The role of physical activity, body mass index and maturity status in body-related perceptions and self-esteem of adolescents

Parenting Practices Are Associated With Out-of-School Physical Activity in US Adolescents in 2014

INTRODUCTION

Lack of physical activity (PA) is associated with obesity, diabetes, hypertension, cardiovascular diseases, and cancer. Parenting practices influence PA in young children. However, there is little evidence available for adolescents. We examined whether parenting practices were associated with out-of-school PA (OSPA) in US adolescents.

METHODS

This cross-sectional 2019 study analyzed data from the 2014 FLASHE study, a web-based, quota-sampled survey of parent-adolescent dyads. Inclusion required survey completion and parents to live with their teen (ages 12-17 y old). Physically limited adolescents were excluded. Dyads were stratified by teen age. Exposures included parental modeling, monitoring, facilitation, restriction, guided choice, and pressure. The outcomes of interest were OSPA Youth Activity Profile scores. Odds ratios (ORs) with 95% confidence intervals (CI) were calculated using adjusted logistic regressions.

RESULTS

A total of 1109 dyads were included. Guided choice increased odds of OSPA for 15- to 17-year-olds (OR = 2.12; 95% CI, 1.17-3.84). Facilitation increased odds of OSPA for 12- to 14-year-olds (OR = 2.21; 95% CI, 1.13-4.33). Monitoring decreased odds of OSPA for 15- to 17-year-olds (OR = 0.34; 95% CI, 0.20-0.57) and 12- to 14-year-olds (OR = 0.45; 95% CI, 0.27-0.74). Friend support increased odds of OSPA in 15- to 17-year-olds (OR = 4.03; 95% CI, 2.29-7.08) and 12- to 14-year-olds (OR = 3.05; 95% CI 1.69-5.51).

CONCLUSION

Future interventions should prioritize (1) shared decision making for older teens, (2) access to PA opportunities for younger adolescents, and (3) promoting peer PA and friend support for everyone.

Analysis of Self-Perceived Physical Fitness of Physical Education Students in Public Schools in Extremadura (Spain)

Adolescence is a stage of crucial physiological and psychological changes within the individual's life cycle, where fitness work is important. With self-perception being crucial in relation to adolescent health and well-being, a positive perception of fitness is directly related to increased practice or higher level of physical activity (PA). Thus, the aims were: (1) to analyze, with the Visual Analogue Fitness Perception Scale for Adolescents (FP VAS A), the self-perceived physical fitness (PF) of high school students, (2) to investigate if there are differences according to sex and school location, and (3) to study the correlations between the items of the FP VAS A with age and body mass index (BMI). For this purpose, a cross-sectional study was designed with a total of 961 participants, 48.8% boys and 51.2% girls in secondary education, where 31.9% studied in rural schools and 68.1% in urban schools. The FP VAS A scale was used to assess self-reported PF. Regarding the results, there were statistically significant differences between sexes (p < 0.001), with boys showing higher scores than girls in all the items of the FP VAS A scale, with the exception of global flexibility. Inverse, mean and significant correlations were established between BMI and self-perceived overall PF (r = -0.202; p < 0.001), cardiorespiratory endurance (r = -0.226; p < 0.001) and movement speed (r = -0.268; p < 0.001). Between age and self-perceived cardiorespiratory endurance (r = -0.138; p < 0.001) an inverse, mean and significant correlation was also observed. In conclusion, boys showed a better self-perception of PF than girls for all physical abilities, with the exception of flexibility. School location was not shown to influence students' self-perceived PF. In addition, most of the self-perceived PF abilities for overall fitness correlated inversely with BMI.

"What If Others Think I Look Like…" The Moderating Role of Social Physique Anxiety and Sex in the Relationship between Physical Activity and Life Satisfaction in Swiss Adolescents

BACKGROUND

Physical activity has been shown to have a positive effect on life satisfaction in adolescents. Despite these benefits, physical activity levels constantly drop during adolescence, suggesting potential interfering factors in this link. Since worries about physical appearance are an important issue at this age, this study aims to examine the relationship between physical activity and life satisfaction in adolescents and explores possible moderating effects of social physique anxiety and sex.

