Abstract
Purpose
To examine the association of self-esteem with the body mass index (BMI), perceived body image (BI), and desired BI of college-age Saudi females.
Methods
A cross-sectional study was conducted with 907 randomly selected females using a multistage stratified cluster sampling technique. Self-esteem and BI were assessed using the Rosenberg Self-Esteem Scale and Stunkard Figure Rating Scale, respectively.
Results
The prevalence of low self-esteem was only 6.1% among college females; however, this percentage was higher (9.8%) among overweight or obese participants. The total self-esteem scores showed significant negative correlations with actual BMI and perceived BI, but not with desired BI. Meanwhile, multivariate analyses revealed significant differences in total self-esteem scores according to obesity/overweight status and perceived BI group, but not desired BI group.
Conclusion
Despite the high prevalence of overweight and obesity in Saudi Arabia, few Saudi college females have low self-esteem. In addition, body weight, BMI, perceived BI, and the BMI corresponding to the perceived BI all significantly differed between females with low self-esteem and those with normal self-esteem.
Level of evidence
Level V, cross-sectional descriptive study.
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References
Moradi-Lakeh M, El Bcheraoui C, Tuffaha M, Daoud F, Al Saeedi M, Basulaiman M et al (2016) The health of Saudi youths: current challenges and future opportunities. BMC Fam Pract 17:26. https://doi.org/10.1186/s12875-016-0425-z
Al-Hazzaa HM, Abahussain NA, Al-Sobayel HI, Qahwaji DM, Musaiger AO (2012) Lifestyle factors associated with overweight and obesity among Saudi adolescents. BMC Public Health 12:354. https://doi.org/10.1186/1471-2458-12-354
Al-Hazzaa HM (2007) Rising trends in BMI of Saudi adolescents: evidence from three national cross sectional studies. Asia Pac J Clin Nutr 16:462–466. https://doi.org/10.6133/apjcn.2007.16.3.11
Erermis S, Cetin N, Tamar M, Bukusoglu N, Akdeniz F, Goksen D (2004) Is obesity a risk factor for psychopathology among adolescents? Pediatr Int 46:296–301. https://doi.org/10.1111/j.1442-200x.2004.01882.x
Muris P, Meesters C, van de Blom W, Mayer B (2005) Biological, psychological, and sociocultural correlates of body change strategies and eating problems in adolescent boys and girls. Eat Behav 6:11–22. https://doi.org/10.1016/j.eatbeh.2004.03.002
Koyuncu M, tok S, Canpolat M, Catikkas F (2010) Body image satisfaction and dissatisfaction, social physique anxiety, self-esteem, and body fat ratio in female exercisers and non-exercisers. Soc Behav Pers 38:561–570. https://doi.org/10.2224/sbp.2010.38.4.561
Friedman KE, Reichmann SK, Costanzo PR, Musante GJ (2002) Body image partially mediates the relationship between obesity and psychological distress. Obes Res 10:33–41. https://doi.org/10.1038/oby.2002
Harris SM (1995) Body image attitudes and the psychosocial development of college women. J Psychol 129:315–330. https://doi.org/10.1080/00223980.1995.9914968
Lowery SE, Kurpius SE, Befort KC, Blanks EH, Sollenberger S, Nicpon MF, Huser L (2005) Body image, self-esteem, and health-related behaviors among male and female first year college students. J Coll Stud Dev 46:612–623. https://doi.org/10.1353/csd.2005.0062
Groesz LM, Levine MP, Musned SK (2002) The experimental presentation of thin media images on body dissatisfaction: a meta-analytic review. Int J Eat Disord 31:1–16. https://doi.org/10.1002/eat.10005
Furnham A, Badmin N, Sneade I (2002) Body image dissatisfaction: gender differences in eating attitudes, self-esteem, and reasons for exercise. J Psychol 136:581–596. https://doi.org/10.1080/00223980209604820
Latner JD, Knight T, Illingworth K (2011) Body image and self-esteem among Asian, Pacific Islander, and White college students in Hawaii and Australia. Eat Disord 19:355–368. https://doi.org/10.1080/10640266.2011.584813
Harris SM (1994) Racial differences in predictors of college women’s body image attitudes. Women Health 21:89–104. https://doi.org/10.1300/J013v21n04_06
Witherspoon D, Latta L, Wang Y, Black MM (2013) Do depression, self-esteem, body-esteem, and eating attitudes vary by BMI among African American adolescents? J Pediatr Psychol 38:1112–1120. https://doi.org/10.1093/jpepsy/jst055
