Associations between Overweight and Obesity with Bullying Behaviors in School-Aged Children
Abstract
OBJECTIVE: The prevalence of overweight and obesity in children is rising. Childhood obesity is associated with many negative social and psychological ramifications such as peer aggression. However, the relationship between overweight and obesity status with different forms of bullying behaviors remains unclear. The purpose of this article is to examine these relationships. METHODS: We examined associations between bullying behaviors (physical, verbal, relational, and sexual harassment) with overweight and obesity status in a representative sample of 5749 boys and girls (11-16 years old). The results were based on the Canadian records from the 2001/2002 World Health Organization Health Behaviour in School-Aged Children Survey. Body mass index (BMI) and bullying behaviors were determined from self-reports. RESULTS: With the exception of 15- to 16-year-old boys, relationships were observed between BMI category and peer victimization, such that overweight and obese youth were at greater relative odds of being victims of aggression than normal-weight youth. Strong and significant associations were seen for relational (eg, withdrawing friendship or spreading rumors or lies) and overt (eg, name-calling or teasing or hitting, kicking, or pushing) victimization but not for sexual harassment. Independent of gender, there were no associations between BMI category and bully-perpetrating in 11- to 14-year-olds. However, there were relationships between BMI category and bully-perpetrating in 15- to 16-year-old boys and girls such that the overweight and obese 15- to 16-year-olds were more likely to perpetrate bullying than their normal-weight classmates. Associations were seen for relational (boys only) and overt (both genders) forms of bully-perpetrating but not for sexual harassment. CONCLUSIONS: Overweight and obese school-aged children are more likely to be the victims and perpetrators of bullying behaviors than their normal-weight peers. These tendencies may hinder the short- and long-term social and psychological development of overweight and obese youth.
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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].”
Cites
Establishing a standard definition for child overweight and obesity worldwide: international survey
Cole, T. J. (2000) · BMJ · doi:10.1136/bmj.320.7244.1240 · Cited by 16,500 · see citing works
Obesity : Preventing and managing the global epidemic
Akram, D. S., Astrup, A. V., Atinmo, T., Boissin, J.-L., Bray, G. A., Carroll, K. N., Chitson, P., Chen, C., Dietz, W. H., Hill, J. O., et al. (2000) · Research at the University of Copenhagen (University of Copenhagen) · Cited by 12,945 · see citing works
Predicting Obesity in Young Adulthood from Childhood and Parental Obesity
Whitaker, R. C., Wright, J. A., PEPE, M. S., Seidel, K. D., & Dietz, W. H. (1997) · New England Journal of Medicine · doi:10.1056/nejm199709253371301 · Cited by 4,391 · see citing works
Prevalence and Trends in Overweight Among US Children and Adolescents, 1999-2000
Ogden, C. L. (2002) · JAMA · doi:10.1001/jama.288.14.1728 · Cited by 4,060 · see citing works
Relational Aggression, Gender, and Social-Psychological Adjustment
Crick, N. R., & Grotpeter, J. K. (1995) · Child Development · doi:10.1111/j.1467-8624.1995.tb00900.x · Cited by 3,954 · see citing works
Bullying Behaviors Among US Youth
Nansel, T. R., Overpeck, M. D., Pilla, R. S., Ruan, W. J., Simons‐Morton, B. G., & Scheidt, P. C. (2001) · JAMA · doi:10.1001/jama.285.16.2094 · Cited by 3,805 · see citing works
Peer relations and later personal adjustment: Are low-accepted children at risk?
Parker, J. G., & Asher, S. R. (1987) · Psychological Bulletin · doi:10.1037//0033-2909.102.3.357 · Cited by 2,962 · see citing works
Must, A., Jacques, P. F., Dallal, G. E., Bajema, C. J., & Dietz, W. H. (1992) · New England Journal of Medicine · doi:10.1056/nejm199211053271904 · Cited by 2,233 · see citing works
Peer relations and later personal adjustment: Are low-accepted children at risk?
