'He's got his father's bias': Parental influence on weight bias in young children

Raising Confident Girls: A pragmatic school-based trial of a body image and parenting program for mothers of adolescent girls

This study evaluated Raising Confident Girls (RCG), delivered to mothers of Year 8 students (mean age 12.8-years) who were receiving the classroom-based Dove Confident Me (DCM) program. RCG is an interactive, multi-session intervention designed to improve body image in mothers in order to enhance their capacity to parent and role model this to their daughters. A pragmatic non-randomised controlled trial involved delivery of the program to mothers (n = 69) over three, 2-hour seminars in evenings, compared with a comparison group (n = 51). The study took place at an independent all-girls secondary school in Australia. Multilevel mixed modelling analyses compared pre- and post-test scores on standardized scales. Mothers who participated in the program had significantly higher scores on primary outcome variables of body esteem and body appreciation compared to the comparison group at post-test. Further, participation significantly improved mother's knowledge, confidence, and skills for parenting, and improved role modeling of positive body image. Mothers were well engaged, with low attrition rates, and rated the program highly. The RCG program was effective and engaging for mothers, offering deeper insight into improving parental engagement in body image interventions delivered within the school context.

Parents and caregivers as key players in the prevention and identification of body image concerns and eating disorders among early adolescents

Early adolescence (ages 11-14 years) is a key period for the emergence of body image and eating concerns, and early identification and access to treatment are imperative for positive outcomes. Despite research identifying this critical developmental period, few prevention resources are available for early adolescents. Parents are key players for this age group and important socializing agents. As such, they are well positioned to help youth access resources or support where needed. However, programs to position and involve parents as interventionists are lacking. Our aims are two-fold. First, we review the evidence for the effectiveness of parents as body image interventionists and the existing data regarding parental needs. Second, we provide directions for future research and outline a framework for empowering parents as interventionists, identifying key domains in which parents may play a role in addressing body image and eating concerns among early adolescents. Based on the extent literature, these domains include facilitating engagement with or co-utilizing intervention content to decrease body image and eating concerns in at-risk children, which may also help to increase parents' effectiveness in their efforts to support youth. In addition, parents may deliver content to decrease or reverse risk-factors and early symptoms, or disrupt the early disorder phase of illness. To date, parents constitute an underutilized resource in eating disorder and disordered eating prevention, and efforts should be made to increase the evidence-based strategies to leverage their relationship with at-risk children.

Young children's choices and thoughts about pro-social behaviour towards others with overweight

OBJECTIVES

This study aimed to investigate weight bias within young children's pro-social choices between characters who differed in body size.

METHODS

Seventy-six children aged 4-6 years read stories asking them to choose who they would first help, share with, comfort, and steal from, between a healthy weight and child with overweight. They also selected the one character they would most like to play with. Children's reasoning for these choices was recorded and analysed.

RESULTS

The character with overweight was helped first in only a third of the choices made. Children chose the characters with overweight more often as the target for anti-social action. In friendship selections, children overwhelmingly rejected the characters with overweight. However, weight bias was not prominent in the reasons children gave for the choices. Most children were not negative about body shape, weight or appearance. Similarly, in friendship choices, these were mostly expressed positively to the character chosen. Only a small minority of children were explicitly negative about the character with overweight.

CONCLUSIONS

A better understanding of weight bias acquisition and variation between children will benefit those working in health care and educational settings. Future research should link with developmental theory, such as on social categorization and theory of mind.

