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First, to characterize the prevalence and incidence of "bulk" and "cut" cycles among Canadian adolescents and young adults. Second, to determine the associations between bulk and cut cycle engagement and drive for muscularity and eating disorder and muscle dysmorphia psychopathology.Data were from the Canadian Study of Adolescent Health Behaviors (2021; N = 2762), a national study of Canadian adolescents and young adults aged 16-30 years (M = 22.9, SD = 3.9). Prevalence and mean incidence of bulk and cut cycles in both the past 12 months and 30 days were estimated. Modified Poisson regressions were estimated to determine the associations between bulk and cut cycle engagement and levels of drive for muscularity and eating disorder and muscle dysmorphia psychopathology.The sample comprised of 53.5% women, 38.4% men, and 8.1% transgender/gender non-conforming (TGNC) individuals. Nearly half (48.9%) of men and one in five women (21.2%) and TGNC (21.9%) participants reported bulk and cut cycles in the past 12 months. TGNC participants and women reported a greater mean number of bulk and cut cycles completed compared to men. Engagement in bulk and cut cycles was associated with stronger drive for muscularity across the sample, and more severe eating disorder and muscle dysmorphia psychopathology among men and women.Findings underscore the common incidence and accompanying psychopathology of bulk and cut cycles among a community sample of adolescents and young adults in Canada, indicating the need for future research, as well as clinical and public health efforts.Level V, cross-sectional descriptive study.

Objectification theory and the tripartite influence model provide useful frameworks for understanding the body image experiences of men and women. However, there is little systematic investigation of how sexual orientation moderates the links between these constructs and body image satisfaction. It has been hypothesized, for example, that the associations of surveillance (i.e., monitoring of one's appearance due to objectification by others) would be strongest for groups targeted by the male gaze (e.g., gay men, lesbian women, and bisexual men and women). Here we proposed an integrated sociocultural model and examined these pathways in multigroup structural equation models in a national sample of heterosexual, bisexual, and lesbian women (ns = 5395; 598; 213, respectively), and heterosexual, bisexual, and gay men (4869; 194; and 194, respectively) aged 18-65 years. Sexual orientation moderated some of these pathways. The most consistent pattern was that appearance pressures were internalized to a greater extent among bisexual participants. The pathways to poorer body image were generally similar among heterosexual and gay/lesbian men and women. These findings highlight the importance of examining sexual orientation-specific influences on body image across diverse groups, as well as the commonalities in the experiences of men and women across sexual orientations.

Exposure to "fitspiration" may promote exercising for maladaptive weight and appearance reasons in young women. Fitness content depicting higher-weight bodies could promote exercise for adaptive non-appearance motives, and body compassion might protect against the negative effects of "fitspiration" exposure. Two pre-registered experimental studies examined (i) the effects of exposure to fit-normative vs. weight-inclusive Instagram images on young women's exercise intentions and motivations, and (ii) tested trait body compassion as a moderator of the relationships between image exposure and psychosocial exercise outcomes. Using an online experimental paradigm, young adult women were randomized to view Instagram images representing fit-normative, weight-inclusive, or control conditions and completed state measures of exercise intention and motivation. Study 1 (n = 228) employed a post-test design and found no significant effects of condition on exercise outcomes, nor an effect of body compassion. Using a pre- and post-experimental design in Study 2 (n = 797), participants in the weight-inclusive condition exhibited significantly greater increases in exercise intention and fitness/health motivation, while those in the fit-normative condition exhibited greater increases in weight/appearance motivation, compared to controls. Body compassion was not a significant moderator of the associations between exposure to weight-inclusive vs. fit-normative images and exercise outcomes. Exposure to fit-normative Instagram content may encourage dysfunctional exercise motives in young women. Weight-inclusive imagery may more effectively inspire adaptive exercise intentions and motivations, and future research should investigate how it may be leveraged to improve psychosocial exercise outcomes.

Background: Adverse childhood experiences (ACEs) may be associated with worse physical and mental health in adulthood, and low physical activity engagement, but the relationships are not fully understood. Objectives: To establish the scope of the literature exploring associations between ACEs, physical activity, and physical and mental health. Methods: We conducted this scoping review according to PRISMA-ScR guidelines. We searched MEDLINE, Scopus, SPORTDiscus, and PsycInfo for relevant articles. Results: Eighteen studies were included, 17 observational and 1 randomized controlled trial. The majority of studies were cross-sectional and employed self-reported physical activity and ACE measures. Six studies explored physical health, 9 explored mental health, and 3 explored both. Associations between ACEs and poor physical health outcomes (poor self-reported physical health, inflammation, high resting heart rate, and obesity) were consistently weaker or attenuated among those who were physically active. Physical activity may also moderate the associations between ACEs and depressive symptoms, psychological functioning, and health-related quality of life. Conclusion: Associations between ACEs and poor physical and mental health were observed in those with less frequent physical activity engagement, though the majority of evidence relies on cross-sectional observational designs with self-report instruments. Further research is required to determine whether physical activity can prevent or treat poor physical and mental health in the presence of ACEs.