METHODS

We used data from a longitudinal study with N = 864 vocational students (mean age = 17.87 years, range: 16-25, 43% female) from Switzerland. To test our hypotheses, we used multiple hierarchical regression analyses as well as simple slope analyses.

RESULTS

We did not find a significant direct effect of physical activity on life satisfaction. However, we found a significant two-way interaction between physical activity and social physique anxiety. An additional significant three-way interaction occurred, indicating that a positive effect of physical activity on life satisfaction holds only for female adolescents with low social physique anxiety levels.

CONCLUSIONS

This study highlights the importance of developing a healthy relationship with one's body to fully benefit from physical activity, especially for female adolescents. Taken together, these results reveal important considerations for physical activity educators.

Impact of Physical Activity-Based Interventions on Children and Adolescents' Physical Self-Concept: A Meta-Analysis

Background: Observational studies associate physical activity (PA) with improved perceptions of children and adolescents' physical self-concept (PSC) and global self-concept (GSC). However, only a few PA-based interventions exist for improving PSC and their results have been inconclusive. Objective: To determine the effect of specific PA-based programmes on the PSC (including its sub-dimensions) and GSC of children and adolescents, and to assess possible moderators. Methods: The databases Web of Science, Scopus, SportDiscus, PubMed, CINAHL, and Cochrane Library were reviewed in February 2020. Only studies with pre-post measurements and control groups were included. The impact of PA-based interventions was explored through different meta-analyses and moderator analyses. Results: Altogether, 20 studies were included in the meta-analysis. Positive and significant effects of PA were determined on self-perceived physical appearance (g = 0.13; 95% CI = 0.03, 0.23), self-perceived sport competence (g = 0.30; 95% CI = 0.09, 0.51), self-perceived physical fitness (g = 0.19; 95% CI = 0.05, 0.32), PSC (g = 0.31; 95% CI = 0.10, 0.52), and GSC (g = 0.17; 95% CI = 0.01, 0.33). The existence of additional interventions in PA-based programmes (e.g., interventions focused on psychological factors or healthy habits) moderated the influence of PA on self-perceived sport competence and physical fitness. Moreover, environment and time were distinguished as moderators for self-perceived physical appearance and sport competence. Further, intervention type, gender, and frequency of intervention moderated the effects of PA on PSC. Conclusions: PA-based interventions, especially in school, seem to be beneficial for the development of positive physical self-perceptions.

The role of collective integration and parental involvement on adolescent anxiety-A multilevel analysis

BACKGROUND

Adolescent anxiety should receive more attention than it currently does since it might have long-term impacts that develop across the entire lifespan. We aim to clarify how school-, class- and individual-level factors affect adolescent anxiety and to try to identify the key mediators and moderators that help alleviate adolescent anxiety.

METHODS

We used data from the China Education Panel Survey (CEPS), which is a longitudinal survey. A total of 7582 students aged 14-15 years (in 257 classes within 98 schools) were followed across two survey waves. Since the data are structured hierarchically, we utilized multilevel modeling with HLM 7.0 and Monte Carlo resampling with R to confirm the significance of the mediation effects. Then, we drew interaction diagrams to explain the effects of the moderator.

RESULTS

A higher share of interprovincial migrant students in the school, greater respect for teachers in the classroom, and greater self-confidence in one's personal appearance all reduce adolescent anxiety. Collective integration, as a key mediator, explains how the school-/individual-level factor affects adolescent anxiety. Parental involvement moderates the relationship between collective integration and adolescent anxiety.

LIMITATIONS

Most of the variables were self-reported by the students. The findings of this study should be applied with caution to cross-cultural contexts.

CONCLUSIONS

We advocate for a multipronged approach, particularly an approach that uses different strategies at school, class, and individual levels, to help students develop the skills needed to enhance their social inclusion and sense of personal belonging.

