The Associations between Physical Activity with Body-Image and Body Composition in Female Children

Document Type : Research Article

Authors

1 Department of Physical Education and Sport Sciences, Aliabad Katoul Branch, Islamic Azad University, Aliabad Katoul, Iran

2 Department of Physical Education, Islamshahr Branch, Islamic Azad University, Islamshahr, Iran

10.30476/whb.2026.105220.1331

Abstract

Background: Early childhood is a critical period for the development of body image (BI) and healthy body composition (BC). Understanding how physical activity (PA) influences these factors in young girls can help guide interventions that promote longterm health and well-being. This study investigated the relationship between PA, BI, and BC in female children.
Methods: This was a descriptive-correlational study. A total of 384 female children aged 10 to 12 in Ali-Abad-Katoul city, Golestan Province, Iran, in 2024 were selected through convenience sampling technique. ActiGraph accelerometer, the Body Image State Scale and the X-Scan plus-II were used for measuring PA, BI and BC, respectively. Pearson correlation was used to analyze the data.
Results: The average duration of daily moderate-to-vigorous PA (MVPA) was found to be 36.84±6.96 minutes, while the mean body mass index (BMI) was recorded at 18.00±1.35. The analysis revealed a significant positive correlation between MVPA and BI (r=0.540, P<0.001) as well as skeletal muscle mass (SMM) (r=0.429, P<0.001). Conversely, a significant negative association was observed between MVPA and both BMI (r=-0.639, P<0.001) and mass of body fat (MBF) (r=-0.508, P<0.001). Furthermore, a significant negative correlation was identified between BMI and MBF with BI (r=-0.394, P<0.001 and r=-0.342, P<0.001, respectively), while SMM exhibited a positive and significant relationship with BI (r=0.417, P<0.001).
Conclusions: This study emphasized the importance of paying attention to lifestyle, especially PA, in female children. Given the general changes in lifestyle and the increasing tendency of people to use computers and watch television more, physical inactivity is considered an important problem from a health perspective.

Highlights

Masoud Shakki: (Google Scholar)

Reza Rezaeeshirazi: (Google Scholar)

