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. 2013 Nov;39(6):825-34.
doi: 10.1111/j.1365-2214.2012.01401.x. Epub 2012 Aug 8.

Body esteem, peer difficulties and perceptions of physical health in overweight and obese urban children aged 5 to 7 years

N A Williams  1 , J Fournier, M Coday, P A Richey, F A Tylavsky, M E Hare
Affiliations

Body esteem, peer difficulties and perceptions of physical health in overweight and obese urban children aged 5 to 7 years

N A Williams et al. Child Care Health Dev. 2013 Nov.

Abstract

Objective: To determine whether there is an association between body mass index (BMI) and body esteem in young overweight and obese urban children, and to test peer relationship difficulties and perceived physical health as mediators of this relationship.

Methods: Child self-reported body esteem, and parent-reported child peer relationship difficulties (being bullied by peers and peer rejection) and physical health perceptions were obtained from 218 overweight and obese children aged 5-7 years (81% racial/ethnic minority, M BMI = 25.3) and their primary caregivers.

Results: Higher BMI was associated with lower body esteem for both girls and boys. This relation was mediated by poor physical health for boys but not for girls. Peer relationship difficulties did not mediate the observed association between BMI and body esteem in either group; however, girls with higher BMI experienced more bullying and being bullied by peers was associated with lower body esteem in girls.

Conclusions: Intervening with perceptions of physical health may buffer overweight and obese boys from developing low body esteem in early childhood.

Keywords: body image; health perceptions; obesity; peers.

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Figures

Figure 1
Figure 1
The process of testing mediation determined whether the following conditions were met: (1) BMI predicted body esteem, (2) BMI predicted bullying, peer rejection, and perceptions of physical health (Paths A, B, and C), (3) bullying, peer rejection, and perceptions of physical health predicted body esteem, independent of BMI (Paths D, E, and F) (4) the relationship between BMI and body esteem was significantly reduced when bullying, peer rejection, and perceptions of physical health were entered into the regression equations before BMI (Path G).
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