Body image perception and body composition in early adolescents: a longitudinal study of an Italian cohort

BACKGROUND

Adolescence is a sensitive period of life in which everyone faces physical and psychological changes. No longitudinal studies considering changes in body image perception and body composition in Italian adolescents have been carried out. The aims of this study were to evaluate the longitudinal change in body composition and weight status in a sample of Italian students of both sexes over the 3 years of middle school and to analyse the influence of these parameters on the perception and satisfaction of one's own body image.

METHODS

Sixty-four males and seventy females were followed longitudinally from 11 to 14. Age at first measurement was 11.8 ± 0.3 yrs. in males and 11.9 ± 0.3 yrs. in females, then the students were measured again after 1 year and 2 years. Anthropometric measurements were collected and body composition was assessed by skinfolds. Maturity status was detected by age at menarche in females and by estimated age at peak height velocity in males; sports practice was assessed by a questionnaire. Body Silhouette Charts were used to assess body image perception. The degree of body image dissatisfaction and improper perception of weight status were evaluated. Univariate and multivariate analyses were applied.

RESULTS

Height, sitting height, leg length, and weight increments were higher in males than in females, and in both sexes the sitting height increment was higher than that of leg length. Skinfold thicknesses and percentage of body fat, showed a decrease in males and an increase in females over the 3 years. About 90% of the sample practiced sport during the 3 years. No significant variations in body image perception were observed among repeated measures but significantly differences were observed between sexes. Although the girls showed a lower incidence of overweight and obesity than boys, girls had a higher dissatisfaction than males. Males were less accurate in one's perception of one's own weight status.

CONCLUSIONS

The changes in body composition observed in the sample of the present study were in accordance with their maturity stage. An increase in parameters connected with adiposity is observed in females and a decrease in males. Body image perception did not seem to change with growth, but associations were found between body image perception and BMI and sex. Monitoring body image perception in young adolescents, especially in females and in overweight/obese subjects, is a priority to prevent nutritional disorders.

Physical Activity and Quality of Life in High School Students: Proposals for Improving the Self-Concept in Physical Education

Adolescence is a critical period for the acquisition of health-related behaviors that will transcend later psychological well-being in adulthood. The present study presents a theoretical model whose objective is to analyze how physical activity predicts an adequate quality of life through self-concept and subjective happiness among adolescents. A total of 452 students aged 12 to 15 (M = 13.8; SD = 0.77) from four Compulsory Secondary Education institutes of the Autonomous Community of Extremadura participated, including boys (n = 258) and girls (n = 194). The students reported information on the following variables: physical activity, body mass index, self-concept, subjective happiness, and quality of life. The results show acceptable fit indices for the proposed theoretical model, which showed the importance of physical activity through self-concept and subjective happiness in quality of life: MRLχ2 = 67.533, p < 0.05, CFI = 0.93, TLI = 0.90, SRMR = 0.05, and RMSA = 0.07. Likewise, the model presented a better fit index for males than females. This study draws conclusions on the importance of physical activity as a predictor of quality of life mediated by the perception of self-concept and mood in adolescents.

The study of athlete's physical self-image

BACKGROUND

The purpose of this work is to investigate differences in body image between student-athletes and student-non-athletes of both genders.

METHODS

The study on 101 students from the Al-Farabi Kazakh National University and the Ural Federal University was conducted in 2019. All participants were subdivided in two groups: an athletic group with 25 male and 26 female students and a non-athletic group with 25 male and 25 female students. Mean age of the participants was 18.0±1.1 years.

RESULTS

The results of the study show statistically significant differences between athletes and non-athletes on the following subscales: fitness evaluation (p≤.004, Mann-Whitney U test), fitness orientation (p≤.0001), and illness orientation (p≤.004). The results of the study suggest participation in sports positively affect the body image of both male and female student-athletes.

CONCLUSIONS

The results of the study may be relevant to sport psychologists, physical education teachers, trainers, and athletes who seek to optimize physical training programs.

Association between self-perceived body image and body composition between the sexes and different age classes

OBJECTIVES

The aim of this study was to investigate the association between self-perceived body image and body composition in the sexes and in different age classes.