Keywords


  1. Rodgers RF, Laveway K, Campos P, de Carvalho PHB. Body image as a global mental health concern. Glob Ment Health (Camb). 2023;10:e9. doi: 10.1017/gmh.2023.2. PubMed PMID: 36861019; PubMed Central PMCID: PMC9970735. ##
  2. Mallaram GK, Sharma P, Kattula D, Singh S, Pavuluru P. Body image perception, eating disorder behavior, self-esteem and quality of life: a cross-sectional study among female medical students. J Eat Disord. 2023;11(1):225. doi: 10.1186/s40337-023-00945-2. PubMed PMID: 38102717; PubMed Central PMCID: PMC10724937. ##
  3. Kling J, Kwakkenbos L, Diedrichs PC, Rumsey N, Frisén A, Brandão MP, et al. Systematic review of body image measures. Body Image. 2019;30:170-211. doi: 10.1016/j.bodyim.2019.06.006. PubMed PMID: 31394462. ##
  4. Baniasadi T. The Relationship between Self-reported and Device-measured Physical Activity among Children with ADHD. Phys Act Child. 2024;1(1):e195747. doi: 10.61186/pach.195747. ##
  5. Bodega P, de Cos-Gandoy A, Fernández-Alvira JM, Fernández-Jiménez R, Moreno LA, Santos-Beneit G. Body image and dietary habits in adolescents: a systematic review. Nutr Rev. 2023;82(1):104-127. doi: 10.1093/nutrit/nuad044. PubMed PMID: 37155836; PubMed Central PMCID: PMC10711440. ##
  6. Gonzaga I, Ribovski M, Claumann GS, Folle A, Beltrame TS, Laus MF, et al. Secular trends in body image dissatisfaction and associated factors among adolescents (2007-2017/2018). PLoS One. 2023;18(1):e0280520. doi: 10.1371/journal.pone.0280520. PubMed PMID: 36656894; PubMed Central PMCID: PMC9851498. ##
  7. Ismaeel SA. Comparing the Anthropometric Characteristics and Physical Fitness of the School-Students with High and Low Levels of Physical Activity. Phys Act Child. 2024;1(1):e465559. doi: 10.61186/PACH.2024.465559.1014. ##
  8. Caldeira TCM, Canella DS, Rosa TMS, Ramos IEC, da Silva LES, Claro RM, et al. Association between obesity and the intersection of depression, sex, and race in Brazilian adults: a cross-sectional analysis of population-based survey. BMC Public Health. 2025;25(1):3537. doi: 10.1186/s12889-025-24882-8. PubMed PMID: 41121088; PubMed Central PMCID: PMC12538870. ##
  9. Morales-Suárez-Varela M, López-García E, Peraita-Costa I, Pérez Puente JM, Llopis-Morales A, Llopis-Gonzalez A, et al. Obesity and Mental Health in Childhood and Adolescence: A Scoping Review of Recent Scientific Evidence. Children (Basel). 2025;12(11):1512. doi: 10.3390/children12111512. PubMed PMID: 41300629; PubMed Central PMCID: PMC12650826. ##
  10. Farzanegi P. Effects of a Tabata Exercise on Lipid Profile and Body Composition Indices in Overweight Boys. Phys Act Child. 2024;1(1):74-80. doi: 10.61186/pach.2024.472195.1023. ##
  11. Yuan NP, Butt H, Karp JF, Idowu E, Hu C, Shadyab AH, et al. Bidirectional Associations Between Obesity and Depressive Symptoms: Results From the Multiethnic Postmenopausal Cohort of the Women's Health Initiative Study. Am J Geriatr Psychiatry Open Sci Educ Pract. 2025;8:63-74. doi: 10.1016/j.osep.2025.10.002. PubMed PMID: 41477444; PubMed Central PMCID: PMC12753003. ##
  12. Zhang X, Liu J, Ni Y, Yi C, Fang Y, Ning Q, et al. Global Prevalence of Overweight and Obesity in Children and Adolescents: A Systematic Review and Meta-Analysis. JAMA Pediatr. 2024;178(8):800-813. doi: 10.1001/jamapediatrics.2024.1576. PubMed PMID: 38856986; PubMed Central PMCID: PMC11165417. ##
  13. González-Álvarez MA, Lázaro-Alquézar A, Simón-Fernández MB. Global Trends in Child Obesity: Are Figures Converging? Int J Environ Res Public Health. 2020;17(24):9252. doi: 10.3390/ijerph17249252. PubMed PMID: 33321991; PubMed Central PMCID: PMC7764153. ##
  14. Hashemi S. The Effects of Twelve-Weeks of Aerobic Exercise on Body Composition, Physical Fitness and Happiness among Obese Adolescents. Phys Act Child. 2024;1(1):81-88. doi: 10.61186/pach.2024.472521.1024. ##