Afifi-Soweid RA, Ktelig MBN, Schediac-Rizkallah MC (2002) Preoccupation with weight and disordered eating behaviors of entering students at a university in Lebanon. Int J Eat Disord 32:52–57. https://doi.org/10.1002/eat.10037
Al Sabbah H, Vereecken C, Abdeen Z, Coats E, Maes L (2009) Associations of overweight and of weight dissatisfaction among Palestinian adolescents: findings from the national study of Palestinian schoolchildren (HBSC-WBG2004). J Hum Nutr Diet 22:40–49. https://doi.org/10.1111/j.1365-277X.2008.00901.x
Mousa TY, Al-Domi HA, Mashal RH, Jibri MA (2010) Eating disturbances among adolescent school girls in Jordan. Appetite 54:196–201. https://doi.org/10.1016/j.appet.2009.10.008
Musaiger A (2015) Body weight concern among female university students in five Arab countries—a preliminary cross-cultural study. Ann Agric Environ Med 22:349–352. https://doi.org/10.5604/12321966.1152093
Musaiger AO, Al-Mannai M (2013) Role of obesity and media in body weight concern among female university students in Kuwait. Eat Behav 14:229–232. https://doi.org/10.1016/j.eatbeh.2012.12.004
BenAmmar AA, Murad Ahmad Al-Holy MA (2013) Body image and lifestyle attitudes of female gymnasium users in Saudi Arabia. Nutr Food Sci 43:365–373. https://doi.org/10.1108/NFS-10-2012-0110
Khalaf A, Westergren A, Berggren V, Ekblom Ö, Al-Hazzaa HM (2015) Perceived and ideal body image in young women in south western Saudi Arabia. J Obes 2015:697163. https://doi.org/10.1155/2015/697163
Rasheed P (1999) Overweight status: body image and weight control beliefs and practices among female college students. Ann Saudi Med 19:365–369. https://doi.org/10.5144/0256-4947.1999.365
Aldaqal SM, Sehlo MG (2013) Self-esteem and quality of life in adolescents with extreme obesity in Saudi Arabia: the effect of weight loss after laparoscopic sleeve gastrectomy. Gen Hosp Psychiatry 35:259–264. https://doi.org/10.1016/j.genhosppsych.2012.12.011
Rosenberg M (1965) Society and the adolescent self-image. Princeton University Press, Princeton
The Betsi Cadwaladr University Health Board Rosenberg self-esteem scale. http://callhelpline.org.uk/Download/Rosenberg%20Self-Esteem%20Scale.pdf. Accessed 14 Sept 2017
Stunkard AJ, Sorenson TI, Schulsinger F (1983) Use of the Danish adoption register for the study of obesity and thinness. In: Kety S, Rowland LP, Sidman RL, Matthysse SW (eds) The genetics of neurological and psychiatric disorders. Raven Press, New York, pp 115–120
Bulik CM, Wade TD, Heath AC, Martin NG, Stunkard AJ, Eaves LJ (2001) Relating body mass index to figural stimuli: population-based normative data for Caucasians. Int J Obes Relat Metab Disord 25:1517–1524. https://doi.org/10.1038/sj.ijo.0801742
Huang JS, Norman GJ, Zabinski MF, Calfas K, Patrick K (2007) Body image and self-esteem among adolescents undergoing an intervention targeting dietary and physical activity behaviors. J Adolesc Health 40:245–251. https://doi.org/10.1016/j.jadohealth.2006.09.026
Marsh HW, Abduljabbar AS, Parker PD, Morin AJ, Abdelfattah F, Nagengast B (2014) The big-fish-little-pond effect in mathematics—a cross-cultural comparison of U.S. and Saudi Arabian TIMSS responses. J Cross Cult Psychol 45:777–804. https://doi.org/10.1177/0022022113519858
Ruby TF (2006) Listening to the voices of hijab. Women’s Stud Int Forum 29:54–66. https://doi.org/10.1016/j.wsif.2005.10.006
Waseem F, Anila K (2014) Practicing hijab (veil): a source of autonomy and self-esteem for modern Muslim women. J Hum Soc Sci 22:19–34
Mussap AJ (2009) Acculturation, body image, and eating behaviours in Muslim-Australian women. Health Place 15:532–539. https://doi.org/10.1016/j.healthplace.2008.08.008
Goodman E, Must A (2011) Depressive symptoms in severely obese compared with normal weight adolescents: results from a community-based longitudinal study. J Adolesc Health 49:64–69. https://doi.org/10.1016/j.jadohealth.2010.10.015
Wardle J, Cooke L (2005) The impact of obesity on psychological well-being. Best Pract Res Clin Endocrinol Metab 19:421–440. https://doi.org/10.1016/j.beem.2005.04.006
Flament MF, Hill EM, Buchholz A, Henderson K, Tasca GA, Goldfield G (2012) Internalization of the thin and muscular body ideal and disordered eating in adolescence: the mediation effects of body esteem. Body Image 9:68–75. https://doi.org/10.1016/j.bodyim.2011.07.007
