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

maide service in Lincolnshire ..
In The News:

Denmark's 3D-printed student village proves automation builds 36 apartments faster than traditional methods. Skovsporet project shows housing future.
Discover Android's new Sound Notifications feature that alerts you to smoke alarms, doorbells, and baby cries even when wearing headphones.
New SantaStealer malware reportedly threatens holiday shoppers with password theft. This Christmas-themed info-stealer targets browsers and crypto wallets.
The Christmas season brings a surge in Netflix phishing scams targeting shoppers with fake emails. Stacey P received convincing scam but verified account first.
San Francisco Giants invite Jamie Grohsong to throw ceremonial first pitch at Oracle Park after he learned to play baseball with a bionic hand following an injury.
FBI warns cybercriminals are stealing family photos from social media to create fake proof of life images in virtual kidnapping scams targeting victims.
Instagram's new 'Your Algorithm' tool lets you control your Reels feed in real time. The app now gives you power to customize what videos you see.
Major Marquis fintech breach exposes 400,000-plus Americans' data through unpatched SonicWall vulnerability, with Texas hardest hit at 354,000 affected.
Free up iPhone storage fast by clearing large photos and videos from Messages app. Simple steps for iOS users to delete attachments without losing chats.
Scammers are flooding inboxes with fake tracking alerts that mimic real carriers, exploiting the holiday rush to steal logins and personal data.
The Fox News AI Newsletter brings you the latest news on AI technology advancements and the challenges and opportunities AI presents now and for the future.
Texas family reunites with missing 11-year-old cat Grayson after 103 days using Petco Love Lost's AI photo matching technology and community help.
Tired of AI customer service loops? These insider tricks help you escape "frustration AI" and get real human help when you need it most for urgent issues.
Unlock richer audio from your streaming apps with simple tweaks to volume normalization, equalizer settings, and quality preferences for cleaner sound.
Scammers are sending fake Facebook settlement payout emails that mimic legitimate notices from the privacy settlement administrator to deceive users.
Holiday shopping scams surge as fake refund emails target distracted consumers during Black Friday and holiday seasons, costing Americans billions annually.
The AI-powered IRMO M1 exoskeleton features four modes, including turbo, eco, training and rest for hiking, running, cycling and sports with eight-hour battery life.
OpenAI announced upgrades for its ChatGPT Images platform on Tuesday, saying the program can now make more precise edits and produce images more quickly.
Chrome for Android now turns web articles into AI-powered podcast conversations. Get hands-free browsing with Google Gemini's natural audio summaries.
LastPass faces $1.6 million fine from U.K. regulators after 2022 data breach exposed 1.6 million users. Password manager failed proper security controls.
Petco disclosed a data breach exposing customer Social Security numbers, financial account details, and driver's license information due to a software error.
Baseball teams can now analyze complete swing mechanics in normal training environments using Theia's markerless AI system that processes standard high-speed footage.
Smart home hacking fears overblown? Expert reveals real cybersecurity risks and simple protection tips to keep your connected devices safe from hackers.
MIT develops needle-free glucose monitor using light technology. Revolutionary device could replace painful finger pricks for diabetes management.
The ClickFix campaign disguises malware as legitimate Windows updates, using steganography to hide shellcode in PNG files and bypass security detection systems.

What Every Woman Needs!

As a woman, your body is very complex. Throughout every... Read More

Cause and Solution to Obesity

ObesityToday, 64.5 percent of adult Americans (about 127 million) are... Read More

Weight Loss Success -- The Most Important Determinant

Adherence to diet for one year, not the specific diet... Read More

Dieters : Questions You Must Ask Yourself when You Want to Lose Weight

Now I know you're always asking yourself questions.You know the... Read More

Low Carbohydrate Diet Revolution -- A History

Most people think of the Atkins diet when they hear... Read More

Forget All About That Calorie Counting Crap And Learn How To Lose Some Weight!

That's a pretty "in your face" statement, but really it's... Read More

How Body Mass Index Works ? Set Your Weight Loss Goals

Many people want to lose a few of those annoying... Read More

Im Freezing! Why Gastric Bypass Causes Patients to be Cold

Body temperature is the result of your body generating and... Read More

Breakfast and Weight Loss

Some people think that skipping breakfast will help them lose... Read More

Close Kept Secrets to Weight Loss Lesson #13

Life is great, isn't it? Stop and just look around... Read More

When Cellulite Attacks!

Cellulite is a recent addition to the English language. In... Read More

Turn Off the Fat Genes - A Book Review

Once in a while a good title comes along and... Read More

Seven Reasons Why You Might Take Hoodia

Good health is all too easily taken for granted until... Read More

The Best Carbs For Low Carbers

With the popularity of low carb diets such as Atkins,... Read More

Slowing Down Can Help You Lose Weight Faster

Running For Weight Loss??.Slow DownYou may be out running your... Read More

For Effective Weight Loss - Curb Hunger And Avoid The Binge

Curb Hunger and Avoid The Costly BingeEveryone's been there -... Read More

Lost Weight with Gastric Bypass? Hints for Great After Pictures

I clearly remember how much I loathed having my picture... Read More

Weight Loss for Good! - The # 1 Secret!

The only way you will ever follow through on an... Read More

Fat Burning Tips

These fat burning tips can help you discover a fat... Read More

Cellulite: Do We Have To Lump It?

What is cellulite? Ask a doctor and he will probably... Read More

Personalized Weight Loss Plans -- Breaking the Yo-Yo Cycle of Failed Diets

Dieting will continue to fail most dieters, unless personalized weight... Read More

I Cant Weight (One Mans Diet)

From the book Spider's Big CatchLike many people, I've decided... Read More

Do You Know These Tricks To Help Conquer Food Cravings?

Food cravings are crafty -- they appear from nowhere and... Read More

Lose Weight on Hips and Thighs: A Quest for Slimmer Hips and Thighs!

Losing weight on hips and thighs has always been a... Read More

Best Diet Type -- Losing Weight for Your Wedding

Choosing the right diet type is the most important decision... Read More

cleaning lady near Deerfield ..