The socialization of girls to habitually monitor their bodies, via the process of body surveillance, contributes to an increased risk of negative physical and psychological experiences. The present study examined if body surveillance may also contribute to the decrease in physical activity that is observed in girls during adolescence, and if this association is mediated by body shame (operationalized as both experienced and anticipated shame when imagining changes to one's body in the future). Physically active adolescent girls (n = 206) reported body surveillance at baseline, and measures of experienced and anticpated body shame, and physical activity two years later. Body surveillance was indirectly associated with physical activity via the experience and anticipation of body shame. Specifically, the experience of body shame was associated with lower reported engagement in physical activity (b = -0.13, 95 % CI [-0.23, -0.03]), whereas the anticipation of body shame was associated with higher physical activity (b = 0.07, 95 % CI [0.01, 0.15]), possibly for the purpose of appearance management. Due to the opposing directional effects of experienced versus anticipated body shame, it is important to consider both facets of this emotional experience in understanding how vigilant bodily monitoring impacts physical activity engagement in adolescent girls.

Affective judgments are one of the strongest predictors of physical activity. Engaging in body surveillance during physical activity is theorized to reduce access to pleasant affective experiences thereby compromising the influence of affective judgments. However, empirical tests of this relationship are lacking. This study examined associations between body surveillance during physical activity and affective judgments (i.e., enjoyment and pleasure) of physical activity. Participants (N = 89; 53 % women, Mage = 20.32 years; SDage = 1.59) completed an experience sampling protocol for 7 days and provided 7 self-reports/day. Participants reported their body surveillance when engaged in physical activity followed by their affective judgments of physical activity. At the within-person level, participants reported more negative affective judgments during instances when body surveillance was higher than usual. At the between-person level, participants higher in body surveillance reported more negative affective judgments on average. These findings extend correlates of body surveillance to include less favorable affective judgments. Although there is support for targeting affective judgments to promote physical activity, the utility of such efforts may be limited if body surveillance is present. These findings point to a new target for potentially enhancing affective judgements and the promotion of physical activity.

Public health interventions for adolescent "obesity prevention" have focused predominantly on individualistic health behaviours (e.g., diet and physical activity) at the expense of recognizing body weight diversity and the array of social factors (e.g., stigma and discrimination of marginalized identities) that may be linked to weight status. Research is needed to examine the extent to which individualistic health behaviours versus social factors contribute to weight status in adolescents. As such, the aim of this study was to investigate the relative contribution of individualistic health behaviours versus social factors to objective and perceptual indices of weight status.Cross-sectional survey data were collected as part of the Toronto Public Health Student Survey and comprised students 12 to 19 years of age (N = 5515). Measures included perceived and objective weight status, social and demographic factors (e.g., gender, sexual orientation, school connectedness), and health behaviours (e.g., physical activity, nutritious consumption).Findings from latent variable regression models partially supported hypotheses, whereby social factors (i.e., age, sex, socio-economic access, sexual minority status) contribute similar amounts of variance, or relatively more variance in weight indices, compared to health behaviours (e.g., physical activity, nutritious consumption).Contrary to traditional views of adolescent weight status, physical activity (i.e., school-based, individual, active transport) and nutritious consumption (i.e., fruits, vegetables, milk) were not associated with weight status, when considering social factors. These findings challenge the utility of public health approaches that target individualistic behaviours as critical risk factors in "obesity prevention" efforts in adolescence.RéSUMé: OBJECTIFS: En matière de « prévention de l’obésité » chez les adolescents, les interventions en santé publique ont essentiellement porté leur attention sur les comportements de santé individualistes (par exemple, alimentation et activité physique), aux dépens de la valorisation de la diversité des poids corporels et de l’ensemble des facteurs sociaux (par exemple, stigmatisation et discrimination des identités marginalisées), qui sont parfois associés au statut pondéral. Des recherches sont toutefois indispensables afin de déterminer le degré de corrélation entre les comportements de santé individualistes et les facteurs sociaux susceptibles de favoriser le poids chez les adolescents. Par conséquent, il convient de se pencher sur le rôle joué par les comportements de santé individualistes face aux facteurs sociaux dans la détermination des indices objectifs et perceptifs du poids. MéTHODES: Les données recueillies lors de cette étude transversale ont été obtenues dans le cadre du Toronto Public Health Student Survey et ont été recueillies auprès d’étudiants âgés de 12 à 19 ans (N = 5 515). Les mesures prises comprenaient le statut de poids perçu et objectif, les facteurs sociaux et démographiques (par exemple, le sexe, l’orientation sexuelle, les rapports avec l’école) et les comportements liés à la santé (par exemple, l’activité physique, la consommation de substances nutritives). RéSULTATS: Les conclusions tirées des modèles de régression à variables latentes ont confirmé en partie les hypothèses selon lesquelles les facteurs sociaux (âge, sexe, accès socio-économique, statut de minorité sexuelle) apportent une variance similaire, ou relativement plus importante, aux indices de poids comparativement aux comportements liés à la santé (par exemple, l’activité physique, la consommation d’aliments nutritifs). CONCLUSION: À la différence des vues traditionnelles sur le statut pondéral des adolescents, l’activité physique (c’est-à-dire à l’école, individuellement, dans les transports actifs) et la consommation de substances nutritives (c’est-à-dire de fruits, de légumes, de lait) n’ont pas fait l’objet d’une corrélation avec le statut pondéral, compte tenu des facteurs sociaux. Ces résultats contestent l’utilité des approches de santé publique axées sur les comportements individualistes à titre de facteurs de risque déterminants dans les efforts de « prévention de l’obésité » à l’adolescence.

