Physical self-esteem – a ten-year follow-up study from early adolescence to early adulthood

2015 ◽  
Vol 27 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Anders Raustorp ◽  
Magnus Lindwall

Abstract Introduction: One variable that has been consistently associated with adolescents’ physical activity is perceived activity competence. Perceived physical (or sport) competence is considered a sub-domain to the physical self-esteem or self-worth (i.e., a person’s valuation of what is good and worthy in their self-description). Objective: This study aimed to describe levels of and inter-correlations among physical self-esteem, physical activity, and body mass index in a longitudinal design spanning adolescence to early adulthood. Materials and methods: At mean ages of 12.7, 15.7, 17.7 and 22.7 years, we measured perceived physical self-esteem in 39 (22 boys) Swedish adolescents. Physical activity (steps/day) for four consecutive schooldays, height, and weight were also measured. Results: No significant difference between the four time points for any variable of perceived physical self-esteem was seen, neither in boys nor girls. In general, all physical self-variables revealed non-linear trajectories across time, where the general trend was an increase during the younger ages followed by a decrease during older ages. At ages 12 and 15 years in boys and girls physical condition and physical strength as well as body attractiveness and physical strength, respectively, had the strongest correlations to physical self-esteem. At age 17 and 22 years sports competence had the strongest correlation to self-esteem in girls, while body attractiveness and physical strength had the strongest correlation to self-esteem in boys. Conclusion: An overall stability in physical self-esteem was found. However the impact of a sub-domain upon physical self-esteem vary during adolescence and early adulthood. Such information may be useful when creating physical activity programs that support and develop physical self-esteem.

2010 ◽  
Vol 32 (6) ◽  
pp. 862-880 ◽  
Author(s):  
Steriani Elavsky

This 2-year prospective study examined the exercise and self-esteem model in middle-aged women (N = 143) previously enrolled in a randomized controlled exercise trial. Across the 2-year period, increases in physical activity (PA) and self-efficacy and reductions in body mass index (BMI) were associated with improved subdomain self-perceptions relative to physical condition, and reductions in BMI were associated with improved subdomain self-perceptions relative to physical condition and body attractiveness. The effects of PA, self-efficacy, and BMI on changes in physical self-worth and global self-esteem were mediated by changes in self-perceptions relative to physical condition and body attractiveness. The results of this longitudinal analysis support the hierarchical and multidimensional structure of self-esteem and indicate that middle-aged women can enhance how they perceive their condition and body attractiveness by continued participation in physical activity, increasing their self-efficacy, and maintaining healthy BMI levels.


2008 ◽  
Vol 20 (2) ◽  
pp. 142-156 ◽  
Author(s):  
Atahan Altintaş ◽  
F. Hülya Aşçi

The purpose of this study was to examine the physical activity and pubertal status differences in the multiple dimensions of physical self-esteem of Turkish adolescents. The current study also aimed to investigate the gender differences in the physical self-esteem. The pubertal status of participants was determined by a self-report questionnaire. The Children and Youth Physical Self-Perception Profile and a weekly activity checklist were administered to 803 adolescents (Mage = 13.10 ± 0.93). Analysis revealed significant main effects of physical activity on the multiple dimensions of physical self-esteem for both boys and girls. Follow-up analysis indicated that physically active boys and girls scored higher on almost all subscales of physical self-esteem than less active counterparts. The main effect of pubertal status and physical activity × pubertal status interaction were not significant either for boys or girls. Analysis also revealed significant gender differences in perceived body attractiveness, physical strength, physical condition, and physical self-worth subscales in favor of boys (p < .05).


2020 ◽  
Author(s):  
Wei Huang ◽  
Xiangrong Shi ◽  
Yujie Wang ◽  
Xiaoling Li ◽  
Pengpeng Gao ◽  
...  

