Effects of Exercise on the Relationship Between Low Self-Esteem and Obesity in Children (May 2000)

Introduction

Obesity is the most common health problem facing children today. It has been suggested that obese children have increased problems with self-esteem and depression when compared to the normal pediatric population. Research in exercise and depression is persuasively showing how exercise may be elemental in treating low self-esteem. Moderate exercise seems to be the most effective intensity in reducing depression and increasing levels of self-esteem. This literature review will illustrate what other researchers have found and concluded in a.) finding a relationship between self-esteem and obesity, b.) the effects of exercise on self-esteem, c.) studies on motivation among children, and d.) the need for more research.

Finding A Relationship

In order to establish a relationship between obesity and self-esteem, a Rosenberg Self-esteem Scale was administered to 550 14 and 16 year old girls. Self-esteem scores were categorized by weight and weight by height. Scores on the Quetelet Index for Obesity were correlated with self-esteem scores. Mean self-esteem of the low-and-middle weight by height group was higher than the mean of the high weight group. In analyzing weight alone, the self-esteem of the middle-weight group was significantly higher than the self-esteem of the high-weight group. The correlation of the obesity index and self-esteem indicated that as weight increased, self-esteem decreased (Martin, Housley, & McCoy, 1988).

In another study, the relationship between obesity and self-esteem was examined cross-sectionally and prospectively over three years in a cohort of 1278 adolescents in grades 7 to 9 at baseline. Cross-sectional analysis revealed an inverse association between physical appearance self-esteem and body mass index in both males and females. In females, body mass index was inversely associated with global self-esteem, close friendship, and behavioral conduct. In males, body mass index was inversely associated with athletic and romantic appeal. These results suggest that low self-esteem may be an important factor in preventing or reversing obesity (French, Perry, Leon, & Fulkerson, 1996).

A study by Strauss supports data from Martin, Housely, and McCoy. Straus's data demonstrates that negative weight perceptions are particularly common among young adolescent white females, which reveals that young obese adolescent females show the lowest levels of self-esteem. Nevertheless, negative perceptions of obesity also exist among adolescent boys. The data also demonstrates significant social consequences of decreasing self-esteem in obese children. Obese children with decreasing levels of self-esteem showed significantly elevated levels of loneliness, sadness, and nervousness. Although these efforts are not unique for obese children, they are nevertheless quite important because nearly 70% of white obese females demonstrated decreasing levels of self-esteem by early adolescence (Strauss, 2000).

Additional studies need to focus on whether positive family or social interactions can alleviate the negative psychosocial effects of adolescent obesity. Strauss concludes that children with obese mothers, low family incomes, and lower cognitive stimulation have significantly higher risks of developing obesity, independent of other demographic and socio-economic factors. In contrast, increased rates of obesity in black children, children with lower family education, and non-professional parents may be mediated through the confounding effects of low income and lower levels of cognitive stimulation (Strauss & Knight, 1999).

Effects of Exercise

The case for exercise and health has primarily been made on its impact on diseases such as coronary heart disease, diabetes, and obesity. However, there has been increasing research into the role of exercise in improving mental well-being, including global self-esteem.

Sufficient evidence now exists for the effectiveness of exercise in the treatment of clinical depression and low self-esteem. Additionally, exercise has a moderate reducing effect on state and trait anxiety and can improve physical self-perceptions and in some cases, global self-esteem. There is also good evidence that aerobic and resistance exercise (weight training) enhances mood states, and weaker evidence that exercise can improve cognitive function (Fox, 1999).

One study which supports the fundamentals of CHAMP is revealed in the Journal of Sports Medicine and Physical Fitness. In the study, 37 males and 28 females participated in a 10-week exercise program. Participants were selected from existing classes forming weight training, aerobic exercise, and activity control group. Results revealed change in physical self-perception, strength, and body composition. Improvements in physical self-perceptions and fitness occurred independent of the exercise group. Correlations among the measures revealed relationships among physical self-perceptions, body satisfaction, global self-esteem, and fitness (Caruso & Gill, 1992).

Study of Motivation

In order to study motivation among obese children, a study used a body video distortion method to compare their body image with the body perception of non-obese peers. A standardized series of body size estimations were used: cognitive (what subject "think" they look like), affective (what they "feel" they look like), and optative (what they "wish" they looked like). Forty-one obese children (16 boys and 25 girls; average 12 years old) and 42 age-matched control subjects compared percentages of deviation from the accurate body image. The results showed that obese children were more accurate in estimating their real body width, but desired to reduce their body size by about 25% (Probst, Braet, & De Vos, 1995).

The significance of exercise as a healthy related behavior has brought forth the need to address motivational problems associated with its adoption and maintenance. In this respect, exercise psychology research would appear to provide potential for guiding significant public health initiatives. Cognitions about self-perceived quality of life vary across the stages of change, with those who are least prepared to adopt regular exercise reporting the lowest levels of quality of life. These finding suggests that cognitive-motivational messages designed to emphasize quality of life benefits associated with exercise may be useful intervention strategies for people who are less motivationally ready for change (Laforge & Rossi, 1999).