Researchers have identified that experiences of body-related shame significantly contribute to heightened depressive symptoms, and therefore it is valuable to identify and understand potential factors that buffer this relationship. The present study examined the cross-sectional relationship between body-related shame and depressive symptoms separately among women and men, and tested self-compassion as a potential moderator. Data from a sample of 520 adults (42.3 % women; Mage = 35.43, SD = 10.09 years) recruited through MTurk were analyzed using moderated regression analysis. Results indicated that body-related shame was positively and significantly associated with frequency of depressive symptoms. Additionally, self-compassion moderated the relationship between body-related shame and depression among women, but not men, even after controlling for self-esteem. Specifically, women with lower levels of self-compassion reported a significantly stronger relationship between body-related shame and depressive symptoms, and at higher levels of self-compassion, there was no relationship between body shame and depressive symptoms. These findings have practical implications and suggest that low levels of self-compassion may increase the risk of depressive symptoms, and high levels of self-compassion may be protective among women that experience body-related shame.

Body-related self-conscious emotions such as shame, guilt, envy, and embarrassment are highly prevalent in sport contexts and are associated with poor sport experiences and lower participation amon...

Body-related emotions have been identified as important predictors of mental and physical health. Evaluations of the physical self are inextricably linked with body-related emotions. However, little research has addressed how physical self-concept is associated with anticipated emotions and how associations may differ between men and women. The current study examined associations between physical self-concept and anticipated guilt and shame and examined gender as a moderator of these associations. The sample consisted of 353 Canadian undergraduate students (55% female; Mage = 21.94. range = 18–64). Participants read a hypothetical scenario commonly associated with guilt and shame experiences and were asked to anticipate their emotional experience when imagining themselves in the scenario. Participants also indicated their gender and completed a measure of physical self-concept. Gender moderated the relationship between physical self-concept and anticipated shame but not guilt. Specifically, there was a negative association between physical self-concept and anticipated shame for women but not for men. Findings are consistent with the notion that gender role socialization shapes the emotional experiences, specifically feelings of shame, of men and women differently. The results demonstrate that even imagining a situation that runs counter to societal ideals for women’s bodies as thin and toned coincides with the anticipation of shame among adult women with more negative physical self-concept.

The current study explored change in body-related self-conscious emotions (e.g., shame, guilt, authentic pride, hubristic pride) over three years, and tested body surveillance, age, weight status, years in sport, and competitive status as baseline predictors of change. Adolescent females engaged in organized sport (N = 518 at baseline, Mage = 14.02, SD = 1.38 years) completed a self-report survey once a year for three years (n = 293 and n = 215 in Years 2 and 3, respectively). Based on the unconditional latent growth model, body-related shame and guilt increased over time, and authentic and hubristic pride decreased over time. There was substantial between-person variability in the intercepts for all emotions and slopes for shame, guilt, and hubristic pride. In the conditional parallel process latent growth model, body surveillance predicted shallower change in shame and guilt over time. Female athletes high in body surveillance also reported higher body-related shame and guilt and lower authentic and hubristic pride at baseline. These findings highlight the importance of studying changes in self-conscious emotions over time in sport, and demonstrate that body surveillance may be an important factor to explore in interventions early in development.

We examined how gender, body mass, race, age, and sexual orientation were linked to appearance evaluation, overweight preoccupation, and body image-related quality of life among 11,620 adults recruited via Mechanical Turk. Men were less likely than women to report low appearance evaluation, high overweight preoccupation, negative effects of body image on their quality of life, being on a weight-loss diet, and trying to lose weight with crash diets/fasting. Racial differences were generally small, but greater appearance evaluation was reported by Black men versus other groups and Black women versus White women. Across all measures, gay and bisexual men reported poorer body image than heterosexual men, with only small effect sizes observed for sexual orientation differences among women. Body mass, but not age, was strongly associated with body image. The prevalence of poor body image highlights the need for interventions. On the positive side, half of men and women reported high appearance evaluation. Examination of this group could identify factors promoting positive body image.