Abstract Background The benefits of physical activity have been identified in children and adolescents. However, the prevalence of physical inactivity in school-aged children and adolescents was high in China. Most time of students spends in neighborhood and school, and these play an important role in student’s MVPA level. Therefore, we will investigate the impact of implementing the national health promotion policy on PA behavior in school-aged children and adolescents and the effects that influence the changes in PA behavior in this study. Methods This is a longitudinal study with a 12-month follow-up. The study sample came from 2016 and 2017 Physical Activity and Fitness in China—The Youth Study, total 1611 students (aged 7–18 years) from 31 primary, junior high, and high schools were included in this study. The physical and social environment in school and neighborhood were measured by questionnaire at baseline and after 12 months. Multiple logistic regression was used to examine the relationship of influential factors and moderate- and vigorous MVPA. Results There is no significant difference in MVPA level between 2016 and 2017. Student’s attitudes to PA, neighborhood facilities, and organizations were improved significantly after 12 months. The influential factors changed after 12 months. In 2016 the top three contributors were attitude to MVPA(OR 3.08 with 95% CL 1.22, 7.76), neighborhood PA facilities(OR 1.52, 95% CL 1.24, 1.86) and age(OR 1.38, 95% CL 1.13, 1.69), and in 2017 the top three factors were student’s attitude to PA(OR 4.28, 95%CL 1.788,10.245), school extra time for PA(OR 2.29, 95% CL 1.56, 3.36) and the frequency of sports events in neighborhood(OR 1.84, 95% CL 1.34, 2.53). Conclusions The single health policy is not effective for student’s MVPA promotion. There may be some factors mediate the relationship between neighborhood environment and MVPA level with age and grade increasing. In the future, more studies are needed to explore the change of influential factors and mediators with age. The findings of this study may provide some evidence for future policy-making.


2017 ◽  
Vol 10 (1) ◽  
pp. 276-282 ◽  
Author(s):  
Bettina Friedrich ◽  
Oliver John Mason

Background: Football is increasingly used as an adjunct intervention for people with mental problems, intended to improve their mental, physical and social health. Objective: The aim of this study is to evaluate psychosocial outcomes and physical activity in participants of “Coping Through Football” (CTF), a London-based football intervention for people who receive secondary mental health care. Methods: In a one group pre-post study design, participants completed self-report measures on physical activity and mental well-being at baseline (i.e. when joining the intervention), and at 6 months and 12 months thereafter. Perceived quality of life was measured using the WHOQOL-BREF which assess domains such as physical health, psychological well-being, social relationships and environment. The Rosenberg Self-esteem scale was used to measure self-esteem in the participants. Self-reported physical activity (vigorous activity, moderate activity, walking and sitting) was assessed using the short form of the International Physical Activity questionnaire (IPAQ). Results: For the 6 months follow up, data was available for 72 participants; at 12 month follow up data was available for 32 participants. Levels of vigorous activity doubled between baseline (102.98 min/week) and the short term follow up (196.85 min/week) as well as between baseline (117.26 min/week) and the one year follow up (248.23 min/week). For moderate activity, we find similar results with an improvement from 78.13 min/week at baseline to 149 min/week at the short term follow up and an increase from 87.74 min/week at baseline to 209.61 min/week. Increases on psychosocial measures were more modest, reaching significance at only the 6 month time point. There were no statistically significant changes with regard to the time spent sitting or walking at either the 6 or the 12 month follow up. Conclusion: While the impact on psychosocial measures was only moderate, the increase in physical activity in participants encourages the use of adjunct football interventions for people with mental health problems as a means to increase physical activity levels.


2013 ◽  
Vol 10 (3) ◽  
pp. 368-378 ◽  
Author(s):  
Jennifer L. Huberty ◽  
Diane Ehlers ◽  
Jason Coleman ◽  
Yong Gao ◽  
Steriani Elavsky

Background:Ideal approaches to increasing long-term physical activity (PA) adherence in women remain unclear. This study used a longitudinal mixed-methods approach to 1) determine the effectiveness of an 8-month book club intervention for increasing PA participation and self-worth, and reducing barriers at 1-year follow-up; and 2) identify reasons why completers and noncompleters did or did not maintain PA.Methods:One year after the cessation of Women Bound to be Active (WBA), completers (participated in posttesting; n = 30) and noncompleters (did not participate in posttesting; n = 22) responded to questionnaires and interviews assessing their body mass index (BMI), current PA participation, barriers, and global self-worth.Results:Compared with noncompleters, completers reported decreases in BMI, higher motivation for PA, higher ratio of benefits to barriers, and more consistent PA. Both groups still reported barriers to PA, especially time; however, completers more often reported strategies for overcoming these barriers. Completers more directly discussed the impact of their improved self-worth on their PA participation.Conclusions:In the future, a greater focus on time management and self-regulation strategies should be emphasized in PA interventions, specifically those that focus on women. This may help to prevent program and long-term PA attrition.


