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Self-esteem changes in children enrolled in weight management programs.

J W Cameron1

  • 1Duke University School of Nursing, Durham, North Carolina 27710, USA. camer015@mc.duke.edu

Issues in Comprehensive Pediatric Nursing
|April 29, 2000
PubMed
Summary
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Weight management programs for children may negatively impact self-esteem, particularly concerning physical appearance. This study found decreased self-concept scores in children participating in these programs, with limited weight loss results.

Area of Science:

  • Pediatric Psychology
  • Childhood Obesity Research

Background:

  • Childhood obesity is a significant public health concern.
  • Weight management programs aim to improve health outcomes in obese children.
  • The psychological impact of these programs on children's self-esteem is not fully understood.

Purpose of the Study:

  • To investigate changes in self-esteem among school-aged children participating in a weight management program.
  • To compare self-esteem changes in children in a weight management program versus a control group of obese children not in a program.

Main Methods:

  • A study group of 54 obese children (ages 10-15) in a weight management program was compared to a control group of 60 obese children.
  • Body Mass Index (BMI) and weight were measured for all participants.

Related Experiment Videos

  • The Pier-Harris Children's Self-Concept Scale was administered at baseline and after 12 weeks.

    • Main Results:

    • No significant changes in average weight or BMI were observed in either group after 12 weeks.
    • The study group showed a significant decrease in self-concept scores, while the control group did not.
    • The most substantial score changes in the study group were on the physical appearance subscale.

    Conclusions:

    • Participation in weight management programs may be associated with a decline in children's self-esteem.
    • Weight management programs demonstrated limited efficacy in weight loss for this cohort.
    • Further research is needed to understand the psychological risks and optimize interventions for obese children.