ObjectivesLittle is known about the impact of elite sport participation on long-term athlete health. We aimed to: (1) describe musculoskeletal, mental health, reproductive/endocrine and cardiovascular characteristics in retired elite female athletes and compare to the general population and (2) explore athletes’ perceptions of their elite sport participation and its impact on health.MethodsA 136-item online questionnaire was disseminated to Canadian elite female rowing and rugby athletes >18 years old,>2 years retired from elite competition. Matched general population data were obtained from Statistics Canada when available.ResultsSeventy-four (24% response rate) athletes (average age 45 (±9) years; retired 15 (±9) years) completed the questionnaire (30 rowing, 44 rugby athletes). During their career, 63 athletes (85%) experienced a hip/groin, knee, foot/ankle injury, or low back pain, with 42 (67%) reporting ongoing symptoms. Athletes 35–54 years reported worse knee symptoms and quality of life compared with the general population (symptom: p=0.197; d=1.15 [0.66, 1.63]; quality of life: p=0.312 d=1.03 [0.54, 1.51]) while other hip, knee and foot/ankle outcome scores were similar. Retired athletes had lower odds of anxiety (OR=0.155 [95% CI0.062 to 0.384]), greater lifetime/ever odds of amenorrhea (OR=6.10 [95%CI 2.67 to 13.96]) and gave birth when older (pConclusionThese novel insights can inform future preventative efforts to promote positive elite sport-related outcomes for current, former and future female athletes.

Body image is a commonly-reported factor perpetuating declines in physical activity levels during adolescence. However, the evidence is predominantly qualitative, cross-sectional, and focused on girls. Furthermore, the affective dimension of body image has been overlooked compared to the perceptual (e.g., misrepresentations of body size) and cognitive (e.g., dissatisfaction) dimensions. Affective body image includes a range of self-conscious emotions including guilt, shame, envy, embarrassment, and authentic and hubristic pride. This study examined (i) body-related self-conscious emotions over time, and (ii) associations between body-related emotions and physical activity over five years during early-to-mid adolescence. Potential gender differences were also explored. Self-report data for this study were collected once a year over 5 years as part of the MATCH study. The main analyses involved mixed-effects modeling. Participants (n = 776, 55.8% girls) initially aged 12.6 (SD = 0.6) years who provided data on at least one occasion were included in the analysis. Girls reported higher body-related guilt, shame, envy, and embarrassment than boys, and boys reported higher hubristic pride than girls. Over five years from early to mid-adolescence, body-related shame, guilt, envy, and embarrassment significantly increased for boys and girls, authentic pride did not change, and hubristic pride increased for girls only. Controlling for gender and puberty status, body-related guilt, shame, and embarrassment were negatively, and body-related authentic and hubristic pride were positively, associated with physical activity over time. Body-related envy was not significantly related to physical activity. These findings suggest that adolescents express greater negative body-related self-conscious emotions over time. Since these were negatively related to physical activity, interventions focused on reducing negative body-related emotions and enhancing positive body-related emotions may be valuable in adolescence to help curb declining physical activity.

Objectives This scoping review explored the associations between physical activity, sport, and body image. Design Scoping review. Method The studies were identified and selected using broad search criteria using MEDLINE, EMBASE, and PsycINFO via Ovid and CINAHL, Gender Studies and Sport Discus via EBSCO, from January 1, 2008 up to May 15, 2018 for English peer-reviewed publications. A rigorous evaluation following specific exclusion criteria ensued and 210 publications (182 quantitative, 26 qualitative, and 2 mixed-methods studies) were indexed and summarized using frequency counts. Results The studies were focused exclusively on sport (14.8%) or physical activity (defined as structured or leisure; 85.2%). The majority of the quantitative studies (58.2%) focused on the relationship between physical activity or sport and body image whereas 41.8% explored how body image was either a protective factor or deterrent for physical activity or sport participation. Four qualitative studies specifically examined the intersection of physical activity or sport and body image experiences. Based on the frequency of reported findings in the journal articles, participation in physical activity and sport was related to less negative and more positive body image. Negative body image was linked to lower physical activity and sport participation and was discussed qualitatively as a barrier to participation. Positive body image was associated with greater participation in physical activity and sport. There was no empirical focus on the bi-directional and reciprocal associations between physical activity or sport and body image, thus precluding any causal conclusions. Conclusions Future research is needed using integrative conceptual frameworks and research designs that emphasize and delineate the causal, bi-directional, and reciprocal associations between body image and physical activity and sport behaviors.

Body-related pride has been associated with health behaviors such as physical activity; however, researchers have overlooked distinctions between different domains of pride (appearance/fitness) and the two facets of pride (authentic/hubristic). The objective of the present research was to examine relationships between fitness- and appearance-related authentic and hubristic pride and physical activity. In Study 1, participants (N = 115) completed measures of fitness-related pride and participation in moderate-to-vigorous physical activity (MVPA). Both authentic and hubristic pride were positively associated with MVPA. In Study 2, participants (N = 173) completed measures of appearance-related pride and MVPA. Neither facet of pride predicted engagement in MVPA. In Study 3, participants (N = 401) completed measures of both fitness-related pride and appearance-related pride as well as MVPA. Authentic and hubristic fitness-related pride were associated with MVPA, while appearance-related hubristic pride was negatively associated with MVPA. Results support the adaptive nature of pride in motivating engagement in health behaviors when it is experienced around the body’s functionality rather than appearance.