A conceptual framework on body representations and their relevance for mental disorders

Many mental disorders are accompanied by distortions in the way the own body is perceived and represented (e.g., eating disorders, body dysmorphic disorder including muscle dysmorphia, or body integrity dysphoria). We are interested in the way these distortions develop and aim at better understanding their role in mental health across the lifespan. For this purpose, we first propose a conceptual framework of body representation that defines this construct and integrates different perspectives (e.g., cognitive neuroscience, clinical psychology) on body representations. The framework consists of a structural and a process model of body representation emphasizing different goals: the structural model aims to support researchers from different disciplines to structure results from studies and help collectively accumulate knowledge about body representations and their role in mental disorders. The process model is reflecting the dynamics during the information processing of body-related stimuli. It aims to serve as a motor for (experimental) study development on how distorted body representations emerge and might be changed. Second, we use this framework to review the normative development of body representations as well as the development of mental disorders that relate to body representations with the aim to further clarify the potential transdiagnostic role of body representations.

Negative first impression judgements of autistic children by non-autistic adults

Introduction

Although autism inclusion and acceptance has increased in recent years, autistic people continue to face stigmatization, exclusion, and victimization. Based on brief 10-second videos, non-autistic adults rate autistic adults less favourably than they rate non-autistic adults in terms of traits and behavioural intentions. In the current study, we extended this paradigm to investigate the first impressions of autistic and non-autistic children by non-autistic adult raters and examined the relationship between the rater's own characteristics and bias against autistic children.

Method

Segments of video recorded interviews from 15 autistic and 15 non-autistic children were shown to 346 undergraduate students in audio with video, audio only, video only, transcript, or still image conditions. Participants rated each child on a series of traits and behavioural intentions toward the child, and then completed a series of questionnaires measuring their own social competence, autistic traits, quantity and quality of past experiences with autistic people, and explicit autism stigma.

Results

Overall, autistic children were rated more negatively than non-autistic children, particularly in conditions containing audio. Raters with higher social competence and explicit autism stigma rated autistic children more negatively, whereas raters with more autistic traits and more positive past experiences with autistic people rated autistic children more positively.

Discussion

These rapid negative judgments may contribute to the social exclusion experienced by autistic children. The findings indicate that certain personal characteristics may be related to more stigmatised views of autism and decreased willingness to interact with the autistic person. The implications of the findings are discussed in relation to the social inclusion and well-being of autistic people.

Weight bias among children and parents during very early childhood: A scoping review of the literature

OBJECTIVE

Exposure to and endorsement of weight bias attitudes are risk factors for poor mental health and weight-related outcomes among children and youth. Better understanding early-emerging weight bias, and how parents of young children may influence development of weight bias, may help reduce its occurrence. Although early childhood (under 5 years) is a developmental period characterized by increasing social-cognitive abilities to categorize others based on external features such as weight, little is known about the emergence or socialization of very early weight bias. The aim of this review was therefore to investigate weight bias and its correlates among very young children and parents of very young children as potential socialization agents.

METHODS

A comprehensive search strategy was used to search electronic databases for studies that examined weight bias attitudes among children and parents. The review included studies that assessed weight bias in children and/or parents of children ages 1-3 years old (some including 3-5 year-olds), and that were published in English between 2011 and 2021.

RESULTS

Thirteen of the 1748 identified studies met inclusion criteria. Only two studies used a longitudinal design. Seven of eight studies of children used behavioral tasks to assess child weight bias; among the 10 studies including parents, 4 used interviews and 6 used questionnaires to assess parent weight bias. Children were found to display anti-fat and pro-thin bias, with bias more prevalent among older children. Positive associations between parent and child weight bias were found in four studies.

CONCLUSIONS

Child weight bias emerges prior to age 3 years and shows some association with parent weight bias. Future research should employ longitudinal designs to characterize influences on emerging weight bias among very young children.

Changes in self-other boundaries modulate children's body image attitudes

One's own face is a key distinctive feature of our physical appearance, yet multisensory visuo-tactile stimulation can alter self-other boundaries, eliciting changes in adult's self-face representation and social cognition processes. This study tested whether changing self-face representation by altering self-other boundaries with the enfacement illusion modulates body image attitudes toward others in 6-11-year-old children (N = 51; 31 girls; predominantly White). Across all ages, congruent multisensory information led to stronger enfacement (η²_p = 0.06). Participants who experienced a stronger enfacement illusion showed preference for larger body size, suggesting increased positive body size attitudes. This effect was stronger in 6-7-year-olds compared to 8-9-year-olds. Thus, blurring self-other boundaries successfully modulates self-face representation and body image attitudes toward others in children. Our results suggest that increased self-resemblance through self-other blurring resulting from the enfacement illusion may reduce social comparisons between self and other and result in positive body size attitudes.