  15. Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. J Family Med Prim Care. 2015;4(2):187-92. doi: 10.4103/2249-4863.154628. PubMed PMID: 25949965; PubMed Central PMCID: PMC4408699. ##
  16. Llewellyn A, Simmonds M, Owen CG, Woolacott N. Childhood obesity as a predictor of morbidity in adulthood: a systematic review and meta-analysis. Obes Rev. 2016;17(1):56-67. doi: 10.1111/obr.12316. PubMed PMID: 26440472. ##
  17. Weinberger NA, Kersting A, Riedel-Heller SG, Luck-Sikorski C. Body Dissatisfaction in Individuals with Obesity Compared to Normal-Weight Individuals: A Systematic Review and Meta-Analysis. Obes Facts. 2016;9(6):424-441. doi: 10.1159/000454837. PubMed PMID: 28013298; PubMed Central PMCID: PMC5644896. ##
  18. Robinson E, Haynes A, Sutin A, Daly M. Self-perception of overweight and obesity: A review of mental and physical health outcomes. Obes Sci Pract. 2020;6(5):552-561. doi: 10.1002/osp4.424. PubMed PMID: 33082997; PubMed Central PMCID: PMC7556430. ##
  19. Anastasiadou D, Tárrega S, Fornieles-Deu A, Moncada-Ribera A, Bach-Faig A, Sánchez-Carracedo D. Experienced and internalized weight stigma among Spanish adolescents. BMC Public Health. 2024;24(1):1743. doi: 10.1186/s12889-024-19246-7. PubMed PMID: 38951859; PubMed Central PMCID: PMC11218352. ##
  20. Weinberger NA, Luck-Sikorski C. Body appreciation and appearance evaluation in individuals with obesity compared to individuals with normal-weight: findings from a representative German population sample. Eat Weight Disord. 2021;26(7):2241-2249. doi: 10.1007/s40519-020-01071-7. PubMed PMID: 33278021; PubMed Central PMCID: PMC8437869. ##
  21. Gruszka W, Owczarek AJ, Glinianowicz M, Bąk-Sosnowska M, Chudek J, Olszanecka-Glinianowicz M. Perception of body size and body dissatisfaction in adults. Sci Rep. 2022;12(1):1159. doi: 10.1038/s41598-021-04706-6. PubMed PMID: 35087089; PubMed Central PMCID: PMC8795272. ##
  22. Harrison A, Fernández de la Cruz L, Enander J, Radua J, Mataix-Cols D. Cognitive-behavioral therapy for body dysmorphic disorder: A systematic review and meta-analysis of randomized controlled trials. Clin Psychol Rev. 2016;48:43-51. doi: 10.1016/j.cpr.2016.05.007. PubMed PMID: 27393916. ##
  23. Rück C, Mataix-Cols D, Feusner JD, Shavitt RG, Veale D, Krebs G, et al. Body dysmorphic disorder. Nat Rev Dis Primers. 2024;10(1):92. doi: 10.1038/s41572-024-00577-z. PubMed PMID: 39639018; PubMed Central PMCID: PMC12032537. ##
  24. Blashill AJ, Safren SA, Wilhelm S, Jampel J, Taylor SW, O'Cleirigh C, et al. Cognitive behavioral therapy for body image and self-care (CBT-BISC) in sexual minority men living with HIV: A randomized controlled trial. Health Psychol. 2017;36(10):937-946. doi: 10.1037/hea0000505. PubMed PMID: 28541068; PubMed Central PMCID: PMC5620114. ##
  25. Zaccagni L, Gualdi-Russo E. The Impact of Sports Involvement on Body Image Perception and Ideals: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2023;20(6):5228. doi: 10.3390/ijerph20065228. PubMed PMID: 36982136; PubMed Central PMCID: PMC10049477. ##
  26. Zamani Sani SH, Fathirezaie Z, Brand S, Pühse U, Holsboer-Trachsler E, Gerber M, et al. Physical activity and self-esteem: testing direct and indirect relationships associated with psychological and physical mechanisms. Neuropsychiatr Dis Treat. 2016;12:2617-2625. doi: 10.2147/NDT.S116811. PubMed PMID: 27789950; PubMed Central PMCID: PMC5068479. ##
  27. Baniasadi T, Ranjbari S, Khajeaflatoon Mofrad S, Ghorbani S. Correlations Between Social Support and Physical Activity with Depression and Happiness in Elderly Women with Memory Impairment. Women Health Bull. 2023;10(3):165-172. doi: 10.30476/WHB.2023.98614.1230. ##