Parker, J. G., & Asher, S. R. (1987) · Psychological Bulletin · doi:10.1037/0033-2909.102.3.357 · Cited by 1,991 · see citing works
Olweus, D. (1994) · The Plenum Series in Social/Clinical Psychology · doi:10.1007/978-1-4757-9116-7_5 · Cited by 1,890 · see citing works
Prevalence of impaired glucose tolerance among children and adolescents with marked obesity
Sinha, R., Fisch, G., Teague, B., Tamborlane, W. V., Banyas, B., Allen, K., Savoye, M., Rieger, V., Taksali, S., Barbetta, G., et al. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa012578 · Cited by 1,709 · see citing works
Social and Economic Consequences of Overweight in Adolescence and Young Adulthood
Gortmaker, S. L., Must, A., Perrin, J. M., Sobol, A. M., & Dietz, W. H. (1993) · New England Journal of Medicine · doi:10.1056/nejm199309303291406 · Cited by 1,612 · see citing works
Freedman, D. S., Khan, L. K., Dietz, W. H., Srinivasan, S. R., & Berenson, G. S. (2001) · PEDIATRICS · doi:10.1542/peds.108.3.712 · Cited by 1,359 · see citing works
Childhood Obesity and Self-Esteem
Strauss, R. S. (2000) · PEDIATRICS · doi:10.1542/peds.105.1.e15 · Cited by 1,139 · see citing works
Development and risk factors of juvenile antisocial behavior and delinquency
Loeber, R. (1990) · Clinical Psychology Review · doi:10.1016/0272-7358(90)90105-j · Cited by 1,032 · see citing works
Smith, P. K., Cowie, H., Olafsson, R. F., Liefooghe, A. P. D., Almeida, A., Araki, H., del Barrio, C., Costabile, A., Dekleva, B., Houndoumadi, A., et al. (2002) · Child Development · doi:10.1111/1467-8624.00461 · Cited by 791 · see citing works
Craig, W. (1998) · Personality and Individual Differences · doi:10.1016/s0191-8869(97)00145-1 · Cited by 770 · see citing works
Self-citationCrick, N. R. (1997) · Developmental Psychology · doi:10.1037//0012-1649.33.4.610 · Cited by 561 · see citing works
Dieter Wolke, C., Woods, S., Stanford, K., & Schulz, H. (2001) · British Journal of Psychology · doi:10.1348/000712601162419 · Cited by 514 · see citing works
Changes in the distribution of body mass index of adults and children in the US population
Flegal, K. M., & Troiano, R. P. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801232 · Cited by 512 · see citing works
A study of social stereotype of body image in children.
Staffieri, J. R. (1967) · Journal of Personality and Social Psychology · doi:10.1037/h0021227 · Cited by 477 · see citing works
Temporal trends in overweight and obesity in Canada, 1981–1996
Tremblay, M., Katzmarzyk, P. T., & Willms, J. (2002) · International Journal of Obesity · doi:10.1038/sj.ijo.0801923 · Cited by 445 · see citing works
Change in the prevalence of overweight and obesity among young Australians, 1969–1997
Booth, M. L., Chey, T., Wake, M. A., Norton, K. I., Hesketh, K. D., Dollman, J., & Robertson, I. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/77.1.29 · Cited by 439 · see citing works
Huesmann, L. R. (1994) · The Plenum series in social/clinical psychology · doi:10.1007/978-1-4757-9116-7 · Cited by 416 · see citing works
Are Overweight Children Unhappy?
Erickson, S. J., Robinson, T. N., Haydel, K. F., & Killen, J. D. (2000) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.154.9.931 · Cited by 406 · see citing works
Strauss, R. (1999) · International Journal of Obesity · doi:10.1038/sj.ijo.0800971 · Cited by 385 · see citing works
Adolescent Obesity, Overt and Relational Peer Victimization, and Romantic Relationships
Pearce, M., Boergers, J., & Prinstein, M. J. (2002) · Obesity Research · doi:10.1038/oby.2002.53 · Cited by 367 · see citing works
Crick, N. R. (1997) · Developmental Psychology · doi:10.1037/0012-1649.33.4.610 · Cited by 353 · see citing works
Obesity — Its Possible Effect on College Acceptance
Canning, H., & Mayer, J. (1966) · New England Journal of Medicine · doi:10.1056/nejm196611242752107 · Cited by 271 · see citing works
Nature, Nurture, and Dynamic Interactionism
Lerner, R. M. (2009) · Human Development · doi:10.1159/000271572 · Cited by 251 · see citing works
Overweight as Social Deviance and Disability
Maddox, G. L., Back, K. W., & Liederman, V. R. (1968) · Journal of Health and Social Behavior · doi:10.2307/2948537 · Cited by 234 · see citing works
Self-Concept: Advances in Theory and Research.