Attitude and behavioral differences regarding their children's social appearance according to the social appearance anxiety levels of the parents

Amaç: Bu araştırmada, sosyal görünüş kaygı düzeyi yüksek ve düşük ebeveynlerin, çocuklarının sosyal görünüşlerine ilişkin tutum ve davranış farklılıklarının incelenmesi amaçlanmıştır. Gereç ve Yöntem: Bu araştırmada, nitel araştırma yöntemlerinden bütüncül çoklu durum çalışması kullanılmıştır. Araştırmanın katılımcılarını Adana ili Yüreğir ilçesinde yaşayan okul öncesi dönemde çocuğu olan 16 ebeveyn oluşturmaktadır. Katılımcıların belirlenmesinde, aykırı durum örnekleme yöntemi kullanılmıştır. Araştırmada ebeveynlerin sosyal görünüş kaygı düzeylerini belirlemek için, Sosyal Görünüş Kaygısı Ölçeği (SGKÖ) kullanılmış ve 100 katılımcıya uygulanmıştır. Elde edilen veriler IBM SPSS 25 programıyla analiz edilerek, katılımcılardan en yüksek ve en düşük puan alan sekizer kişi olmak üzere toplam 16 ebeveyn belirlenmiştir. Araştırmacı tarafından oluşturulan yarı yapılandırılmış görüşme formu kullanılarak, ebeveynlerle görüşmeler yapılmıştır. Görüşmeler ses kaydı alınarak yapılmış ve ses kayıtları metne dönüştürülerek, metinler içerik analizine tabii tutulmuştur. Bulgular: Çalışmada, katılımcı grupta SGKÖ puanı en yüksek 66, en düşük 24, ortalama puan 35,71 ± 9,98 olarak elde edilmiştir. SGKÖ puan düzeyi düşük ebeveynlerin yaş ortalaması 34,75 ± 5,57’dir. SGKÖ puan düzeyi yüksek ebeveynlerin ise yaş ortalaması 31,62 ± 2,38’dir. Ebeveynlerin SGKÖ puan düzeylerine göre çocuklarının sosyal görünüşleri hakkındaki düşüncelerinde, çocuklarının bedenlerine yönelik beklentilerinde ve ideal çocuk bedeni tanımlamalarında farklılıklar belirlenmiştir. SGKÖ puanı yüksek ebeveynler, daha çok estetik görünüme ilişkin tanımlamalar yapmışlardır. Ayrıca SGKÖ puanı yüksek ebeveynlerin çocuklarının Beden Kitle İndeksi (BKİ) ile uyumsuz tanımlamalara sahip oldukları görülmüştür. Aksine SGKÖ puan düzeyi düşük olan ebeveynlerin ise çocuklarının bedenlerine ilişkin idealleştirmeye gitmedikleri anlaşılmıştır. Düşük ve yüksek SGKÖ puan düzeylerine sahip ebeveynlerin, çocuklarının sosyal görünüşlerine müdahalelerinde; fiziksel etkinliklerde, kıyafet tercihleri ve fiziksel görünüş uygulamalarında da farklılıklar bulunmuştur. Sonuç: SGKÖ puan düzeyleri düşük ebeveynler, çocuklarının bedenine ilişkin idealleştirmeye gitmezken, SGKÖ puanı yüksek ebeveynlerin estetik görünüme ilişkin tanımlamalar yaptıkları görülmektedir. Bunun yanı sıra, SGKÖ puanı yüksek ebeveynlerin çocuklarının BKİ ile uyumsuz tanımlamalara sahip olduğu görülmüştür. SGKÖ puan düzeylerindeki farklılığın, ebeveynlerin çocuk yetiştirme tutum ve davranışlarında da farklılıklara sebep olduğu belirlenmiştir. Çalışmamıza göre, SGKÖ puan düzeyi yüksek olan ebeveynler çocuklarının beden görünümlerine daha fazla müdahale etmektedirler. Yeme kısıtlamaları, harekete teşvik ve akranları ile kıyaslama şeklinde tutum ve davranışları daha fazla göstermektedirler.