Baumeister RF, Campbell JD, Krueger JI, Vohs KD (2003) Does high self-esteem cause better performance, interpersonal success, happiness, or healthier lifestyles? Psychol Sci Public Interest 4:1–44. https://doi.org/10.1111/1529-1006.01431
Murray M, Dordevic AL, Bonham MP (2017) Systematic review and meta-analysis: the impact of multicomponent weight management interventions on self-esteem in overweight and obese adolescents. J Pediatr Psychol 42:379–394. https://doi.org/10.1093/jpepsy/jsw101
Perrin EM, Boone-Heinonen J, Field AE, Coyne-Beasley T, Penny Gordon-Larsen P (2010) Perception of overweight and self-esteem during adolescence. Int J Eat Disord 43:447–454. https://doi.org/10.1002/eat.20710
van den Berg PA, Mond J, Eisenberg M, Ackard D, Neumark-Sztainer D (2010) The link between body dissatisfaction and self-esteem in adolescents: similarities across gender, age, weight status, race/ethnicity, and socioeconomic status. J Adolesc Health 47:290–296. https://doi.org/10.1016/j.jadohealth.2010.02.004
Gleason JH, Alexander AM, Somers CL (2000) Later adolescents’ reactions to three types of childhood teasing: relations with self-esteem and body image. J Soc Behav Pers 28:472–480. https://doi.org/10.2224/sbp.2000.28.5.471
Jung J, Lee SH (2006) Cross-cultural comparisons of appearance self-schema, body Image, self-esteem, and dieting behavior between Korean and U.S. women. Fam Consum Sci Res J 34:350–365. https://doi.org/10.1177/1077727X06286419
Kiviruusu O, Konttinen H, Huurre T, Aro H, Marttunen M, Haukkala A (2016) Self-esteem and body mass index from adolescence to mid-adulthood. A 26-year follow-up. Int J Behav Med 23:355–363. https://doi.org/10.1007/s12529-015-9529-4
Biro FM, Striegel-Moore RH, Franko DL, Padgett J, Bean JA (2006) Self-esteem in adolescent females. J Adolesc Health 39:501–507. https://doi.org/10.1016/j.jadohealth.2006.03.010
Pila E, Sabiston CM, Brunet J, Castonguay AL, O’Loughlin J (2015) Do body-related shame and guilt mediate the association between weight status and self-esteem? J Health Psychol 20:659–669. https://doi.org/10.1177/1359105315573449
Memish ZA, El Bcheraoui C, Tuffaha M, Robinson M, Daoud F, Jaber S et al (2014) Obesity and associated factors—Kingdom of Saudi Arabia, 2013. Prev Chronic Dis 11:E174. https://doi.org/10.5888/pcd11.140236
Anderson CB, Bulik CM (2004) Gender differences in compensatory behaviors, weight and shape salience, and drive for thinness. Eat Behav 5:1–11. https://doi.org/10.1016/j.eatbeh.2003.07.001
Pritchard ME (2010) Does self-esteem moderate the relation between gender and weight preoccupation in undergraduates? Pers Individ Differ 48:224–227. https://doi.org/10.1016/j.paid.2009.10.015
Sira N, White CP (2010) Individual and familial correlates of body satisfaction in male and female college students. J Am Coll Health 58:507–514. https://doi.org/10.1080/07448481003621742
Krueger J (1998) Enhancement bias in the description of self and others. Pers Soc Psychol Bull 24:505–516. https://doi.org/10.1177/0146167298245006
Brown JD (1986) Evaluations of self and others: self-enhancement biases in social judgment. Soc Cognit 4:353–376. https://doi.org/10.1521/soco.1986.4.4.353
Acknowledgements
This study was funded by Students’ Research Funds provided by the Deanship for Scientific Research, King Saud University. We would like to thank the students who assisted with the data collection. We would also like to extend our appreciation to all the students who participated in this study.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the ethical committee (IRB) of the College of Medicine at King Saud University.
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Informed consent was obtained from all individual participants included in the study.
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ALAhmari, T., Alomar, A.Z., ALBeeybe, J. et al. Associations of self-esteem with body mass index and body image among Saudi college-age females. Eat Weight Disord 24, 1199–1207 (2019). https://doi.org/10.1007/s40519-017-0471-0
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DOI: https://doi.org/10.1007/s40519-017-0471-0