  28. Shakki M, Rezaeeshirazi R, Aghaei Bahmanbeglou N, Ghorbani S. Association between Objectively measured Physical Activity and Sedentary Behavior with Body Composition among Primary School Children. Int J School Health. 2024;11(3):180-187. doi: 10.30476/INTJSH.2024.102280.1401. ##
  29. Steinfeld B, Hartmann AS, Waldorf M, Vocks S. Development and initial psychometric evaluation of the Body Image Matrix of Thinness and Muscularity - Female Bodies. J Eat Disord. 2020;8(1):75. doi: 10.1186/s40337-020-00345-w. PubMed PMID: 33292543; PubMed Central PMCID: PMC7709434. ##
  30. Guthold R, Stevens GA, Riley LM, Bull FC. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants. Lancet Child Adolesc Health. 2020;4(1):23-35. doi: 10.1016/S2352-4642(19)30323-2. PubMed PMID: 31761562; PubMed Central PMCID: PMC6919336. ##
  31. Reilly JJ, Barnes J, Gonzalez S, Huang WY, Manyanga T, Tanaka C, et al. Recent Secular Trends in Child and Adolescent Physical Activity and Sedentary Behavior Internationally: Analyses of Active Healthy Kids Global Alliance Global Matrices 1.0 to 4.0. J Phys Act Health. 2022;19(11):729-736. doi: 10.1123/jpah.2022-0312. PubMed PMID: 36280229. ##
  32. Neville RD, Lakes KD, Hopkins WG, Tarantino G, Draper CE, Beck R, et al. Global Changes in Child and Adolescent Physical Activity During the COVID-19 Pandemic: A Systematic Review and Meta-analysis. JAMA Pediatr. 2022;176(9):886-894. doi: 10.1001/jamapediatrics.2022.2313. PubMed PMID: 35816330; PubMed Central PMCID: PMC9274449. ##
  33. D'Anna C, Forte P, Pugliese E. Trends in Physical Activity and Motor Development in Young People-Decline or Improvement? A Review. Children (Basel). 2024;11(3):298. doi: 10.3390/children11030298. PubMed PMID: 38539333; PubMed Central PMCID: PMC10969615. ##
  34. Marsigliante S, Gómez-López M, Muscella A. Effects on Children's Physical and Mental Well-Being of a Physical-Activity-Based School Intervention Program: A Randomized Study. Int J Environ Res Public Health. 2023;20(3):1927. doi: 10.3390/ijerph20031927. PubMed PMID: 36767292; PubMed Central PMCID: PMC9915543. ##
  35. Gao Z, Chen S, Sun H, Wen X, Xiang P. Physical Activity in Children's Health and Cognition. Biomed Res Int. 2018;2018:8542403. doi: 10.1155/2018/8542403. PubMed PMID: 30046612; PubMed Central PMCID: PMC6036844. ##
  36. Crumbley CA, Ledoux TA, Johnston CA. Physical Activity During Early Childhood: The Importance of Parental Modeling. Am J Lifestyle Med. 2019;14(1):32-35. doi: 10.1177/1559827619880513. PubMed PMID: 31903077; PubMed Central PMCID: PMC6933558. ##
  37. Van Roessel IMAA, Van Schaik J, Kleinlugtenbelt LB, van Duijn SN, Burghard M, Takken T, et al. Physical activity, health-related fitness, and physical performance in children with acquired hypothalamic dysfunction. Support Care Cancer. 2025;33(4):295. doi: 10.1007/s00520-025-09361-5. PubMed PMID: 40100427; PubMed Central PMCID: PMC11920002. ##
  38. Belcher BR, Zink J, Azad A, Campbell CE, Chakravartti SP, Herting MM. The Roles of Physical Activity, Exercise, and Fitness in Promoting Resilience During Adolescence: Effects on Mental Well-Being and Brain Development. Biol Psychiatry Cogn Neurosci Neuroimaging. 2021;6(2):225-237. doi: 10.1016/j.bpsc.2020.08.005. PubMed PMID: 33067166; PubMed Central PMCID: PMC7878276. ##
  39. James J, Pringle A, Mourton S, Roscoe CMP. The Effects of Physical Activity on Academic Performance in School-Aged Children: A Systematic Review. Children (Basel). 2023;10(6):1019. doi: 10.3390/children10061019. PubMed PMID: 37371251; PubMed Central PMCID: PMC10297707. ##
  40. Men J, Wang P, Gao Q, Li Y, Zhu G, Yu Z, et al. Impact of exercise on anthropometric outcomes in children and adolescents with overweight or obesity: a systematic review and meta-analysis based on 113 randomized controlled trials worldwide. BMC Public Health. 2025;25(1):2400. doi: 10.1186/s12889-025-23413-9. PubMed PMID: 40624670; PubMed Central PMCID: PMC12232561. ##