Gender Typicality, Pressure to Conform to Gender Norms, and Anti-Fat and Appearance Stereotypes in Girls

This mixed-methods study investigated the relation among gender identity (i.e., self-perceived gender similarity to girls and boys; self-perceived parental and peer pressure to conform to gender norms) and stereotyping about weight (i.e., anti-fat stereotypes), weight change, and appearance in 83 girls ages 6-9 (M_age = 7.60 years, SD = .85; 65% White, 16% Mixed/Other, 11% Black, 8% Latina) in the U.S. Stereotypes about weight change were assessed with open-ended responses (i.e., qualitatively), and the rest of the constructs were assessed with closed-ended responses (i.e., quantitatively). There was a positive association between pressure from parents to conform to gender norms and appearance stereotypes, and between pressure from peers and negative stereotypes about the fat and thin figures. Girls who were more gender typical, or more similar to girls, were more likely to endorse appearance stereotypes. There was no significant relation among stereotypes about weight change and gender identity. Many girls deemed the fat figure as unattractive, physically restrained, unhealthy, and likely to be bullied and believed that the fat figure should change back to look like a thinner figure. Most girls were aware that exercising, eating healthy, and dietary restriction can lead to weight loss and that food consumption and lack of exercise can lead to weight gain. Findings suggest that certain aspects of weight (anti-fat) and appearance stereotypes are closely linked to gender identity in girls, whereas other aspects of weight stereotypes (e.g., stereotypes about weight change) are so pervasive that they are common in most girls, regardless of their gender identity.

Weight Bias and Stigma: Impact on Health

Weight bias and stigma exist in a variety of realms in our society (media, education, employment, and health care), and unfortunately many view it as a socially acceptable form of discrimination. Patients with obesity often avoid scheduling appointments for health promotion visits and routine care due to perceived weight bias and stigma from their health care provider. Within the health care setting, it is important that health care providers strategically focus on reducing obesity bias and provide high-quality obesity management. People-first language should be used and waiting rooms and examination rooms should be accommodating to people of all sizes.

Like mother, like daughter: Association of maternal negative attitudes towards people of higher weight with adult daughters' weight bias

Negative weight bias emerges at an early age. Parents play an important role in the development of their children's attitudes. In particular, mothers who place great importance on physical appearance have young daughters who exhibit more weight bias. The extent to which mothers have internalized the importance of being thin influences their own level of weight bias. Because most studies have been conducted among mothers of young children, the presence of these associations within adult dyads is unclear. The present study explored the link between mothers' weight bias and their adult daughters' weight bias, taking into account their respective level of thin-ideal internalization. Two hundred and nineteen Canadian mother-daughter adult dyads completed online questionnaires. Mothers' beliefs about people of higher weight were significantly related to their daughters' weight bias. Greater daughters' thin-ideal internalization was associated with greater weight bias across all dimensions of bias. However, fear of getting fat was the only dimension of maternal bias associated with daughters' thin-ideal internalization. In conclusion, adult daughters' weight bias was modestly linked to their mothers' negative attitudes toward individuals of higher weight.

