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Journal of Pediatric Psychology Advance Access published online on April 14, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp023
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Self-perception and Body Image Associations with Body Mass Index among 8–10-year-old African American Girls

Michelle B. Stockton, PhD1, Jennifer Q. Lanctot, PhD2, Barbara S. McClanahan, PhD, EdD1, Lisa M. Klesges, PhD2, Robert C. Klesges, PhD2,3, Shiriki Kumanyika, PhD, MPH4 and Deborah Sherrill-Mittleman, PhD2

1Department of Health and Sport Sciences, University of Memphis, 2Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, 3Department of Preventive Medicine, University of Tennessee Health Science Center and 4Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine

All correspondence concerning this article should be addressed to Michelle B. Stockton, 115 Elma Roane Field House, University of Memphis, Department of Health and Sport Sciences, Memphis, TN 38152, USA. E-mail: mstocktn{at}memphis.edu


  Abstract

Objectives The purpose of this study was to examine relationships among body mass index (BMI), self-perceptions, and body image discrepancy in African American (AA) girls. Methods Baseline self-perception and BMI data were collected by trained staff from 303 preadolescent AA girls participating in the girls health enrichment multi-site studies. Correlations and multivariable logistic regression analyses were performed to identify relationships of BMI with self-perception factors. Results Girls with a BMI at or above the 85th percentile were more likely to have greater body image discrepancy and participate in weight control behaviors than girls with a BMI below the 85th percentile. Body image discrepancy was not related to self-esteem, but was positively correlated with physical activity self-concept and self-efficacy, and diet self-efficacy. Conclusion Girls with higher BMI had greater body image discrepancy and were less confident in abilities to be active and eat healthy. Findings may inform the development of obesity interventions for preadolescents.

Key words: adolescents; body image; children; pediatric obesity; self-efficacy; self-esteem..

Received July 10, 2008; revision received February 11, 2009; accepted March 10, 2009


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