Kaplan, H. B., Lynch, M. D., Norem‐Hebeisen, A. A., & Gergen, K. J. (1982) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2068456 · Cited by 218 · see citing works
Fagot‐Campagna, A., SAADDINE, J. B., Flegal, K. M., & Beckles, G. L. (2001) · Diabetes Care · doi:10.2337/diacare.24.5.834 · Cited by 168 · see citing works
Personal and Interpersonal Characteristics Associated with Childhood Obesity
Strauss, C. C., Smith, K. L., Frame, C. L., et al. (1985) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/10.3.337 · Cited by 159 · see citing works
Harter, S. (1996) · Journal of Research on Adolescence · Cited by 155 · see citing works
Wadden, T. A., & Stunkard, A. J. (1987) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1987.tb36197.x · Cited by 121 · see citing works
Body Image Stereotypes: A Developmental Comparison
Kirkpatrick, S. W., & Sanders, D. M. (1978) · The Journal of Genetic Psychology · doi:10.1080/00221325.1978.10533317 · Cited by 71 · see citing works
Obesity: an Influence on High School Performance?
Canning, H., & Mayer, J. (1967) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/20.4.352 · Cited by 70 · see citing works
Epstein, L. H., Myers, M. D., & Anderson, K. (1996) · Obesity Research · doi:10.1002/j.1550-8528.1996.tb00513.x · Cited by 67 · see citing works
Body Stereotyping and Stigmatization of Obese Persons by First Graders
Goldfield, A., & Chrisler, J. C. (1995) · Perceptual and Motor Skills · doi:10.2466/pms.1995.81.3.909 · Cited by 63 · see citing works
Bullying in schools: The UK experience and the Sheffield Anti-Bullying project
Smith, P. K. (1997) · The Irish Journal of Psychology · doi:10.1080/03033910.1997.10558139 · Cited by 57 · see citing works
Presidential Address: Children's Social Preferences Toward Peers with Visible Physical Differences
Harper, D. C., Wacker, D. P., & Cobb, L. S. (1986) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/11.3.323 · Cited by 42 · see citing works
Social Factors Associated with Adolescent Obesity
Baum, C. G., & Forehand, R. (1984) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/9.3.293 · Cited by 37 · see citing works
Psychological prediction from actuarial tables
Lykken, D. T., & Rose, R. J. (1963) · Journal of Clinical Psychology · doi:10.1002/1097-4679(196304)19:2 · Cited by 28 · see citing works
The Effect of Peer Age on the Social Behavior of Preschool Children
Langlois, J. H., Gottfriedm, N. W., Barnes, B., et al. (1978) · The Journal of Genetic Psychology · doi:10.1080/00221325.1978.10533311 · Cited by 25 · see citing works
Peer contacts, social network, and social support from adolescents' point of view
Gecková, A. M., Pudelsky, M., & Tuinstra, J. (2000) · University of Groningen research database (University of Groningen / Centre for Information Technology) · Cited by 7 · see citing works
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Cited by
Sorted by citations
Puhl, R. M., Andreyeva, T., & Brownell, K. D. (2008) · International Journal of Obesity · doi:10.1038/ijo.2008.22 · Cited by 900 · see citing works
Exploring the association between childhood and adolescent obesity and depression: A meta-analysis
Quek, Y., Tam, W. W. S., Zhang, M. W. B., & Ho, R. C. M. (2017) · Obesity Reviews · doi:10.1111/obr.12535 · Cited by 503 · see citing works
Obesity and Student Performance at School
Taras, H., & Potts-Datema, W. (2005) · Journal of School Health · doi:10.1111/j.1746-1561.2005.00040.x · Cited by 420 · see citing works