BACKGROUND The COVID-19 pandemic is a public health emergency that poses challenges to the mental health of approximately 1.4 million university students in Canada. Preliminary evidence has shown that the COVID-19 pandemic had a detrimental impact on undergraduate student mental health and well-being; however, existing data are predominantly limited to cross-sectional survey-based studies. Owing to the evolving nature of the pandemic, longer-term prospective surveillance efforts are needed to better anticipate risk and protective factors during a pandemic. OBJECTIVE The overarching aim of this study is to use a mobile (primarily smartphone-based) surveillance system to identify risk and protective factors for undergraduate students’ mental health. Factors will be identified from weekly self-report data (eg, affect and living accommodation) and device sensor data (eg, physical activity and device usage) to prospectively predict self-reported mental health and service utilization. METHODS Undergraduate students at Western University (London, Ontario, Canada), will be recruited via email to complete an internet-based baseline questionnaire with the option to participate in the study on a weekly basis, using the Student Pandemic Experience (SPE) mobile app for Android/iOS. The app collects sensor samples (eg, GPS coordinates and steps) and self-reported weekly mental health and wellness surveys. Student participants can opt in to link their mobile data with campus-based administrative data capturing health service utilization. Risk and protective factors that predict mental health outcomes are expected to be estimated from (1) cross-sectional associations among students’ characteristics (eg, demographics) and key psychosocial factors (eg, affect, stress, and social connection), and behaviors (eg, physical activity and device usage) and (2) longitudinal associations between psychosocial and behavioral factors and campus-based health service utilization. RESULTS Data collection began November 9, 2020, and will be ongoing through to at least October 31, 2021. Retention from the baseline survey (N=427) to app sign-up was 74% (315/427), with 175-215 (55%-68%) app participants actively responding to weekly surveys. From November 9, 2020, to August 8, 2021, a total of 4851 responses to the app surveys and 25,985 sensor samples (consisting of up to 68 individual data items each; eg, GPS coordinates and steps) were collected from the 315 participants who signed up for the app. CONCLUSIONS The results of this real-world longitudinal cohort study of undergraduate students’ mental health based on questionnaires and mobile sensor metrics is expected to show psychosocial and behavioral patterns associated with both positive and negative mental health–related states during pandemic conditions at a relatively large, public, and residential Canadian university campus. The results can be used to support decision-makers and students during the ongoing COVID-19 pandemic and similar future events. For comparable settings, new interventions (digital or otherwise) might be designed using these findings as an evidence base. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/30504

BackgroundThe COVID-19 pandemic is a public health emergency that poses challenges to the mental health of approximately 1.4 million university students in Canada. Preliminary evidence has shown that the COVID-19 pandemic had a detrimental impact on undergraduate student mental health and well-being; however, existing data are predominantly limited to cross-sectional survey-based studies. Owing to the evolving nature of the pandemic, longer-term prospective surveillance efforts are needed to better anticipate risk and protective factors during a pandemic.ObjectiveThe overarching aim of this study is to use a mobile (primarily smartphone-based) surveillance system to identify risk and protective factors for undergraduate students’ mental health. Factors will be identified from weekly self-report data (eg, affect and living accommodation) and device sensor data (eg, physical activity and device usage) to prospectively predict self-reported mental health and service utilization.MethodsUndergraduate students at Western University (London, Ontario, Canada), will be recruited via email to complete an internet-based baseline questionnaire with the option to participate in the study on a weekly basis, using the Student Pandemic Experience (SPE) mobile app for Android/iOS. The app collects sensor samples (eg, GPS coordinates and steps) and self-reported weekly mental health and wellness surveys. Student participants can opt in to link their mobile data with campus-based administrative data capturing health service utilization. Risk and protective factors that predict mental health outcomes are expected to be estimated from (1) cross-sectional associations among students’ characteristics (eg, demographics) and key psychosocial factors (eg, affect, stress, and social connection), and behaviors (eg, physical activity and device usage) and (2) longitudinal associations between psychosocial and behavioral factors and campus-based health service utilization.ResultsData collection began November 9, 2020, and will be ongoing through to at least October 31, 2021. Retention from the baseline survey (N=427) to app sign-up was 74% (315/427), with 175-215 (55%-68%) app participants actively responding to weekly surveys. From November 9, 2020, to August 8, 2021, a total of 4851 responses to the app surveys and 25,985 sensor samples (consisting of up to 68 individual data items each; eg, GPS coordinates and steps) were collected from the 315 participants who signed up for the app.ConclusionsThe results of this real-world longitudinal cohort study of undergraduate students’ mental health based on questionnaires and mobile sensor metrics is expected to show psychosocial and behavioral patterns associated with both positive and negative mental health–related states during pandemic conditions at a relatively large, public, and residential Canadian university campus. The results can be used to support decision-makers and students during the ongoing COVID-19 pandemic and similar future events. For comparable settings, new interventions (digital or otherwise) might be designed using these findings as an evidence base.International Registered Report Identifier (IRRID)DERR1-10.2196/30504

