Abstract

Background Studies looking at self-esteem and body size or adiposity generally demonstrate a negative relationship. However, the relationship between the source of self-esteem and body size has not been examined in college women. Purpose The purpose of this study was to evaluate the relationship of body size and adiposity to source of self-esteem (achievement or self-acceptance) in young adult women. Methods Participants were healthy women between the ages of 18 and 25 years. Participants completed the Worth Index to determine source of self-esteem. Body height and weight were measured and body composition was assessed by the BOD POD. Results One hundred fifty-eight college women completed the study. Source of self-esteem was primarily self-acceptance. Achievement self-esteem in appearance was positively correlated to percentage body fat (P < 0.05). Body mass index (BMI) was negatively related to self-acceptance self-esteem in appearance and performance (P < 0.05). Global self-esteem was significantly lower for individuals in the highest BMI category. Discussion Women with higher BMI and body fat tend to see their worth as more contingent upon appearance than women with lower body weights. Thus, these women tend to have a source of self-esteem that is less stable and more psychologically vulnerable. Translation to Health Education Practice Self-acceptance self-esteem contributes to a healthier sense of self than achievement self-esteem. These results help to inform health educators on how to effectively plan health programs for young women.

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