Riebl, S. K., Estabrooks, P. A., Dunsmore, J. C., Savla, J., Frisard, M. I., Dietrich, A. M., Peng, Y., Zhang, X., & Davy, B. M. (2015) · Eating Behaviors · doi:10.1016/j.eatbeh.2015.05.016 · Cited by 326 · see citing works
Cross-national study of fighting and weapon carrying as determinants of adolescent injury
Pickett, W., Craig, W., Harel, Y., Cunningham, J., Simpson, K., Molcho, M., Mazur, J., Dostaler, S., Overpeck, M. D., Currie, C. E., et al. (2005) · Pediatrics · doi:10.1542/peds.2005-0607 · Cited by 194 · see citing works
Self-citationKatzmarzyk, P. T., Barreira, T. V., Broyles, S. T., Champagne, C. M., Chaput, J., Fogelholm, M., Hu, G., Johnson, W. D., Kuriyan, R., Kurpad, A., et al. (2015) · Obesity · doi:10.1002/oby.21152 · Cited by 167 · see citing works
Psychological Aspects of Obesity in Children and Adolescents
Sagar, R., & Gupta, T. (2018) · The Indian Journal of Pediatrics · doi:10.1007/s12098-017-2539-2 · Cited by 158 · see citing works
BeLue, R., Francis, L. A., & Colaco, B. (2009) · Pediatrics · doi:10.1542/peds.2008-0687 · Cited by 148 · see citing works
Martin, A., Saunders, D. H., Shenkin, S. D., & Sproule, J. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009728.pub2 · Cited by 149 · see citing works
Peer victimization among school-aged children with chronic conditions
Sentenac, M., Arnaud, C., Gavin, A., Molcho, M., Gabhainn, S. N., & Godeau, E. (2012) · Epidemiologic Reviews · doi:10.1093/epirev/mxr024 · Cited by 134 · see citing works
Schoeler, T., Choi, S. W., Dudbridge, F., Baldwin, J., Duncan, L., Cecil, C. M., Walton, E., Viding, E., McCrory, E., & Pingault, J.-B. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2019.0310 · Cited by 105 · see citing works
Executive function and latent classes of childhood obesity risk
Riggs, N. R., Huh, J., Chou, C.-P., Spruijt-Metz, D., & Pentz, M. A. (2012) · Journal of Behavioral Medicine · doi:10.1007/s10865-011-9395-8 · Cited by 57 · see citing works
Afifi, R. A., El Asmar, K., Bteddini, D., Assi, M., Yassin, N., Bitar, S., & Ghandour, L. (2020) · Journal of Religion and Health · doi:10.1007/s10943-019-00789-8 · Cited by 30 · see citing works
Guerrini Usubini, A., Cattivelli, R., Radaelli, A., Bottacchi, M., Landi, G., Tossani, E., Grandi, S., Castelnuovo, G., & Sartorio, A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19095635 · Cited by 19 · see citing works
- Authors
- Janssen, I., Craig, W. M., Boyce, W. F., & Pickett, W.
- Affiliations
- Department of Community Health and Epidemiology
- Psychology
- Queen's University (CA)
- Venue
- PEDIATRICS
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2004-05-01
- Volume
- 113
- Issue
- 5
- Pages
- 1187-1194
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1964396646
- Cited by
- 876
- References
- 46
- Citations by year
- 2026: 9 · 2025: 17 · 2024: 16 · 2023: 18 · 2022: 35 · 2021: 33 · 2020: 33 · 2019: 50 · 2018: 42 · 2017: 37 · 2016: 47 · 2015: 64 · 2014: 54 · 2013: 54 · 2012: 58
- FWCI
- 40.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- World Health Organization
- Topics
- Social Sciences › Psychology › Social Psychology › Bullying, Victimization, and Aggression
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- childhood obesity, overweight, bullying, peer victimization, bullying perpetration, relational bullying, physical bullying, verbal bullying, sexual harassment, body mass index, school-aged children, peer aggression
- MeSH terms
- Adolescent, Aggression, Canada, Child, Cross-Sectional Studies, Female, Humans, Male, Obesity, Peer Group, Violence, Body Mass Index, Crime Victims
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