Do we cause harm? Understanding the impact of research with young children about their body image

Although research into the early development of body image and eating behaviors is essential, concerns have been raised about whether their assessment might precipitate body or eating concerns in children. We aimed to identify how parents perceived their young children (under 9 years) had been impacted from involvement in the longitudinal Children's Body Image Development Study (CBIDS) that assessed body image and eating behaviors. Participants were 218 parents (99 % mothers) who completed an online questionnaire assessing whether and why their child discontinued participation in CBIDS, and the perceived impact of participation on children's body image, weight attitudes, language about bodies, internalisation of appearance ideals, peer appearance conversations, dietary restraint, muscle building activities, and physical activity. Impact and reasons for cessation of participation were assessed retrospectively. Almost all parents were positive or neutral about their child's involvement, 0.5%-3.2% of parents perceived a negative impact in an area, and 0.9 % of parents moderately agreed that they regretted participating in CBIDS. Themes for positive and negative aspects of CBIDS involvement were explored using thematic analysis. Although research is essential to guide development of prevention strategies, this study highlights the need to implement safeguards to ensure a positive experience for all children.

What's Mom and Dad Got to Do With It? Factors Related Between Mothers', Fathers', and Young Children's Weight Bias

Our aim was to examine the role of parents in the transmission of weight bias to young children. Specifically, we assessed mothers' and fathers' weight bias and beliefs about the controllability of weight, and fear of fat in relation to their children's weight bias. Eighty-three mothers, 57 fathers, and their children (4- to 7-year-olds) participated. We failed to find any significant associations between children's weight bias, maternal responses, and most paternal responses. Only fathers' dislike of adults with overweight had daughters with more positive views of overweight figures. These results suggest that parents do not appear to contribute to the weight bias of preschoolers and their influence may only emerge in middle childhood. The present study also suggests that more work on the psychometric properties of weight bias scales and tasks to measure weight bias in children is vital to accurately evaluate interventions to decrease weight bias.

Is Weight Bias Evident in Peer Interactions Between Young and Older Children?

OBJECTIVE

This study aimed to investigate whether weight bias is apparent in young and older children's interactions during a paired reading activity.

METHODS

One hundred seventy-two children (57% girls) read a book in which the main character, "Alfie," was portrayed either as average weight or as having obesity. Younger children (mean = 6.1 years) were paired with a same-sex older child (mean = 9.5 years). Questions within and at the end of the story prompted discussion. Children's conversations were analyzed according to valence (emotional tone). Nonverbal behavior was noted via observation.

RESULTS

Pairs of children reading about the Alfie character with obesity made significantly more negative and fewer positive comments when offering story completions. Just one pair of boys spoke about him being "fat." There was no evidence that older children passed negative attitudes to younger children. Covertly expressed weight bias was more common. There was more frequent laughter while reading about the character with obesity, and two pairs made nonverbal reference to Alfie's appearance.

CONCLUSIONS

Covert weight bias was apparent in the interactions of some of these children, but overt weight bias was rare. There is a need to establish a better chronology of children's awareness of, and attitudes toward, obesity and how they are acquired.

Confident Body, Confident Child: Outcomes for Children of Parents Receiving a Universal Parenting Program to Promote Healthful Eating Patterns and Positive Body Image in Their Pre-Schoolers-An Exploratory RCT Extension

Objective: A four-arm randomized controlled trial (RCT) conducted in Victoria, Australia, previously evaluated parent-report outcomes following Confident Body, Confident Child: a program for parents to promote healthful eating patterns and positive body image in pre-schoolers. This exploratory study evaluated data from children of parents in the trial at 18 months follow-up. Method: Participants were 89 children (58 girls, 31 boys) of parents across all RCT arms (group A: Confident Body, Confident Child (CBCC) resource + workshop, n = 27; group B: CBCC resource only, n = 26; group C: nutrition booklet, n = 18; group D: wait-list control, n = 18). Children's eating patterns, body image and weight bias were assessed via play-based interview. Results: Children of CBCC parents reported higher body esteem. Children of nutrition booklet parents reported stronger weight bias. Children of CBCC workshop parents reported lower External Eating. Discussion: This exploratory study suggests that CBCC may promote healthy eating patterns and child body image 18 months after parents receive the intervention.

