Childhood Obesity and Self-Esteem
Abstract
BACKGROUND: Although childhood obesity may have detrimental consequences for childhood self-esteem, the prevalence and magnitude of this problem is controversial. In addition, the social and emotional effects of decreased self-esteem in obese children are unknown. METHODS: A total of 1520 children, 9 to 10 years of age, born to mothers in the National Longitudinal Survey of Youth were studied. Comprehensive demographic data including race and family income were available in 97% of the cohort. Self-esteem was measured using Self-Perception Profile for Children. The 4-year follow-up Self-Perception Profile for Children scores were available in 79% of the children. Obesity was defined as a body mass index greater than the 95th percentile for age and gender. Additional data include a self-administered questionnaire at 13 to 14 years of age concerning emotional well being, smoking, and alcohol consumption. Data were stratified by race and gender. The data were weighted to reflect a nationally representative sample of children born to mothers 17 to 28 years of age. RESULTS: Scholastic and global self-esteem scores were not significantly different among 9- to 10-year-old obese and nonobese children. However, over the 4-year period, obese Hispanic females and obese white females showed significantly decreased levels of global self-esteem compared with nonobese Hispanic females and nonobese white females, respectively. Mild decreases in self-esteem also were observed in obese boys compared with nonobese boys. As a result, by 13 to 14 years of age, significantly lower levels of self-esteem were observed in obese boys, obese Hispanic girls, and obese white girls compared with their nonobese counterparts. Decreasing levels of self-esteem in obese children were associated with significantly increased rates of sadness, loneliness, and nervousness compared with obese children whose self-esteem increased or remained unchanged. In addition, obese children with decreasing levels of self-esteem over the 4-year period were more likely to smoke and drink alcohol compared with obese children whose self-esteem increased or remained unchanged. CONCLUSIONS: Obese Hispanic and white females demonstrate significantly lower levels of self-esteem by early adolescence. In addition, obese children with decreasing levels of self-esteem demonstrate significantly higher rates of sadness, loneliness, and nervousness and are more likely to engage in high-risk behaviors such as smoking or consuming alcohol.
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Childhood obesity is strongly associated with psychopathologies such as depression, anxiety, stress, low self-esteem, and social disadvantages such as bullying, peer victimization, and stigma.
“It has been found that obesity is strongly associated with some form of psychopathologies such as depression, anxiety, stress, low self-esteem, as well as social disadvantages such as bullying, peer victimization, and stigma [3,4,5].”
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- Authors
- Strauss, R. S.
- Affiliations
- University of Medicine and Dentistry of New Jersey (US)
- Corresponding author
- Strauss, Richard S.
- ORCID
- Strauss, Richard S.
- Venue
- PEDIATRICS
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2000-01-01
- Volume
- 105
- Issue
- 1
- Pages
- e15-e15
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2170343311
- Cited by
- 1,139
- References
- 35
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 24 · 2023: 18 · 2022: 16 · 2021: 24 · 2020: 33 · 2019: 67 · 2018: 39 · 2017: 44 · 2016: 54 · 2015: 48 · 2014: 71 · 2013: 67 · 2012: 85
- FWCI
- 17.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- childhood obesity, self-esteem, emotional well-being, Hispanic children, adolescent girls, sadness, loneliness, anxiety, smoking, alcohol consumption, high-risk behaviors, race and gender differences, longitudinal cohort
- MeSH terms
- Adolescent, Psychology, Adolescent, Black or African American, Child, Psychology, Child, Female, Hispanic or Latino, Humans, Longitudinal Studies, Male, Obesity, Self Concept, Sex Factors, United States, White People
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