METHODS

The sample consisted of 632 young adults (238 men and 394 women; 22.8 ± 2.3 y of age), and 162 middle-aged and elderly adults (96 men and 66 women; 61.4 ± 7.6 y of age). The Williamson's figure scale was used to evaluate current body size. Anthropometric measurements (height, weight and waist, arm and calf circumferences) were taken, and body mass index was calculated. Specific bioelectrical impedance vector analysis was applied to evaluate body composition.

RESULTS

The findings suggest that in both age classes, current body size was positively correlated with weight, body mass index, and vector length, indicative of the percentage of fat mass, but not with phase angle, indicative of the intracellular/extracellular water ratio and a proxy of muscle mass. The association was similar between men and women, but clearer in women. Confidence ellipses confirmed the strong association between the silhouettes and adiposity.

CONCLUSION

The Williamson's figure scale silhouettes appear to be a suitable technique to screen for adiposity in epidemiologic studies and for routine applications.

Exploring the relationship between adolescent biological maturation, physical activity, and sedentary behaviour: a systematic review and narrative synthesis

CONTEXT

Across adolescence, there is a notable decline in physical activity in boys and girls. Maturational timing may be a risk factor for disengagement from physical activity and increased sedentary behaviours during adolescence.

OBJECTIVE

This systematic review aimed to summarise literature that examined the relationship between maturational timing, physical activity and sedentary behaviour in adolescents.

METHODS

Six electronic databases were searched for articles that assessed biological maturation and physical activity (including sports participation and active transportation) or sedentary behaviours in adolescents. Two reviewers conducted title, abstract, and full-text screening, reference and forward citation searches. Included articles were evaluated for quality using a standardised tool. A narrative synthesis was used to analyse the findings due to the heterogeneity of the studies.

RESULTS

Searches yielded 78 articles (64 unique studies) that met the inclusion criteria, representing 242,316 participants (153,179 unique). Studies ranged from 30.0% (low) to 91.7% (high) in quality. An inverse relationship between maturational timing and physical activity (in 50 and 60% of studies in boys and girls, respectively) and a positive relationship between maturational timing and sedentary behaviour (in 100% and 53% of studies in boys and girls, respectively) was most commonly reported. Evidence supporting an association between maturational timing, sports participation, and active transportation was inconsistent.

CONCLUSIONS

While this review demonstrates some evidence for early maturational timing as a risk factor for disengagement from physical activity and increase in sedentary behaviours, the reviewed literature also demonstrates that this relationship is complex. Future research that tracks maturity-related variations in physical activity and sedentary behaviours over adolescence is warranted.

Physical Activity, Physical Fitness and the Sense of Coherence-Their Role in Body Acceptance among Polish Adolescents

The aim of the study was to investigate the protective role of physical activity (PA) and other health-related bio-psycho components (physical fitness, body composition, body perception and the sense of coherence (SOC)) in body acceptance. We searched for gender differences in those relationships. We investigated 231 adolescents aged 13-16 years from an urban area in Poland. We conducted objective measurements of height, weight, fat% and relative value of minute oxygen consumption. Questionnaires for PA, SOC Body Figure Perception and body acceptance were applied. Linear regression was used for analyzing determinants of body acceptance. We found that more physically active girls reported a less slim ideal vision of their figure (p < 0.05). Physical fitness is a better predictor of body acceptance than physical activity. In the final model, the sense of coherence, body mass index (BMI), and gender (being a boy) were also predictors of body acceptance (F(6,92) = 13.084, p < 0.0001). Gender differences were discussed in the present study. Fitness enhancing physical activity should be recommended for adolescents to achieve the protective psychosocial effect especially among girls. Physical activity on a daily basis brings positive results in a more adequate and reasonable body assessment and it can play a protective role in terms of mental wellbeing. Body satisfaction varies between genders and it is a more sensitive issue among girls than boys during adolescence.