2018 ◽  
Vol 1 (5) ◽  
Author(s):  
Petri Wiklund ◽  
Shenglong Le ◽  
Xiaowei Ojanen ◽  
Yan Zhang ◽  
Sulin Cheng

Objective Inverse association between physical activity and adiposity in children and adolescents have been documented in numerous studies. However, few studies have examined the direction of causation between these two variables. We aimed to examine the prospective bidirectional associations between physical activity and adiposity from childhood to early adulthood. Methods A total of 396 girls (mean age, 11.2 years at baseline) participated in a longitudinal study with 1, 2, 4, and 7 year follow-ups. Body height and weight were measured, body composition was assessed by DXA and BMI and fat mass index (FMI) were calculated. Leisure-time physical activity (LTPA) and physical inactivity was obtained from questionnaire and physical activity score and inactivity time was calculated. A bivariate cross-lagged panel model was used to estimate the bidirectional associations between physical activity and measures of adiposity across follow-up waves. We further examined whether persistently high or persistently low physical activity or change of physical activity level from low to high and high to low during pubertal years had differential effects on adiposity. For this, the study participants were first divided into two groups according to the median values of their LTPA scores at baseline and at the 7 year follow-up visit. Then four activity groups were formed: consistently high (CH), consistently low (CL), change from high to low (HL), and change from low to high (LH). Analysis of variance (ANOVA) with least significant difference post hoc test was used to compare differences in adiposity between the LTPA groups. Results BMI at each measurement wave strongly predicted subsequent BMI (standardized path coefficients ranged from 0.87 to 0.95, p < 0.001 for all). Similar pattern was observed for LTPA and physical inactivity, though the path coefficients tended to be notably smaller. This auto-regressive part of the model indicates that the temporal stability of BMI from childhood to early adulthood is higher than the temporal stability of LTPA or physical inactivity over the same time period. The cross-lagged effects indicated that higher BMI at baseline and at 4-year follow-up predicted lower LTPA at 2-year and 7-year follow-ups, respectively (p<0.05 for both), but LTPA did not predict subsequent BMI at any time point. Similarly, higher FMI at baseline and at 2-year follow-up predicted lower LTPA at subsequent follow-up waves (p<0.05 for both). No associations were found between sedentary time and adiposity between any time points. The difference in participation in LTPA between consistently high and consistently low PA groups were on average 4 hours per week (p<0.001); however, no significant difference in FMI was found at baseline, 2-year or 7-year follow-up). Similarly, no significant difference in FMI was found between the groups whose LTPA level changed from high to low or from low to high.  Conclusions Our results suggest that reduced physical activity in children and adolescents is the result of increased fatness rather than its cause. Current physical activity recommendations may not be sufficient to combat pediatric obesity.


2009 ◽  
Vol 19 (2) ◽  
pp. 72-78
Author(s):  
Rebecca L. Nelson Crowell ◽  
Julie Hanenburg ◽  
Amy Gilbertson

Abstract Audiologists have a responsibility to counsel patients with auditory concerns on methods to manage the inherent challenges associated with hearing loss at every point in the process: evaluation, hearing aid fitting, and follow-up visits. Adolescents with hearing loss struggle with the typical developmental challenges along with communicative challenges that can erode one's self-esteem and self-worth. The feeling of “not being connected” to peers can result in feelings of isolation and depression. This article advocates the use of a Narrative Therapy approach to counseling adolescents with hearing loss. Adolescents with hearing loss often have problem-saturated narratives regarding various components of their daily life, friendships, amplification, academics, etc. Audiologists can work with adolescents with hearing loss to deconstruct the problem-saturated narratives and rebuild the narratives into a more empowering message. As the adolescent retells their positive narrative, they are likely to experience increased self-esteem and self-worth.


2020 ◽  
Author(s):  
Erico Castro-Costa ◽  
Jerson Laks ◽  
Cecilia Godoi Campos ◽  
Josélia OA Firmo ◽  
Maria Fernanda Lima-Costa ◽  
...  

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 900.1-900
Author(s):  
L. Diebold ◽  
T. Wirth ◽  
V. Pradel ◽  
N. Balandraud ◽  
E. Fockens ◽  
...  

