Self-esteem and cognitive development in the era of the childhood obesity epidemic
Open accessAbstract
Consequences of obesity for mental health and cognitive development are not established to the same degree as those for chronic diseases. This study aims to document the interrelationships between body weight, self-esteem and school performance in childhood. Height and weight measurements and self-report of self-esteem, diet quality and physical activity of 4945 grade 5 students were linked with standardized literacy test results. Structural equation models were applied to confirm hypothesized relationships between body weight, self-esteem and school performance, and revealed that body weight affected self-esteem negatively and that school performance affected self-esteem positively. Body weight did not affect school performance, and self-esteem did affect neither body weight nor school performance. Subsequent multi-level logistic regression showed that obese students, relative to normal weight students, were more likely (1.44; 95% CI: 1.12-1.84), and students with good school performance, relative to those performing poor, were less likely (0.39; 95% CI: 0.26-0.58), to have low self-esteem. Diet quality and active living had positive effects on both school performance and self-esteem. The study findings further establish obesity as a risk factor for low self-esteem and add to the rationale to promote healthy eating and active living among children and youth as this will prevent chronic diseases and improve mental health and cognitive development.
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Obesity in childhood and adolescence is associated with poor body image, low self-esteem, and low quality of life and well-being.
“Moreover, obesity in childhood and adolescence is associated with poor body image, low self-esteem [10], and low quality of life and well-being [11].”
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- Authors
- Wang, F., & Veugelers, P. J.
- Affiliations
- University of Alberta (CA)
- Corresponding author
- Veugelers, P. J.
- ORCID
- Veugelers, P. J.
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2008-10-15
- Volume
- 9
- Issue
- 6
- Pages
- 615-623
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- OpenAlex
- W1979666501
- Cited by
- 180
- References
- 40
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 8 · 2023: 9 · 2022: 5 · 2021: 10 · 2020: 7 · 2019: 13 · 2018: 5 · 2017: 10 · 2016: 12 · 2015: 15 · 2014: 17 · 2013: 12 · 2012: 18
- FWCI
- 10.27
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- childhood obesity, self-esteem, cognitive development, academic performance, body weight, diet quality, physical activity, literacy achievement, mental health, healthy eating, active lifestyle, chronic disease prevention
- MeSH terms
- Body Weight, Child, Child Development, Cognition, Disease Outbreaks, Female, Humans, Male, Nova Scotia, Obesity, Schools, Self Concept, Students, Logistic Models
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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