Effects of Exercise on the Relationship Between Low Self-Esteem and Obesity in Children (May 2000)

IntroductionObesity is the most common healthcoronary heart disease, diabetes, and obesity.
problem facing children today. It has been suggestedHowever, there has been increasing research into the
that obese children have increased problems withrole of exercise in improving mental well-being, including
self-esteem and depression when compared to theglobal self-esteem.Sufficient evidence now exists for
normal pediatric population. Research in exercise andthe effectiveness of exercise in the treatment of
depression is persuasively showing how exercise mayclinical depression and low self-esteem. Additionally,
be elemental in treating low self-esteem. Moderateexercise has a moderate reducing effect on state and
exercise seems to be the most effective intensity intrait anxiety and can improve physical self-perceptions
reducing depression and increasing levels ofand in some cases, global self-esteem. There is also
self-esteem. This literature review will illustrate whatgood evidence that aerobic and resistance exercise
other researchers have found and concluded in a.)(weight training) enhances mood states, and weaker
finding a relationship between self-esteem and obesity,evidence that exercise can improve cognitive function
b.) the effects of exercise on self-esteem, c.) studies(Fox, 1999).One study which supports the
on motivation among children, and d.) the need forfundamentals of CHAMP is revealed in the Journal of
more research.Finding A RelationshipIn order toSports Medicine and Physical Fitness. In the study, 37
establish a relationship between obesity andmales and 28 females participated in a 10-week
self-esteem, a Rosenberg Self-esteem Scale wasexercise program. Participants were selected from
administered to 550 14 and 16 year old girls.existing classes forming weight training, aerobic
Self-esteem scores were categorized by weight andexercise, and activity control group. Results revealed
weight by height. Scores on the Quetelet Index forchange in physical self-perception, strength, and body
Obesity were correlated with self-esteem scores.composition. Improvements in physical self-perceptions
Mean self-esteem of the low-and-middle weight byand fitness occurred independent of the exercise
height group was higher than the mean of the highgroup. Correlations among the measures revealed
weight group. In analyzing weight alone, therelationships among physical self-perceptions, body
self-esteem of the middle-weight group wassatisfaction, global self-esteem, and fitness (Caruso &
significantly higher than the self-esteem of theGill, 1992).Study of MotivationIn order to study
high-weight group. The correlation of the obesity indexmotivation among obese children, a study used a body
and self-esteem indicated that as weight increased,video distortion method to compare their body image
self-esteem decreased (Martin, Housley, & McCoy,with the body perception of non-obese peers. A
1988).In another study, the relationship between obesitystandardized series of body size estimations were
and self-esteem was examined cross-sectionally andused: cognitive (what subject "think" they look like),
prospectively over three years in a cohort of 1278affective (what they "feel" they look like), and optative
adolescents in grades 7 to 9 at baseline.(what they "wish" they looked like). Forty-one obese
Cross-sectional analysis revealed an inversechildren (16 boys and 25 girls; average 12 years old)
association between physical appearance self-esteemand 42 age-matched control subjects compared
and body mass index in both males and females. Inpercentages of deviation from the accurate body
females, body mass index was inversely associatedimage. The results showed that obese children were
with global self-esteem, close friendship, and behavioralmore accurate in estimating their real body width, but
conduct. In males, body mass index was inverselydesired to reduce their body size by about 25%
associated with athletic and romantic appeal. These(Probst, Braet, & De Vos, 1995).The significance of
results suggest that low self-esteem may be anexercise as a healthy related behavior has brought
important factor in preventing or reversing obesityforth the need to address motivational problems
(French, Perry, Leon, & Fulkerson, 1996).A study byassociated with its adoption and maintenance. In this
Strauss supports data from Martin, Housely, andrespect, exercise psychology research would appear
McCoy. Straus's data demonstrates that negativeto provide potential for guiding significant public health
weight perceptions are particularly common amonginitiatives. Cognitions about self-perceived quality of life
young adolescent white females, which reveals thatvary across the stages of change, with those who
young obese adolescent females show the lowestare least prepared to adopt regular exercise reporting
levels of self-esteem. Nevertheless, negativethe lowest levels of quality of life. These finding
perceptions of obesity also exist among adolescentsuggests that cognitive-motivational messages
boys. The data also demonstrates significant socialdesigned to emphasize quality of life benefits
consequences of decreasing self-esteem in obeseassociated with exercise may be useful intervention
children. Obese children with decreasing levels ofstrategies for people who are less motivationally ready
self-esteem showed significantly elevated levels offor change (Laforge & Rossi, 1999).To remedy the
loneliness, sadness, and nervousness. Although theselocalized problem of motivation, CHAMP has
efforts are not unique for obese children, they areincorporated the use of one-on-one fitness specialists
nevertheless quite important because nearly 70% ofwho act not only as instructors, but as mentors also.In
white obese females demonstrated decreasing levelsgeneral, research has demonstrated that engaging in
of self-esteem by early adolescence (Strauss,exercise and physical activity significantly enhances
2000).Additional studies need to focus on whethermental health and can increase self-esteem. Extensive
positive family or social interactions can alleviate themeta-analysis states that exercise has a positive
negative psychosocial effects of adolescent obesity.impact on enhancing mood, self-concept, and
Strauss concludes that children with obese mothers,self-esteem. In addition, feelings of depression, anger,
low family incomes, and lower cognitive stimulationand anxiety tend to dissipate after exercise
have significantly higher risks of developing obesity,(Greenberg & Oglesby, 1999).Need for More
independent of other demographic and socio-economicResearchMany questions still exist regarding the
factors. In contrast, increased rates of obesity in blackcombination of specific modes of exercise with
children, children with lower family education, anddifferent intensities and their resulting productivity.
non-professional parents may be mediated through theStudies show that resistance training is beneficial, but
confounding effects of low income and lower levels ofnot much is known on intensity and duration.The
cognitive stimulation (Strauss & Knight, 1999).Effects ofrelationship between self-esteem and obesity has not
ExerciseThe case for exercise and health hasreceived a great deal of empirical evaluation using
primarily been made on its impact on diseases such asstrong research methodologies.