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Does Body Satisfaction Matter? Five-year Longitudinal Associations between Body Satisfaction and Health Behaviors in Adolescent Females and Males
Abstract
Purpose This study addresses the question, "Does body satisfaction matter?" by examining longitudinal associations between body satisfaction and weight-related health-promoting and health-compromising behaviors five years later among adolescents.Methods Project EAT-II followed an ethnically and socioeconomically diverse sample of 2516 adolescents from 1999 (Time 1) to 2004 (Time 2). Associations between body satisfaction at Time 1 and health behaviors at Time 2 were examined, adjusting for sociodemographic characteristics and Time 1 health behaviors, with and without adjustment for body mass index (BMI).Results In females, lower body satisfaction predicted higher levels of dieting, unhealthy and very unhealthy weight control behaviors and binge eating, and lower levels of physical activity and fruit and vegetable intake. After adjusting for BMI, associations between body satisfaction and dieting, very unhealthy weight control behaviors, and physical activity remained statistically significant. In males, lower body satisfaction predicted higher levels of dieting, healthy, unhealthy, and very unhealthy weight control behaviors, binge eating, and smoking, and lower levels of physical activity. After adjusting for BMI, associations between body satisfaction and dieting, unhealthy weight control behavior, and binge eating remained statistically significant.Conclusions The study findings indicate that, in general, lower body satisfaction does not serve as a motivator for engaging in healthy weight management behaviors, but rather predicts the use of behaviors that may place adolescents at risk for weight gain and poorer overall health. Interventions with adolescents should strive to enhance body satisfaction and avoid messages likely to lead to decreases in body satisfaction.
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“This might lead patients to engage in maladaptive behaviors (e.g., smoking) in a desperate attempt to cope with the distress [48], with negative consequences on physical functioning [49].”
From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [48]
In the citing paper
“Given that body dissatisfaction is one of the most important risk factors for eating disorders and related health outcomes in adolescence (e.g., NeumarkSztainer, Paxton, Hannan, Haines, & Story, 2006), it is critical to understand factors that contribute to adolescents' body dissatisfaction.”
From The reciprocal and indirect relationships between passive Facebook use, comparison on Facebook, and adolescents' body dissatisfaction (2017) · cites this paper as Neumark-Sztainer et al., 2006
In the citing paper
“Since a negative body image has shown to increase weight control behaviour in adolescents [60]”
From The association of demographic characteristics and food choice motives with the consumption of functional foods in emerging adults (2020) · cites this paper as [60]
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Self-citation
Metadata
- Authors
- Neumark-Sztainer, D., Paxton, S. J., Hannan, P. J., Haines, J., & Story, M.
- Affiliations
- La Trobe University (AU)
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2006-08
- Volume
- 39
- Issue
- 2
- Pages
- 244-251
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W2088750578
- Cited by
- 1,087
- References
- 38
- Citations by year
- 2026: 45 · 2025: 50 · 2024: 58 · 2023: 54 · 2022: 57 · 2021: 63 · 2020: 99 · 2019: 72 · 2018: 74 · 2017: 53 · 2016: 65 · 2015: 83 · 2014: 69 · 2013: 50 · 2012: 51
- FWCI
- 26.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Health Resources and Services Administration
- U.S. Public Health Service (R40-MC-00319)
- Maternal and Child Health Bureau
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- body satisfaction, adolescents, dieting, weight control behaviors, binge eating, physical activity, fruit and vegetable intake, smoking, body mass index, sex differences, health behavior
- MeSH terms
- Adolescent, Adolescent Behavior, Feeding and Eating Disorders, Body Image, Diet, Diet, Reducing, Female, Humans, Male, Risk-Taking, Sex Factors, Health Behavior, Exercise, Body Mass Index
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