Scholars have proposed that cumulative experiences of anti-fat bias and stigma contribute to detrimental physical activity experiences, as well as social and health inequities. The objective of this research was to explore how enacted weight stigma experiences are constructed and impact women’s physical activity experiences long term. Eighteen women who identified as having had negative experiences related to their body weight, shape, or size in physical activity contexts participated in semistructured interviews. Using reflexive thematic analysis, four themes were identified: (a) norms of body belonging, (b) distancing from an active identity, (c) at war with the body, and (d) acts of resistance. These findings deepen understandings of how historical experiences of weight stigma can have longstanding consequences on physical activity cognitions, emotions, and behaviors. To equitably promote physical activity, it is imperative that movement spaces (e.g., fitness centers, sport organizations) both target anti-fat stigma and adopt weight-inclusive principles.

Body image is a critical component of an individual’s sexual experiences. This makes it critical to identify demographic and sociocultural correlates of sexuality-related body image: the subjective feelings, cognitions, and evaluations related to one’s body in the context of sexual experience. We examined how sexuality-related body image differed by gender, sexual orientation, race, age, and BMI. Four items assessing sexuality-related body image were completed by 11,620 U.S. adults: self-perceived sex appeal of their body, nude appearance satisfaction, and the extent to which they believed that body image positively or negatively affected their sexual enjoyment and feelings of sexual acceptability as a partner. Men reported slightly less nude appearance dissatisfaction and fewer negative effects of body image on sexual enjoyment and sexual acceptability than women, but did not differ in reported sex appeal. Poorer sexuality-related body image was reported by people with higher BMIs, not in relationships, who had sex less frequently, among White compared to Black women and men, and among gay compared to heterosexual men. Data also revealed a subgroup of respondents who reported that their body image had a positive impact on their sex lives. The findings highlight a need for interventions addressing sexuality-related body image.

Racial minority men and women face a wide variety of appearance-related pressures, including ones connected to their cultural backgrounds and phenotypic features associated with their identity. These body image concerns exist within a larger context, wherein racial minorities face pressures from multiple cultures or subcultures simultaneously to achieve unrealistic appearance ideals. However, limited research has investigated racial differences in the relationships between theorized sociocultural risk factors and body image in large samples. This study tests pathways from an integrated sociocultural model drawing on objectification theory and the tripartite influence model to three key body image outcomes: appearance evaluation, body image quality of life, and face image satisfaction. These pathways were tested using multigroup structural equation modeling in a national sample of White, Black, Hispanic, and Asian men and women (ns = 205–4797 per group). Although many hypothesized associations were similar in strength across groups, race moderated some of the pathways between sociocultural pressures (media, peer, family), internalization of appearance ideals (thin-ideal, muscular/athletic), appearance surveillance, and body image outcomes. Findings support the likely role of both shared and specific risk factors for body image outcomes, suggesting avenues for tailoring adapted interventions in order to target culturally-salient risk factors.

Objectification theory proposes that widespread sexualization causes women to engage in surveillance of their appearance. We integrated this concept into a model with constructs from the tripartite influence model, which proposes that body dissatisfaction is a result of internalizing cultural notions of thin ideal beauty that stem from family, peer, and media appearance-related pressures. We tested this model with an online sample of 6327 adult women. Specifically, we tested whether these pressures predicted increased thin-ideal and muscular-ideal internalization, leading to greater body surveillance, and in turn lower appearance evaluation and body image quality of life. Structural equation modeling supported many aspects of the model. Family, peer, and media pressures related to higher thin-ideal internalization, which related to higher body surveillance and lower appearance evaluation. Peer and media pressures related to higher muscular-ideal internalization, which related to lower appearance evaluation. However, muscular-ideal internalization was not related to body image quality of life. An indirect relationship emerged between thin-ideal internalization and body image outcomes via body surveillance. Body mass index (BMI) moderated several of these model paths. Findings highlight the value of this integrated sociocultural model, and of BMI as an important moderating factor when examining objectification and tripartite influence models.