Physical Fitness and Peer Relationships in Spanish Preadolescents

Several studies have linked physical fitness (PF) with improvements in health, at a physiological and psychological level; however, there is little evidence of its relationship with health in the social field. Hence, the main aim of this study was to determine the existing relationship between PF and peer relations, as an indicator of social health in Spanish pre-teens. For that purpose, 642 participants aged 9 to 12 were chosen and given the high-priority Alpha Fitness battery in order to assess the PF, as well as the Classroom Social Experiences Query (CESC) to assess their social status. The results showed that those students with a better cardio-respiratory fitness obtained more nominations from their classmates in pro-sociality and positive status, and fewer in victimisation and negative status. Additionally, although to a lesser extent, muscular fitness was also related to a higher positive status and lower victimisation. The weight condition was also related to social behaviours, although the resulting data were differentiated by sex. While females with a standard weight stood out for their positive status, underweight males obtained worse results in positive status and fewer in negative status. These results all correspond with the aesthetic models imposed by society for females and males, respectively. These results show that PF is related to social health, which makes necessary the promotion of physical activity and the development of PF within the school environment, with attention to its relationship with the social health of the students.

Body Dissatisfaction in Adolescents: Differences by Sex, BMI and Type and Organisation of Physical Activity

The aim of this study was to assess the differences in body dissatisfaction (BD) of male and female adolescents by body max index (BMI) and the quantity, type and organisation of physical activity (PA). To do so, 652 adolescents aged 12-17 years participated in a cross-sectional study. The cognitive-affective component of BD was assessed with the Body Shape Questionnaire (BSQ) and the perceptual component with Gardner's scale for the assessment of, body image (BI). PA was measured with the International Physical Activity Questionnaire (IPAQ-SF) and the item 1 from the Physical Activity Questionnaire for Adolescents (PAQ-A). The results show that sex and BMI are key variables when determining BD. Moderate-to-vigorous PA (MVPA) was moderately associated with a greater body satisfaction in males but no association was found between BD and the participation and organisation of PA. Moreover, the results suggest that participants in aesthetic/lean PA are at a higher risk of suffering from BD than participants in other PA types. These findings provide useful information for the design of programmes promoting healthy lifestyles, weight control and BI concern during the school period.

Effect of Physical Activity on Self-Concept: Theoretical Model on the Mediation of Body Image and Physical Self-Concept in Adolescents

Objective: The aim of this research was to study the mediation of body dissatisfaction, physical self-concept, and body mass index (BMI) on the relationship between physical activity and self-concept in adolescents.

Materials and Methods: A sample of 652 Spanish students between 12 and 17 years participated in a cross-sectional study. Physical self-concept and general self-concept were assessed with the Physical Self-Concept Questionnaire (CAF), body dissatisfaction with the Body Shape Questionnaire (BSQ), and physical activity was estimated with the International Physical Activity Questionnaire (IPAQ-SF). BMI was utilized as a measurement of body composition. Structural equation modeling was used to assess the results.

Results: The resulting models showed good fit indexes. Final model for all participants explained the 17% of the variance of body dissatisfaction, 57% of physical self-concept, and 60% of general self-concept. Physical activity had a positive and indirect effect on self-concept (β = 0.29, p < 0.01) and direct effects on body dissatisfaction (β = −0.26, p < 0.01) and physical self-concept (β = 0.20, p < 0.01). BMI had a direct effect on body dissatisfaction (β = 0.31, p < 0.01) and on physical self-concept (β = −0.10, p < 0.01) and an indirect effect on general self-concept (β = −0.24, p < 0.01). However, it was only associated with physical activity in males, playing a mediating role between physical activity and body dissatisfaction.

Conclusion: Physical activity can help individuals to achieve a positive self-concept and promote psychological well-being in adolescents through the improvement of physical perceptions and body satisfaction. The importance of BMI, body dissatisfaction, and physical self-concept on the configuration of the self-concept is also emphasized. Educational policymakers and Physical Education teachers should implement strategies to promote physical activity in the schools and provide a Quality Physical Education programs to increase physical activity during adolescence.

