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Preserving Body Image and SelfEsteem Among Overweight Youngsters Joanne Ikeda, MA, RD University of

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Title: Preserving Body Image and SelfEsteem Among Overweight Youngsters Joanne Ikeda, MA, RD University of


1
Preserving Body Image and Self-Esteem Among
Overweight YoungstersJoanne Ikeda, MA,
RDUniversity of California Extension Nutrition
SpecialistDec. 10, 2004 FNEP ITVUniversity of
Missouri-Columbia
2
Body Image
  • Internal representation of your own outer
    appearance your own unique perception of your
    body.
  • (Thompson, Exacting Beauty, APA, 2002)

3
Body Satisfaction
  • Satisfaction with various aspects of ones body
    such as waist, hips, thighs, breasts, hair, etc.
  • (Thompson, Exacting Beauty, APA, 2002)

4
Self-Esteem
  • Self-esteem is how much a person likes, accepts,
    and respects himself overall as a person.

5
Body Dissatisfaction
  • Discontent/disappointment with various aspects of
    ones body.

6
How Common is Body Dissatisfaction Among
Children ofAll Sizes in 3rd to 6th grade?
  • 45 wanted to be thinner
  • 37 had tried to lose weight
  • 7 scored in anorexia nervosa range

7
Dieting is considered one indication of body
dissatisfaction in children.
8
How Common is Dieting Among Children in
US?National Study of 10,000 youngsters
  • 41 of Caucasian children
  • 40 of Asian children
  • 33 of Hispanic children
  • 22 of Black children

9
Our Society Promotes Body Dissatisfaction and
Dieting
10
Who Promotes Body Dissatisfaction in Children and
Teenagers?
  • Teen Magazines
  • TV Shows
  • Movies
  • Peers
  • Teachers
  • Parents

11
Body dissatisfaction is the most consistent
predictor of the onset of eating
disturbances. (Thompson, Exacting Beauty, APA,
2002)
12
Body Dissatisfaction has a negative impact on
self-esteem, especially among overweight
youngsters.
13
few problems in childhood have as significant an
impact on emotional well-being as being
overweight.
  • Strauss Pollack, Arch Pediatr Adolesc Med, 2003

14
Promoting Body Satisfaction and High Self-Esteem
in Children and Teenagers
15
Point out that human bodies come in a wide range
of sizes and shapes and that there is no
perfect body size and shape.
16
  Celebrate differences in body size and shape
among children and adults.
17
Never imply that there is something wrong with a
childs body no matter what size it is.
18
Promoting Body Satisfaction and High Self-Esteem
  • Challenge media images of the perfect body.

19
Want to Be a Teen Vogue IT GIRL?
  • Staying up on the latest trends in fashion and
    beauty is an absolute must for me!
  • I consider myself to be a leader
  • I secretly (or not so secretly) love to be the
    center of attention
  • Other people look to me for advice on clothes,
    cosmetics and style

20
(No Transcript)
21
Talk About What Characteristics We Value in Our
Friends
  • Listens to me when I talk about my
  • problems and concerns.
  • Cares about me.
  • Enjoys doing the things I like to do.
  • Is there for me when I need a friend.
  • Doesnt tell others my secrets.

22
Promoting Body Satisfaction and High Self-Esteem
  • Advocate demonstrate respect for the bodies
    of others as well as your own body

23
Model Body Acceptance and Body Satisfaction
  • Make positive comments about your own body and
    the bodies of others.
  • Do not make negative comments about your own body
    or the bodies of others
  • Verbalize your own rejection of the
  • thin, perfect body

24
Believe that discriminating against someone
based on their body size is wrong.
25
Take a Stance Against Size Discrimination
  • Speak up when you see it or hear it
  • Encourage adults to take action if a child is
    bullied, teased, or discriminated against because
    of body size.
  • Tell parents not to allow anyone to tease or
    harass a child about his/her weight.

26
How to deal with overweight/obesity. Focus on
behaviors NOT weight
  • Soda consumption
  • Fruit and Vegetable Consumption
  • Fast Food and Snack Food
  • Time spent in active play
  • Time spent watching TV

27
Set Behavioral Goals Not Weight Goals
  • Limit TV watching/computer game playing to 2
    hours per day
  • Play actively for 60 minutes every day do
    something that you enjoy
  • Walk or bike to and from school

28
Set Behavioral Goals Not Weight Goals
  • Drink low fat or nonfat milk at meals instead of
    soft drink.
  • Limit soft drink consumption to one 12 ounce can
    a day or less.
  • Eat 5 servings a day of fruits and vegetables
  • Limit fast food meals to 1-2 per week

29
Discourage Restricted Calorie Dieting in Children
or Teenagers
30
Impacts of Dieting on Childrens Health Physical
well being
  • Risk of stunting growth in height
  • Lower bone density
  • Delayed puberty
  • Poor nutrient intake
  • Fatigue
  • Obesity

31
Impact of Dieting on Childrens Health
Psychological well being
  • Preoccupation with food and eating
  • Sneaking and hiding food
  • Body dissatisfaction, poor self-esteem
  • Eating disorders

32
Impact of Dieting on Childrens HealthSocial
well being
  • Subject to size discrimination by adults
  • Teased, harassed, and rejected by peers
  • Apt to become socially isolated

33
Does Dieting Help Children Achieve Healthy
Weights?
34
  • A Stanford study that followed 692 females from
    9th through 12th grade found that increased
    dieting and radical weight loss efforts predicted
    greater subsequent growth in relative weight and
    increased risk of obesity.
  • Stice et al, J Consult Clin Psychol,1999

35
  • Study by Harvard Medical School assessed weight
    change of frequent dieters compared to those who
    never dieted.
  • Over 10,000 youngsters ages 9 to 14 followed for
    2 years.
  • Regardless of their calories, fat, CHO, or their
    physical activity or inactivity, the frequent
    dieters were more likely to become overweight
    than those who never dieted.

36
Diagnosis and treatment of childhood overweight
is the responsibility of the medical profession,
it not our responsibility.
  • ?Examine childs growth history over time
  • ?Consider weight of biological parents and close
    relatives
  • ?Conduct examination of child for medical
    problems associated with overweight
  • ?Recommend and provide/refer for treatment

37
Our responsibility is
  • To help children and adults eat nutritious diets
    and be physically active.
  • To help create environments that promote eating
    nutritious diets and being physically active.

38
Promote Body Satisfaction, a Positive Body Image,
and High Self-esteem for All Adults and Children.
 
39
Recognize that the best way to decrease
overweight is to create environments that
promote healthy lifestyles in families.
40
Believe that the vast majority of parents love
their children and are committed to fostering
their health and welfare.
41
Know that our children are our future and we are
strongly committed to caring for them and
creating a world in which they can thrive.
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