Introduction Body image concerns may contribute to poor sport experiences and low sport participation in girls. Objectification theory and evidence from studies in non-sport contexts suggests body talk may elicit an environment that fosters negative body image. However, the phenomenon of body talk within adolescent girls sport is not well-understood from an in-depth person-centered perspective. Therefore, the purpose of the present study was to explore adolescent girl athletes’ experiences of body talk within sport. Methods Twenty Canadian girl athletes (ages 14–18 years) enrolled in team-based non-aesthetic sports participated in one semi-structured interview. Using a qualitative description approach, an inductive thematic analysis was used to generate three themes. Results “Body talk as a performance tactic” highlighted complimentary and negative body talk pertaining to sport performance came from coaches, opposing players, and parents. “Casual conversations and body talk” reflected body talk from teammates and male spectators that was not specific to sport but occurred in the sport context. “Coping with body talk” reflected strategies athletes used to combat negative body talk from teammates, and reflected the athletes’ perceptions that negativity towards the body is normative. Conclusions Body talk served many purposes within sport; researchers should further explore the diverse motivations and perceived utility of body talk across sport stakeholders. Creating standardized resources and policies to eliminate body talk may foster more positive and supportive sport experiences for girls.

Many girls who participate in sport struggle to negotiate the complex relationship between their desired appearance and maintaining a physique that facilitates performance. As a result, these athletes experience a range of emotions about their bodies that impact their psychological well-being. We examined appearance- and fitness-related emotions using latent profile analysis among 507 adolescent girls involved in organized sport and examined differences in flourishing across the resulting profiles. Four emotion profiles were identified: (i) Frequent Pride, (ii) Occasional Fitness Pride, (iii) Occasional Pride, Rare Guilt/Shame, and (iv) Occasional Emotions. Participants in the Occasional Emotions profile reported the lowest flourishing scores compared to every other profile while those in the Frequent Pride profile reported the highest levels of flourishing. There were no differences in flourishing between those in the Occasional Fitness Pride profile and those in the Occasional Pride, Rare Guilt/Shame profile. Our results demonstrate how subsets of athletes may characteristically experience distinct combinations of emotions that are differentially associated with flourishing. Increasing experiences of body-related pride while mitigating experiences of guilt and shame appear to be important contributors to flourishing. However, experiences of pride may do little to buffer against reductions in flourishing when guilt and shame are experienced.

Body-related self-conscious emotions are important predictors of exercise motivation, yet the association between body-related self-conscious emotions and reasons for exercise has not been explored. Researchers have typically examined body-related emotions (e.g., shame, guilt, pride, embarrassment, envy) in isolation, but they may interact in unique ways to predict reasons for exercise. The present study examined how patterns of body-related emotions were associated with exercise reasons. In an online survey, participants (N = 520; Mage = 35.43 ± 10.09; 57.5 % men) reported their experience of body-related self-conscious emotions and exercise reasons over the past week. Latent class analysis revealed a three-class model of emotions, resulting in a High Emotionality class (i.e., experiencing positive and negative emotions), a Negative Emotions class, and a Pride class. Individuals who experienced negative emotions about their bodies engaged in exercise for appearance reasons, while individuals who felt proud about their bodies and did not report the negatively valenced emotions reported exercising for health reasons. These findings underscore the importance of investigating how multiple body-related self-conscious emotions influence reasons for exercising. Understanding how patterns of body-related self-conscious emotions are experienced could inform future research on factors that may precede exercise motivation and increase exercise behavior.

The Breast Size Satisfaction Survey (BSSS) was established to assess women's breast size dissatisfaction and breasted experiences from a cross-national perspective. A total of 18,541 women were recruited from 61 research sites across 40 nations and completed measures of current-ideal breast size discrepancy, as well as measures of theorised antecedents (personality, Western and local media exposure, and proxies of socioeconomic status) and outcomes (weight and appearance dissatisfaction, breast awareness, and psychological well-being). in the total dataset, 47.5 % of women wanted larger breasts than they currently had, 23.2 % wanted smaller breasts, and 29.3 % were satisfied with their current breast size. There were significant cross-national differences in mean ideal breast size and absolute breast size dissatisfaction, but effect sizes were small (eta(2) = .02-.03). the results of multilevel modelling showed that greater Neuroticism, lower Conscientiousness, lower Western media exposure, greater local media exposure, lower financial security, and younger age were associated with greater breast size dissatisfaction across nations. in addition, greater absolute breast size dissatisfaction was associated with greater weight and appearance dissatisfaction, poorer breast awareness, and poorer psychological well-being across nations. These results indicate that breast size dissatisfaction is a global public health concern linked to women's psychological and physical well-being. (C) 2020 Elsevier Ltd. All rights reserved., Hungarian Scientific Research Fund (OTKA)Orszagos Tudomanyos Kutatasi Alapprogramok (OTKA) [K125437], Data collection in Hungary was supported by a Hungarian Scientific Research Fund (OTKA) awarded to the sixty-third author (K125437).

Objectives Self-compassion protects against the occurrence of negative body image experiences and may be particularly useful in defending against negative body- and appearance-related self-conscious emotions in sport. The aim of this study was to examine within- and between-person associations between self-compassion and appearance-related self-conscious emotions. Design & Method In a three-year longitudinal cohort study, adolescent girls involved in organized sport (N = 518, Mage = 14.02 ± 1.38) completed yearly self-reports of self-compassion, body- and appearance-related shame, guilt, embarrassment, and envy. Results Based on findings from multilevel models, higher levels of both average and time-varying self-compassion were associated with lower levels of body-related shame, guilt, embarrassment, and envy. Specifically, girls reported lower levels of negatively valanced self-conscious emotions when self-compassion was higher than usual. Conclusions These findings support previous accounts on the utility of self-compassion as a buffer against negative body image experiences and extend these findings to appearance-related self-conscious emotions in the sport context. In light of the declining levels of self-compassion for girls in adolescence, it is important to focus intervention efforts on cultivating self-compassion to protect girls from negative body-related emotional experiences in sport.