Baseline Body Mass Predicts Average Depressive Symptoms over the Next Two Decades for White but Not Black Older Adults

Background: Although obesity and depression have a bidirectional association, this link may vary based on race. The current study tested racial variation in bidirectional links between depressive symptoms and body mass index (BMI) over 24 years of follow-up in older adults over the age of 50 in the United States. We hypothesized weaker bidirectional links in Blacks compared to Whites. Methods: Data came from waves 1 to 12 (1990 to 2014) of the Health and Retirement Study (HRS), an ongoing state-of-the-art national cohort. The study followed a representative sample of Americans (n = 15,194; 2,200 Blacks and 12,994 Whites) over the age of 50. Dependent variables were average depressive symptoms and BMI over 24 years, based on measurements every other year, from 1990 to 2014. Independent variables included baseline depressive symptoms and BMI. Covariates included age, gender, marital status, veteran status, and activities of daily living. Structural equation models were fitted to the data for data analysis. Results: In the pooled sample, bidirectional associations were found between BMI and depressive symptoms as baseline BMI predicted average depressive symptoms over time and baseline depressive symptoms predicted average BMI over 24 years. Racial differences were found in the bidirectional association between BMI and depressive symptoms, with both directions of the associations being absent for Blacks. For Whites, baseline BMI predicted average depressive symptoms over the next 24 years. Conclusion: Reciprocal associations between BMI and depressive symptoms over a 24-year period among individuals over the age of 50 vary for Blacks and Whites. As these associations are stronger for Whites than Blacks, clinical and public health programs that simultaneously target comorbid obesity and depression may be more appropriate for Whites than Blacks.

[Body image of healthy adolescent women and its association with physical activity: a systematic review]

The aim of this study was to evaluate the related scientific production on body image in healthy female adolescents and its association with physical activity. A systematic review of national and international journals was conducted using the major electronic databases. The following inclusion criteria selection were used: sample of female adolescents, with different results; papers in English, Spanish and Portuguese; papers published from 2005 to 2015. Eighteen studies were included and carefully analyzed. The most published paper concentrations were found in Europe (61.2 %). Several studies (95%) used questionnaires as a research instrument to assess physical activity and 55% studies used scales to analyze the body image. No increase was found in the production of literature involving body image study and physical active behavior in healthy female adolescents. In conclusion, the main findings of this review relate to the lack of parameters for the measurement of physical activity and body image analysis. Thus, although it is a current thematic area in the literature, it is possible to consider that the diversity of methodological design between studies makes it difficult to compare the data, making it imperative to standardize instruments and definitions.

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

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 (F_3,1506 = 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.

Relationships between Physical Activity Levels, Self-Identity, Body Dissatisfaction and Motivation among Spanish High School Students

The aim of this study was to examine the relationships between gender and the educational grade on the one hand, and physical activity levels, motivation, self-identity, body dissatisfaction, the intention to be physically active and daily sitting time on the other, in a sample of Spanish high school adolescents. The sample consisted of 2087 Spanish students from the 3rd (n = 1141) and 4th grade (n = 946), both male (n = 1046) and female (n = 1041), ranging in age from 15 to 17 years old (M = 15.42; SD = .86). Students completed questionnaires to assess their levels of physical activity, self-identity, motivation, intention to be physically active and daily sitting time. The students' perceptions of their body height and mass were also tested. With the exception of walking MET values, the results showed gender differences in the variables tested. Male participants showed higher intrinsic motivation and lower amotivation than female participants. Furthermore, male students revealed higher levels of physical activity than female students. Finally, the research concluded with the importance of promoting intrinsic reasons for physical activity in order to encourage positive consequences in high school students.

Sustained Obesity and Depressive Symptoms over 6 Years: Race by Gender Differences in the Health and Retirement Study

Background: Although obesity and physical activity influence psychosocial well-being, these effects may vary based on race, gender, and their intersection. Using 6-year follow-up data of a nationally representative sample of adults over age of 50 in the United States, this study aimed to explore race by gender differences in additive effects of sustained high body mass index (BMI) and physical activity on sustained depressive symptoms (CES-D) and self-rated health (SRH).