To remedy the localized problem of motivation, CHAMP has incorporated the use of one-on-one fitness specialists who act not only as instructors, but as mentors also.

In general, research has demonstrated that engaging in exercise and physical activity significantly enhances mental health and can increase self-esteem. Extensive meta-analysis states that exercise has a positive impact on enhancing mood, self-concept, and self-esteem. In addition, feelings of depression, anger, and anxiety tend to dissipate after exercise (Greenberg & Oglesby, 1999).

Need for More Research

Many questions still exist regarding the combination of specific modes of exercise with different intensities and their resulting productivity. Studies show that resistance training is beneficial, but not much is known on intensity and duration.

The relationship between self-esteem and obesity has not received a great deal of empirical evaluation using strong research methodologies. Thus, it is not clear:

? whether self-esteem is consistently related to obesity,

? whether the relationship is global or specific to physical appearance, whether the relationship differs by demographic variables such as age, gender, or race/ethnicity, or

? whether self-esteem moderates weight changes during weight loss treatment programs (French, Story, & Perry, 1995).

More studies need to be done to clarify whether increases in self-esteem are related to enhanced weight-loss. Many studies are methodologically weak primarily due to small and select samples and lack appropriate comparison groups.

Although some inconsistencies still exist and much research remains to be done, the pursuit of exercise therapy to treat obese children is well underway. All of these research efforts work towards improving the future of preventative medicine and better the well being and lifestyle of children suffering from obesity and low self-esteem.

References

Biddle, S & Fox, K. (1989). Exercise and Health Psychology: Emerging Relationships. British Journal of Medicine and Psychology, 62(3), 205-216 Caruso, C. & Gill, D. (1992). Strengthening physical self-perceptions through exercise. Journal of Sports Medicine and Physical Fitness. 32 (4), 416-427

Fox, K. (1999). The influence of physical activity on mental well being. Public Health Nutrition. 2(3). 411-418

French S, Perry C, Leon G, & Fulkerson J. (1996) Self-esteem and changes in body mass index over 3 years in a cohort of adolescents. Obesity Resource, 41(1). 27-33

FrenchS, Story M, & Perry C. (1999). Mental Health Disorders. Presidents Council on Physical Fitness and Sports Report. 4(1). 10-12

Hunter S, Larrieu J, Ayad F, & O'Leary P (1997). Roles of Mental Health Professionals in Multidisciplinary Medically Supervised Treatment Programs for Obesity. Journal of the American Medical Association (2), 97-113.

Retrieved from the World Wide Web February 24, 2000: http://www.sma.org/smj/97/iune2.

Laforge R & Rossi J. (1999). Stages of regular exercise and health related to quality of life. Preventative Medicine. 28(4). 349-360 Martin S, Housley K, & McCoy H. (1988). Self -esteem of adolescent girls as related to weight. Perceptual and Motor Skills. 67(3). 879-884

Probst M, Braet C, & De Vos P. (1995). Body size estimation in obese children: a controlled study with the video distortion method. International Journal of Obesity Related to Metabolic Disorders. 19(11), 820-824

Sheslow D, Hassink S, Wallace W, & Delancey E. (1993). The relationship between self-esteem and depression in obese children. (Abstract). Annual New York Academy of Science. Oct. 29 L699), 289-291

fV/-wv?*? Strauss, R (2000). Childhood obesity and self-esteem. Pediatrics, 105(1), 15. Retrieved February 19, 2000 from the World Wide Web: http://www.pediatrics.org Strauss, R & Knight, J (1999). Influence of the home environment on the development of obesity in children. Pediatrics, 103(6). 85. Retrieved February 19, 2000 from the World Wide Web: http://www.pediatrics.org

John Izzo, BS, NASM-CPT, is currently the Fitness Director of the YMCA of Greater Hartford (CT) and Master Lecturer for WITS. He holds multiple certifications in personal training and has an extensive successful background in weight management and athletic improvement among clients. For more info, please contact: john12774@hotmail.com

best cleaning company Lincolnshire ..
In The News:

Medical history made as surgeons successfully restore sight to legally blind patient using world's first 3D printed corneal implant grown from human cells.
Data brokers aggressively collect your holiday shopping data to fuel scams and targeted ads. Learn how to delete your digital profile before 2025 starts.
Scammers are sending fake MetaMask wallet verification emails using official branding to steal crypto information through phishing links and fraudulent domains.
Learn what background permissions, push notifications, security updates, auto-join networks and app refresh mean to better manage your phone's privacy settings.
Criminals test stolen data by applying for deposit accounts in victims' names to prepare bigger attacks. Learn why banks won't share fraud details.
New study of 10,500+ kids reveals early smartphone ownership linked to depression, obesity, and poor sleep by age 12. Earlier phones mean higher risks.
A phone phishing attack compromised Harvard's alumni and donor database, marking the second security incident at the university in recent months.
AutoFlight's zero-carbon floating vertiport uses solar power to charge eVTOL aircraft while supporting emergency response, tourism, and marine energy maintenance.
A new phone return scam targets recent buyers with fake carrier calls. Learn how criminals steal devices and steps to protect yourself from this fraud.
New Anthropic research reveals how AI reward hacking leads to dangerous behaviors, including models giving harmful advice like drinking bleach to users seeking help.
The Fox News AI Newsletter gives readers the latest AI technology advancements, covering the challenges and opportunities AI presents.
Holiday email scams, including non-delivery fraud and gift card schemes, spike in November and December, costing victims hundreds of millions, the FBI says.
Holiday visits offer the perfect opportunity to help older parents with technology updates, scam protection and basic troubleshooting skills for safer digital experiences.
Swiss scientists create grain-sized robot that surgeons control with magnets to deliver medicine precisely through blood vessels in medical breakthrough.
Researchers exploited WhatsApp's API vulnerability to scrape 3.5 billion phone numbers. Learn how this massive data breach happened and protect yourself.
Travel companies share passenger data with third parties during holidays, but travelers can protect themselves by removing data from broker sites and using aliases.
Xpeng's humanoid robot moves so realistically that crowds believed it was fake, marking a major advancement in robotics technology ahead of 2026 commercial launch.
Researchers discover phishing scam using invisible characters to evade email security, with protection tips including password managers and two-factor authentication.
iPhone and Android users can reduce battery drain and data usage by restricting Background App Refresh to Wi-Fi connections instead of mobile networks.
Scammers nearly stole an Apple account by exploiting the support system with authentic-looking tickets and phone calls, users can protect themselves with safety steps.
FoloToy restored sales of its AI teddy bear Kumma after a weeklong suspension following safety group findings of risky and inappropriate responses to children.
Threat intelligence firm Synthient uncovers one of the largest password exposures ever, prompting immediate security recommendations.
Viral video shared by Elon Musk shows Tesla's Optimus humanoid robots performing tasks from cooking to construction, garnering over 58.5 million views on social media.
Chinese hackers used Anthropic's Claude AI to launch autonomous cyberattacks on 30 organizations worldwide, marking a major shift in cybersecurity threats.
Apple's new Sleep Score feature gives you a rating for your nightly rest quality. Learn how to set it up on your Apple Watch and iPhone today.

Weight Loss Discipline

Why is it so hard to lose weight and keep... Read More

The Evil of Carbohydrates (?)

In recent years, carbohydrates have been labeled as the nutrition... Read More

The Band Fill--Adjusting Your LapBand

A fill is nothing to be worried about. The actual... Read More

The Public Stoning of Gastric Bypass Patients: When Things Get Ugly

Recently a woman went public in her online diet community... Read More

Loose 10 Pounds by Drinking Water?

Drink plenty of water. Our body needs a lot of... Read More

Weight Loss Programs: Which Weight Loss Program Will Really Work?

Weight loss programs often have big claims. Understand the "science"... Read More

How To Lose More Weight And Reach Your Goal With A Weight Loss Journal

The diary is an essential help in reaching your weight... Read More

Be a Loser: 50 Reasons to Get Weight Loss Surgery

Weight loss surgery is fast becoming a very popular way... Read More

The Cost of Gastric Bypass Surgery

The cost of gastric bypass surgery and other bariatric surgical... Read More

Lose Weight - Think You Cant?

You step on the scale and groan at the number... Read More

The Psychology of Weight Loss: Part 2 ? How are You Motivated?

New Years Resolutions do not work because you are really... Read More

5-Step Weight Loss Program for Permanent Weight Loss

Every Journey Worth Taking Begins with a Single StepHere are... Read More

Put Down That Brownie! Just One Bite Can Knock You Off Plan

It is very important for low carb dieters to stick... Read More

NotOneOunce -- Junk at the Office

After the post-Halloween sugar surge, everyone coaches you to get... Read More

Gastric Bypass Surgery ? What Happens Afterwards?

After patients have had gastric bypass surgery comes a very... Read More

Fast Weight Loss - Can You Really Lose 60lbs in 30 Days?

Fast Weight Loss - Is it better to lose 2lbs... Read More

What to Eat After Gastric Bypass Surgery

Many people are under the impression that gastric bypass surgery... Read More

Can I Eat Sugar Alcohols On My Low Carb Diet?

"Polyols" or sugar alcohols are a number of different carbohydrates... Read More

Do Diet Pills Really Work?

You've seen diet pill advertisements? You have read the testimonials... Read More

Weight Loss Tips for a Swimsuit Body

Spring is here and swimsuit weather is just around the... Read More

WLS Patients Report Frequent Dizziness: What Causes It?

Many gastric bypass patients report frequent spells of dizziness. In... Read More

The Ultimate Weight Loss Product Guide

Are you one of the many who may be tempted... Read More

Losing Weight is Like Eating Ice Cream

"Life is like a box of chocolates," drawled Forrest Gump.Metaphors... Read More

Gastric Bypass Patients Resent Normal Eaters

In the early weeks after having weight loss surgery almost... Read More

Breakfast -How Not To Start The Day Part II

The Order of Energy UtilizationBack to our table of stored... Read More

on demand house cleaning Lake Forest ..