Maternal influences on body image and eating concerns among 7- and 8-year-old boys and girls: Cross-sectional and prospective relations

OBJECTIVE

Little is known regarding maternal influences on the body image and eating concerns of young children. The current study aimed to examine the cross-sectional and longitudinal relationships between maternal comments about their child's weight and shape and eating, and mothers' own body dissatisfaction and disordered eating on one hand, and their children's body esteem and disordered eating behaviors on the other.

METHOD

Children, n = 244 of the fifth wave, aged 7 years (58% female), and n = 194 of the sixth wave, aged 8 years (57% female), of the longitudinal Children's Body Image Development Study, in Melbourne, Australia were included. Mothers completed measures of body dissatisfaction, dietary restraint, and comments and concerns regarding their children's weight and eating behaviors. They also reported on their children's disordered eating behaviors. Children's body esteem was assessed through a child interview.

RESULTS

Findings revealed cross-sectional and prospective bivariate relationships between maternal comments and disordered eating behaviors among both boys and girls. Similar patterns of relationships emerged between maternal body dissatisfaction and lower child body esteem.

CONCLUSION

Findings highlight the importance of conducting prevention within the family environment from a young age, and targeting both direct communication as well as parental body image and eating behaviors.

Stereotypes of physical attractiveness and social influences: The heritage and vision of Dr. Thomas Cash

Dr. Thomas Cash conducted seminal work on the beliefs and stereotypes related to attractiveness as well as their impact, and their transmission through cultural and interpersonal processes. This initial work has inspired and given rise to an important body of research significantly increasing our understanding of these processes. Here we review the initial contributions and research directions set up by Dr. Cash, as well as the main findings of the research that has built on his foundations. Specifically, we review findings related to the existence of attractiveness stereotypes and appearance ideals, research examining the social and interpersonal impacts of such stereotypes, and finally the sociocultural transmission of these beliefs. Future directions related to the extension of our understanding to appearance characteristics beyond shape and weight, as well as increased focus on minority identities and their intersection, are proposed.

A qualitative, prospective study of children's understanding of weight gain

This study examined 3- to 5-year-old children's understandings of increases in body size via a qualitative prospective approach. A sample of 259 children (55.2% girls) was interviewed at 3, 4, and 5 years old. Participants were shown an average and a larger size figure of a child of their gender and age. Responses to 'Why do you think the boy/girl got bigger here?' were coded using thematic analysis. Diet was cited as a mechanism for increased body size by almost 50% of children referring to this by age 5. Few children mentioned physical activity. Responses suggesting that increases in body size had negative implications increased between ages 3 and 5. Awareness of associations between diet and weight gain emerges as young as 3 years old and increases over time, as do negative attitudes about weight gain. This age may be opportune for interventions targeting sustainable healthy behaviours. Statement of contribution What is already known on this subject? Even very young children present weight bias. Their understanding of the social messages regarding weight and shape increases with age. Older children present a partial understanding of how diet and physical activity are related to body size. What does this study add? Very young children's understandings of increases in body size were investigated. Eating and food-related mechanisms, as well as ageing, were salient. By age 5, over a third of children associated increases in body size with negative implications.

Weight stigma and its impact on paediatric care

PURPOSE OF REVIEW

This review aims to evaluate current research findings relevant to weight stigmatization, to acknowledge the deleterious impact it has on the health of the paediatric population and to provide insight to optimize future guidelines for the treatment of individuals with overweight and obesity.

RECENT FINDINGS

Obesity prevalence continues to rise in the USA with estimates in children from ages 2-19 years of 18.5%, an all-time high. With the increase in obesity, there has been a concomitant increase in weight stigma, which affects both youth and general population across varied levels of socioeconomic status and body sizes.

