preservingbodyimageself esteem

7/30/2019 PreservingBodyImageSelf Esteem

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Preserving Body Image

and Self-Esteem AmongOverweight Youngsters

Joanne Ikeda, MA, RD

University of California Extension NutritionSpecialist

Dec. 10, 2004 FNEP ITVUniversity of Missouri-Columbia


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Body ImageInternal representation

of your own outerappearance your own

unique perception of your

body.

(Thompson, Exacting Beauty, APA, 2002)


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Body

Satisfaction

Satisfaction withvarious aspects of onesbody such as waist,

hips, thighs, breasts,hair, etc.

(Thompson, Exacting Beauty, APA, 2002)


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Self-Esteem

Self-esteem is how

much a person likes,accepts, andrespects himselfoverall as a person.


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BodyDissatisfaction

Discontent/disappointment with various

aspects of ones body.


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How Common is Body

Dissatisfaction Among Children ofAll Sizes in 3rd to 6th grade?

45% wanted to be thinner37% had tried to lose

weight

7% scored in anorexianervosa range


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Dieting is consideredone indication of body

dissatisfaction in

children.


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How Common is Dieting

Among Children in US?National Study of 10,000 youngsters

41% of Caucasian children

40% of Asian children

33% of Hispanic children

22% of Black children


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Our Society Promotes Body

Dissatisfaction and Dieting


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Who Promotes Body Dissatisfaction

in Children and Teenagers?

Teen Magazines

TV ShowsMovies

Peers

Teachers

Parents


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Body dissatisfactionis the most consistent

predictor of the onset

of eatingdisturbances.

(Thompson, Exacting Beauty, APA,

2002)


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Body Dissatisfaction hasa negative impact on

self-esteem, especiallyamong overweight

youngsters.


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few problems in

childhood have assignificant an impact on

emotional well-being asbeing overweight.

Strauss & Pollack, Arch Pediatr Adolesc

Med, 2003


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Promoting BodySatisfaction and High

Self-Esteem in Childrenand Teenagers


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*Point out that humanbodies come in a wide

range of sizes and shapesand that there is no

perfect body size andshape.


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Celebrate differences in

body size and shape among

children and adults.


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Never imply that there issomething wrong with a

childs body no matterwhat size it is.


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Promoting Body Satisfactionand High Self-Esteem

*Challenge media imagesof the perfect body.


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Talk About WhatCharacteristics We Value in

Our Friends

Listens to me when I talk about my

problems and concerns.

Cares about me.

Enjoys doing the things I like to do.

Is there for me when I need a friend.

Doesnt tell others my secrets.


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Promoting Body Satisfactionand High Self-Esteem

* Advocate & demonstraterespect for the bodies of

others as well as your ownbody


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Model Body Acceptance and

Body Satisfaction

Make positive comments about your

own body and the bodies of others. Do not make negative comments aboutyour own body or the bodies of others

Verbalize your own rejection of thethin, perfect body


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Believe thatdiscriminating against

someone based on theirbody size is wrong.


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* Take a Stance Against

Size Discrimination Speak up when you see it or hear it

Encourage adults to take action ifa child is bullied, teased, ordiscriminated against because ofbody size.

Tell parents not to allow anyoneto tease or harass a child abouthis/her weight.


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How to deal withoverweight/obesity.

Focus on behaviors

NOT weight

Soda consumption

Fruit and Vegetable Consumption

Fast Food and Snack FoodTime spent in active play

Time spent watching TV


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Set Behavioral Goals

Not Weight GoalsLimit TV watching/computer

game playing to 2 hours per dayPlay actively for 60 minutes

every day do something that

you enjoyWalk or bike to and from school


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Set Behavioral Goals Not

Weight Goals

Drink low fat or nonfat milk at meals

instead of soft drink. Limit soft drink consumption to one

12 ounce can a day or less.

Eat 5 servings a day of fruits andvegetables

Limit fast food meals to 1-2 per week


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Discourage RestrictedCalorie Dieting in Children

or Teenagers


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Impact of Dieting on

Childrens HealthPsychological well being

Preoccupation with food andeating

Sneaking and hiding food

Body dissatisfaction, poor self-esteem

Eating disorders


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Impact of Dieting on

Childrens HealthSocial well being

Subject to size discriminationby adults

Teased, harassed, and rejected

by peersApt to become socially isolated


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Does Dieting HelpChildren Achieve

Healthy Weights?


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A Stanford study that followed 692females from 9th through 12thgrade found that increaseddieting and radical weight lossefforts predicted greater

subsequent growth in relativeweight and increased risk ofobesity.

Stice et al, J Consult Clin Psychol,1999


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Study by Harvard Medical Schoolassessed weight change of frequentdieters compared to those who neverdieted.

Over 10,000 youngsters ages 9 to 14followed for 2 years.

Regardless of their calories, fat, CHO,or their physical activity or inactivity,

the frequent dieters were more likelyto become overweight than thosewho never dieted.


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Diagnosis and treatment of childhoodoverweight is the responsibility of the

medical profession, it not ourresponsibility.

Examine childs growth history overtimeConsider weight of biological parents

and close relatives

Conduct examination of child formedical problems associated withoverweightRecommend and provide/refer for

treatment


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Promote Body Satisfaction, a

Positive Body Image, and HighSelf-esteem for All Adults and

Children.


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Recognize that the bestway to decrease overweight

is to create environmentsthat promote healthy lifestyles

in families.


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Believe that the vast majority

of parents love their childrenand are committed to fostering

their health and welfare.


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Know that our children are our

future and we are strongly

committed to caring for them

and creating a world in which

they can thrive.

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