Physical Activity and Body Image Perception in Adolescents: A Systematic Review
Open accessAbstract
Adolescence represents a vulnerable phase of life for psychological health. The practice of physical activity (PA) appears to have a positive influence on adolescents, increasing self-esteem and producing a more positive body image. A systematic review of published articles over the past 10 years until June 2022 was conducted according to the PRISMA statement employing the electronic databases MEDLINE and Web of Science (639 records) to summarize the literature on the relationship between body image dissatisfaction (BID) and assessed by figural scales and practice of structured and unstructured PA in adolescents (10–18 years), taking into account BMI and/or weight status. All articles were independently reviewed using inclusion/exclusion criteria, retrieved data, and assessed quality with the adapted Newcastle-Ottawa Scale for observational studies. The main finding of interest that emerged from most of the 28 included studies is the negative association between BID and PA during adolescence: as PA increases, BID decreases. However, this updated systematic review also identified some flaws in the existing literature, highlighting the need for high-quality adolescent research using validated figural scales and objective PA assessments. In conclusion, the reviewed studies showed that PA involvement can be efficacious in protecting from body image perception concerns and enhancing body satisfaction. Future interventions should promote structured and unstructured PA during adolescence to improve self-esteem and body image.
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Cognitive behavioral therapy can offer effective strategies for improving body image and self-esteem.
“Approaches like cognitive behavioral therapy can offer effective strategies for improving body image and self-esteem [104].”
From Body Perceptions and Psychological Well-Being: A Review of the Impact of Social Media and Physical Measurements on Self-Esteem and Mental Health with a Focus on Body Image Satisfaction and Its Relationship with Cultural and Gender Factors (2024) · cites this paper as [104]
The Abstract links physical activity—not cognitive behavioral therapy—to improved self-esteem and body image. The Conclusions likewise recommend promoting positive body image through physical activity. Searches for cognitive behavioral therapy and psychological interventions found no passage assessing whether CBT is effective for either outcome. (LLM, conf=0.75)
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- [32]Stunkard A. Stellar E. Eating and its disorders Body Images Cash T. Pruzinsky T. Guilford Press New York, NY, USA 1990 3 20
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“Approaches like cognitive behavioral therapy can offer effective strategies for improving body image and self-esteem [104].”
Background
- Authors
- Gualdi-Russo, E., Rinaldo, N., & Zaccagni, L.
- Affiliations
- Department of Neuroscience and Rehabilitation, Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, 44121 Ferrara, Italy
- University of Ferrara (IT)
- Corresponding author
- Rinaldo, Natascia
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2022-10-13
- Volume
- 19
- Issue
- 20
- Pages
- 13190
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC9603811
- OpenAlex
- W4306152122
- Cited by
- 164
- References
- 83
- Citations by year
- 2026: 38 · 2025: 48 · 2024: 53 · 2023: 25
- FWCI
- 5.25
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Social Psychology › Motivation and Self-Concept in Sports
- Keywords
- physical activity, body image, body dissatisfaction, adolescents, self-esteem, body satisfaction, body mass index, weight status
- MeSH terms
- Adolescent, Body Image, Humans, Mental Health, Personal Satisfaction, Self Concept, Exercise
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