Methods: Data came from waves 7, 8, and 10 (2004–2010) of the Health and Retirement Study (HRS), an ongoing national cohort started in 1992. The study enrolled a representative sample of Americans (n = 19,280) over the age of 50. Latent factors were used to calculate sustained high BMI and physical activity (predictors) and sustained poor SRH and high depressive symptoms (outcomes) based on measurements in 2004, 2006, and 2010. Age, education, and income were confounders. Multi-group structural equation modeling (SEM) was used to test the additive effects of BMI and physical activity on depressive symptoms and SRH, where the groups were defined based on race by gender.

Results: Group differences were apparent in the direction and significance of the association between sustained high BMI and depressive symptoms. The association between sustained high BMI and depressive symptoms was positive and significant for White women (B = 0.03, p = 0.007) and non-significant for White men (B = −0.03, p = 0.062), Black men (B = −0.02, p = 0.564) and Black women (B = 0.03, p = 0.110). No group differences were found in the paths from sustained physical activity to depressive symptoms, or from physical activity or BMI to SRH.

Conclusion: Sustained high BMI and high depressive symptoms after age 50 are positively associated only for White women. As the association between sustained health problems such as depression and obesity are not universal across race and gender groups, clinical and public health interventions and programs that simultaneously target multiple health problems may have differential effects across race by gender groups.

Physical activity and self-esteem: testing direct and indirect relationships associated with psychological and physical mechanisms

In the present study, we investigated the relationship between physical activity (PA) and self-esteem (SE), while introducing body mass index (BMI), perceived physical fitness (PPF), and body image (BI) in adults (N =264, M =38.10 years). The findings indicated that PA was directly and indirectly associated with SE. BMI predicted SE neither directly nor indirectly, but was directly associated with PPF and both directly and indirectly with BI. Furthermore, PPF was directly related to BI and SE, and a direct association was found between BI and SE. The pattern of results suggests that among a sample of adults, PA is directly and indirectly associated with SE, PPF, and BI, but not with BMI. PA, PPF, and BI appear to play an important role in SE. Accordingly, regular PA should be promoted, in particular, among adults reporting lower SE.

Mediating effects of body composition between physical activity and body esteem in Hong Kong adolescents: a structural equation modeling approach

This study investigated the mediating role of body mass index (BMI) in the relationship between physical activity and body esteem in adolescents. Nine hundred and five Hong Kong Chinese students aged 12-18 years participated in a cross-sectional study in 2007. Students' BMI was computed as an indicator of their body composition. Their physical activity level and body esteem were examined using the Physical Activity Rating for Children and Youth (PARCY) and Body Esteem Scale (BES), respectively. Structural equation modelling was used to investigate the mediating effects of BMI and physical activity in predicting body esteem, with stratification by sex. The overall fit of the hypothesized models was satisfactory in boys (NFI = 0.94; NNFI = 0.88; CFI = 0.95; RMSEA = 0.07) and girls (NFI = 0.89; NNFI = 0.77; CFI = 0.91; RMSEA = 0.11). When BMI was considered as a mediator, higher physical activity had a significant negative total effect on body esteem in boys, but not in girls. The indirect effect of higher physical activity on body esteem via BMI was positive in boys, but negative in girls.

CONCLUSIONS

Regular physical activity may help overweight adolescents, especially boys, improve their body esteem. Kinesiologists and health professionals could explore the use of physical activity prescriptions for weight management, aiming at body esteem improvement in community health programs for adolescents.

WHAT IS KNOWN

Among Western adolescents, negative body esteem is more pervasive in girls than in boys. There are consistent findings of the association between higher body mass index and lower body esteem in adolescents, but the association between physical activity and body esteem are equivocal.

WHAT IS NEW

A negative association between body mass index and body esteem was found in both Hong Kong adolescent boys and girls. The indirect effect of physical activity on body esteem via body mass index was positive in Hong Kong adolescent boys, but negative in girls.