Background:Among therapeutics used to treat rheumatoid arthritis (RA), Tocilizumab (TCZ) and Abatacept (ABA) are both biologic agents that can be delivered subcutaneously (SC) or intravenously (IV). During the first COVID-19 lockdown in France, all patients treated with IV TCZ or IV ABA were offered the option to switch to SC administration.Objectives:The primary aim was to assess the impact of changing the route of administration on the disease activity. The second aim was to assess whether the return to IV route at the patient’s request was associated with disease activity variation, flares, anxiety, depression and low physical activity during the lockdown.Methods:We conducted a prospective monocentric observational study. Eligibility criteria: Adult ≥ 18 years old, RA treated with IV TCZ or IV ABA with a stable dose ≥3 months, change in administration route (from IV to SC) between March 16, 2020, and April 17, 2020. The following data were collected at baseline and 6 months later (M6): demographics, RA characteristics, treatment, history of previous SC treatment, disease activity (DAS28), self-administered questionnaires on flares, RA life repercussions, physical activity, anxiety and depression (FLARE, RAID, Ricci &Gagnon, HAD).The primary outcome was the proportion of patients with a DAS28 variation>1.2 at M6. Analyses: Chi2-test for quantitative variables and Mann-Whitney test for qualitative variables. Factors associated with return to IV route identification was performed with univariate and multivariate analysis.Results:Among the 84 patients who were offered to switch their treatment route of administration, 13 refused to change their treatment. Among the 71 who switched (48 TCZ, 23 ABA), 58 had a M6 follow-up visit (13 lost of follow-up) and DAS28 was available for 49 patients at M6. Main baseline characteristics: female 81%, mean age 62.7, mean disease duration: 16.0, ACPA positive: 72.4%, mean DAS28: 2.01, previously treated with SC TCZ or ABA: 17%.At M6, the mean DAS28 variation was 0.18 ± 0.15. Ten (12.2%) patients had a DAS28 worsening>1.2 (ABA: 5/17 [29.4%] and TCZ: 5/32 [15.6%], p= 0.152) and 19 patients (32.8%) had a DAS28 worsening>0.6 (ABA: 11/17 [64.7%] and TCZ: 8/32 [25.0%], p= 0.007).At M6, 41 patients (77.4%) were back to IV route (26 TCZ, 15 ABA) at their request. The proportion of patients with a DAS28 worsening>1.2 and>0.6 in the groups return to IV versus SC maintenance were 22.5%, 42.5% versus 11.1% and 22.2% (p=0.4), respectively. The univariate analysis identified the following factors associated with the return to IV route: HAD depression score (12 vs 41, p=0.009), HAS anxiety score (12 vs 41, p=0.047) and corticosteroid use (70% vs 100%, p=0.021), in the SC maintenance vs return to IV, respectively.Conclusion:The change of administration route of TCZ and ABA during the first COVID-19 lockdown was infrequently associated with a worsening of RA disease. However, the great majority of the patients (77.4%) request to return to IV route, even without disease activity worsening. This nocebo effect was associated with higher anxiety and depression scores.Disclosure of Interests:None declared


Author(s):  
Giulia Foccardi ◽  
Marco Vecchiato ◽  
Daniel Neunhaeuserer ◽  
Michele Mezzaro ◽  
Giulia Quinto ◽  
...  

Although the efficacy of cardiac rehabilitation (CR) is proven, the need to improve patients’ adherence has emerged. There are only a few studies that have investigated the effect of sending text messages after a CR period to stimulate subjects’ ongoing engagement in regular physical activity (PA). A randomized controlled pilot trial was conducted after CR, sending a daily PA text message reminder to an intervention group (IG), which was compared with a usual care control group (CG) during three months of follow-up. Thirty-two subjects were assessed pre- and post-study intervention with GPAQ, submaximal iso-watt exercise testing, a 30 s sit-to-stand test, a bilateral arm curl test, and a final survey on a seven-point Likert scale. A statistically significant difference in the increase of moderate PA time (Δ 244.7 (95% CI 189.1, 300.4) minutes, p < 0.001) and in the reduction of sedentary behavior time (Δ −77.5 (95% CI 104.9, −50.1) minutes, p = 0.004) was shown when the IG was compared with the CG. This was associated with an improvement in heart rate, blood pressure, and patients’ Borg rating on the category ratio scale 10 (CR10) in iso-watt exercise testing (all p < 0.05). Furthermore, only the IG did not show a worsening of the strength parameters in the follow-up leading to a change of the 30 s sit-to-stand test with a difference of +2.2 (95% CI 1.23, 3.17) repetitions compared to CG (p = 0.03). The telemedical intervention has been appreciated by the IG, whose willingness to continue with regular PA emerged to be superior compared to the CG. Text messages are an effective and inexpensive adjuvant after phase 2 CR that improves adherence to regular PA. Further studies are needed to confirm these results in a larger patient population and in the long term.


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