From Obesity to Bigorexia: A Clinical Case Report

Area of Science:

• Psychiatry
• Adolescent Medicine
• Body Image Research

Background:

• Body image dissatisfaction is linked to social and media influences and mental health disorders.
• Adolescent obesity significantly increases the risk of body dissatisfaction.
• Muscle dysmorphia involves obsessive pursuit of muscularity and a distorted body image.

Purpose of the Study:

• To highlight the underdiagnosis of muscle dysmorphia in adolescents.
• To explore the potential link between adolescent obesity and muscle dysmorphia.
• To emphasize the importance of early recognition in at-risk adolescents.

Main Methods:

• Case study of a 16-year-old male with a history of obesity and depression.
• Analysis of the patient's development of obsessive behaviors post-weight loss.
• Clinical observation of rigid behavior and poor insight.

Main Results:

• The patient developed obsessive diet and exercise behaviors, including supplement use.
• Significant functional impairment necessitated referral to child and adolescent psychiatry.
• Muscle dysmorphia was identified as a potential diagnosis.

Conclusions:

• Muscle dysmorphia is an underdiagnosed body dysmorphic disorder.
• Adolescent obesity may be a predisposing factor for muscle dysmorphia.
• Early identification in adolescents with obesity and body image concerns is crucial.