

The impact of #beauty and #self-compassion tiktok videos on young women's appearance shame and anxiety, self-compassion, mood, and comparison processes

This study examined the impact of exposure to beauty, self-compassion, and travel (control) TikTok videos on young women's face-related appearance shame and anxiety, self-compassion, mood, upward appearance comparisons and thoughts. Undergraduate women (N = 115) were randomly assigned to view one of three compilation TikTok videos on either beauty tips, self-compassion strategies, or travel destinations. Upward appearance comparisons and thoughts were assessed at post-test only given the items related to video exposure; all other measures were assessed at pre- and post-test. Controlling for pre-test measures, results showed that face-related appearance shame and anxiety, and negative mood were higher, whereas self-compassion was lower in the beauty group relative to the travel control and self-compassion groups. Self-compassion was higher in the self-compassion group relative to the travel control. Women in the beauty group reported more upward appearance comparisons and appearance thoughts relative to women in the travel control and self-compassion groups. The self-compassion group reported more appearance thoughts relative to the travel control. Findings contribute to prior research by showing that brief exposure to beauty TikToks may have a negative effect on how young women feel about their appearance, but also how self-compassion videos may help young women feel more compassionate toward themselves.

#SexyBodyPositive: When Sexualization Does Not Undermine Young Women's Body Image

Research suggests that exposure to social networking sites portraying a thin and often sexualized beauty ideal reduces young women's body satisfaction, while exposure to body-positive content improves it. However, it is unclear whether sexualization could impair the beneficial effects of body-positivity messages. Young Italian women were exposed to one of three experimental conditions showing sexualized beauty ideals, sexualized body positivity, or non-sexualized body positivity that appeared either on Instagram (Study 1, N = 356) or TikTok (Study 2, N = 316). Across the two studies, results showed that, regardless of sexualization, exposure to body positivity increased body satisfaction and positive mood compared with pre-exposure measures, while exposure to sexualized beauty ideals reduced it. Participants in the sexualized beauty ideal condition also engaged in upward appearance social comparison whereas body positivity elicited downward comparison. Problematic social networking sites' use moderated the effects of condition on body satisfaction, appearance social comparison, and positive mood, while downward comparison mediated the relation between condition and body satisfaction and positive mood. Our results highlight both beneficial and critical aspects of body positivity that should be taken into consideration when designing body image interventions and policymaking.