Weight cycling is linked with advanced breast cancer diagnosis, increased risk of cancer reoccurrence and cancer-related mortality. While women treated for breast cancer report challenges with navigating their post-treatment body shape and weight, the effects of weight cycling on body image and mental health have not been elucidated. This study examined associations between weight changes and weight cycling on psychological health (i.e. weight-related guilt, shame and depressive symptoms) among women in the first-year post-treatment.Self-reported assessments of pre-cancer weight cycling, post-treatment weight-related guilt, shame and depressive symptoms, and objective assessments of weight were assessed in a longitudinal sample of 173 women treated for breast cancer (MBased on findings from multilevel models, women experienced the most weight-related shame when their weight was heavier than their personal average. Additionally, heavier weight was associated with worse psychological health, particularly for women with a history of stable (vs. cycling) weight pre-cancer.Weight cycling pre-cancer and post-treatment weight change have important implications for psychological well-being. Due to the potential psychological consequences associated with a history of weight cycling, targeted strategies are needed to improve overall health outcomes for women's survivorship after breast cancer.

Despite the extensive benefits of sport participation, girls consistently participate at lower rates, are more likely to drop out, and report worse sport experiences compared to boys. Body image is a critical factor identified to influence sport participation for adolescent girl athletes. Strategies to mitigate the impact of body image in sport are needed. The purpose of this qualitative study was to identify feasible and realistic strategies to mitigate and address body image concerns for adolescent girls involved in team sports at recreational or competitive levels. Seventy-one participants were involved in individual interviews across sport stakeholder groups, including 20 girl athletes, 11 parents of girl athletes, 13 coaches, 13 referees, and 14 sport administrators. Using a thematic analysis approach, 35 actionable strategies were identified that spanned four main themes: eliminating body image stigma, reconsidering uniforms and sport attire, from top to bottom - everyone has a role, and body-positive role modeling. The strategies spanned various systemic, environmental, social, and individual levels that are operationalized within an ecological model. Findings suggest that body image concerns in the sport environment are complex and call for multifaceted strategies that prioritize both the management of body image concerns and fostering of positive body image as a focal outcome.

Objective This study aimed to examine the trajectory of symptom remission and affective functioning throughout the course of two family-based treatments for adolescent anorexia nervosa (AN): conjoint family-based treatment (FBT) and parent-focused treatment (PFT). Method Participants were 107 adolescents (Mage = 15.5 years, SD = 1.5) with a primary diagnosis of AN who participated in a randomized clinical trial comparing FBT (N = 55) and PFT (N = 51). Patient weight and self-reported assessments of dietary restraint and positive and negative affect were recorded at regular intervals throughout treatment. Results Multilevel models revealed increases in weight (β = 0.33, p

Objectives University students report numerous barriers to physical activity participation including a lack of social support. Yet little is known about the types and providers of social support that are associated with physical activity across the first year of university. Design Prospective longitudinal survey. Method Undergraduate students ( N = 819; 64% female) completed a self-report survey at the beginning of their first year in university, near the end of first year, and at the beginning of second year. Data were analyzed using multilevel modeling to examine the associations between social support and physical activity over time. Results Based on unconditional growth models, physical activity increased (β = 14.82), whereas received family support (β = −0.10), and number of people providing tangible support (β = −0.04) decreased over the first year of university. Students reported engaging in higher amounts of physical activity during times when they had more, compared to less than their average, social network from family (β = 23.20) and received social support from friends (β = 34.87). These results were similar at the between-person level. Living status emerged as a moderator of the association between tangible support satisfaction and physical activity, revealing a positive association (β = 29.72) for individuals living on/around campus. Conclusions The relationship between social support and physical activity varies at both within-person and between-person levels. Family providers of support appear to continue to influence the physical activity levels of university students. As such, university physical activity programs could endorse multiple dimensions and providers of social support.

The objectives of this study were to describe the cross-sectional associations between body-related self-conscious emotions and depressive symptoms in young adults and examine self-esteem as a moderator of these associations. Data from a population-based sample of 811 young adults were analyzed using hierarchical multivariate linear regression analysis. Body-related shame ( β = .26) and guilt ( β = .25) were positively related to frequency of depressive symptoms. Self-esteem was negatively related to frequency of depressive symptoms ( β = −.46). Self-esteem moderated the association between body-related guilt and frequency of depressive symptoms. These findings suggest promoting self-esteem may help to reduce the negative effects of body-related guilt on depressive symptoms.