SUMMARY

Weight stigma is a contributing phenomenon to the current obesity epidemic, as individuals with stigmatized experiences (weight-based teasing, bullying, victimization) have increased risks for acquiring adverse health outcomes that encompass the physical, behavioural and psychological. Weight stigma can also lead affected individuals to internalize such experiences which decrease their overall quality of life. Sources of stigma may come from peers, family, educators, media, as well as healthcare professionals, as highlighted in this review. Efforts to establish prevention and treatment strategies for weight stigma may generate further traction to help improve global obesity rates. VIDEO ABSTRACT.

Low body esteem and dietary restraint among 7-year old children: The role of perfectionism, low self-esteem, and belief in the rewards of thinness and muscularity

Body image concerns and dietary restraint have been shown to emerge among young children (aged 5 to 8 years). However, to date, little is known regarding the way in which individual characteristics and endorsement of sociocultural appearance ideals are associated with these concerns and behaviors in this age group. The aim of the current study was to examine perceived rewards of thinness and muscularity as a mediator of the relationships between personality traits (perfectionism and self-esteem), and body esteem and dietary restraint among 7-year-old children. Participants were 261 children, Mage (SD) = 7.46 (0.32), assessed during interview on a range of scales measuring variables of interest. Findings revealed that, with the addition of direct pathways leading to dietary restraint, the model was a good fit to the data. Furthermore, multi-group analyses revealed no gender differences. These results highlight the role of children's individual personality characteristics as well as the degree to which they uphold thin and muscular appearance ideals in body image and eating concerns in 7 year olds. Additional efforts should be made to engage this age group with prevention resources and to target personality characteristics as well as beliefs in the rewards of appearance ideals.

Achieving body confidence for young children: Development and pilot study of a universal teacher-led body image and weight stigma program for early primary school children

Negative body image attitudes develop in early childhood and there is a need for school-based resources during the early school years, but no teacher-delivered curriculum-based resources exist to mitigate these attitudes in young children. Achieving Body Confidence for Young Children (ABC-4-YC), a universal body dissatisfaction and weight stigma prevention program, was developed and then delivered in a pilot study. Fifty-one 5- to 8-year-old children completed pre- and post-intervention interviews assessing body image attitudes, and seven teachers provided feedback. Significant improvement in body esteem and positive teacher feedback were found. The results provide preliminary support for ABC-4-YC to improve children's body image attitudes, but extensive evaluation is needed.

Preferences for being muscular and thin in 6-year-old boys

Body dissatisfaction emerges at an early age in childhood. However, the unique experiences of young boys regarding muscularity have not been examined. Interview responses were collected from 101 6-year-old boys to examine muscularity- and thinness-oriented body dissatisfaction. Both muscularity- and thinness-oriented body dissatisfaction were evident; boys on average selected ideal figure sizes significantly more muscular and significantly thinner than current figures. In addition, a significantly greater proportion of boys wanted to be more muscular (32.6%) than less muscular (16.8%), and thinner (20.8%) rather than larger-fatter (8.9%). Further, boys perceived significantly greater rewards from muscularity than from thinness. Findings demonstrate that muscularity and thinness-oriented body dissatisfaction is present in a substantial proportion of young boys, although a greater proportion are dissatisfied with muscularity than with thinness, suggesting that examination of body image in young boys needs to focus on muscularity dimensions as well as thinness-fatness dimensions.

The Development of Body Image and Weight Bias in Childhood

Negative body image attitudes are related to the onset of disordered eating, poor self-esteem, general mental health problems, and obesity. In this chapter, we will review the nature of body image attitudes in girls and boys in early (approximately 3-7 years old) and later childhood (approximately 8-11 years old). The body image attitudes explored in this chapter include body image attitudes related to the self, with a focus on body dissatisfaction, and body image attitudes related to others, with a focus on weight bias. Issues of measurement of body image and weight bias will first be explored. In light of measurement considerations, the prevalence and predictors of body dissatisfaction and related concerns, and weight bias will be examined. The chapter will conclude with a review of promising directions in the prevention of body dissatisfaction and weight bias in children.