The Effects of Body Image and Physical Fitness on Academic Performance of Chinese Adolescent: A Mediating Role of Mental Health

Abstract

This study examined the association between body image, physical fitness, and academic performance and investigated the roles of mental health and self-perception bias. Data were obtained from the China Education Panel Survey, with a sample of 7,087 adolescents (3,517 boys, 3,570 girls). Results indicated that body image and physical fitness predicted academic performance. Mental health mediated the relationship between body image and academic performance but not the link between physical fitness and academic performance. Body image directly affected boys’ academic performance and indirectly affected girls’ academic performance through mental health. The mediating effects of mental health were stronger for adolescents with self-perception bias. The study highlights the need for more interventions that improve physical fitness and foster healthy body image perceptions among adolescents to enhance their academic performance.

Keywords

body image physical fitness academic performance mental health gender

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References

Agnew

(1992). Foundation for a general strain theory of crime and delinquency. Criminology, 30(1), 47–88. https://doi.org/10.1111/j.1745-9125.1992.tb01093.x

Al Mamun

Cramb

McDermott

B. M.

O’Callaghan

Najman

J. M.

Williams

G. M

. (2007). Adolescents’ perceived weight associated with depression in young adulthood: A longitudinal study. Obesity, 15(12), 3097–3105. https://doi.org/10.1038/oby.2007.369

Bem

S. L.

(1981). Gender schema theory: A cognitive account of sex typing. Psychological Review, 88(4), 354. https://doi.org/10.1037/0033-295X.88.4.354

Black

Johnston

D. W.

Peeters

(2015). Childhood obesity and cognitive achievement. Health economics, 24(9), 1082–1100. https://doi.org/10.1002/hec.3211

Blount

Bazerman

M. H.

(1996). The inconsistent evaluation of absolute versus comparative payoffs in labor supply and bargaining. Journal of Economic Behavior & Organization, 30(2), 227–240. https://doi.org/10.1016/S0167-2681(96)00891-8

Booth

J. N.

Tomporowski

P. D.

Boyle

J. M. E.

Ness

A. R.

Joinson

Leary

S. D.

Reilly

J. J.

(2014). Obesity impairs academic attainment in adolescence: Findings from ALSPAC, a UK cohort. International jJournal of Obesity, 38(10), 1335–1342. https://doi.org/10.1038/ijo.2014.40

Branigan

A. R.

(2017). (How) does obesity harm academic performance? Stratification at the intersection of race, sex, and body size in elementary and high school. Sociology of Education, 90(1), 25–46. https://doi.org/10.1177/0038040716680271

Cafri

Thompson

J. K.

(2004). Measuring male body image: A review of the current methodology. Psychology of Men & Masculinity, 5(1), 18–29. https://doi.org/10.1037/1524-9220.5.1.18

Carlson Jones

. (2004). Body image among adolescent girls and boys: A longitudinal study. Developmental Psychology, 40(5), 823–835. https://doi.org/10.1037/0012-1649.40.5.823

10.

Cash

T. F.

Fleming

E. C.

(2002). The impact of body image experiences: Development of the body image quality of life inventory. International Journal of Eating Disorders, 31(4), 455–460. https://doi.org/10.1002/eat.10033

11.

CDC. (2024, August). BMI. https://www.cdc.gov/healthyweight/assessing/index.html

12.

Chai

Xue

Han

(2020). Excessive weight and academic performance among Chinese children and adolescents: Assessing the mediating effects of bullying victimization and self-rated health and life satisfaction. Children and Youth Services Review, 119, 105586. https://doi.org/10.1016/j.childyouth.2020.105586

13.

Crosnoe

Muller

(2004). Body mass index, academic achievement, and school context: Examining the educational experiences of adolescents at risk of obesity. Journal of Health and Social Behavior, 45(4), 393–407. https://doi.org/10.1177/002214650404500403

14.

Crosnoe

(2007). Gender, obesity, and education. Sociology of Education, 80(3), 241–260. https://doi.org/10.1177/003804070708000303

15.

Daniels

E. A.

Zurbriggen

E. L.

Ward

L. M.

(2020). Becoming an object: A review of self-objectification in girls. Body Image, 33, 278–299. https://doi.org/10.1016/j.bodyim.2020.02.016

16.

Du Toit

Pienaar

A. E.

Truter

. (2011). Relationship between physical fitness and academic performance in South African children. South African Journal for Research in Sport, Physical Education and Recreation, 33(3), 23–35.

17.

Durkin

S. J.

Paxton

S. J.

(2002). Predictors of vulnerability to reduced body image satisfaction and psychological wellbeing in response to exposure to idealized female media images in adolescent girls. Journal of Psychosomatic Research, 53(5), 995–1005. https://doi.org/10.1016/S0022-3999(02)00489-0

18.

Elizabeth

(2020). Anthropometric nutritional status, socioeconomic status and academic performance in school children aged 6 to 12 years. Clinical Nutrition and Hospital Dietetics, 40(1), 74–81. https://doi.org/10.12873/401saintila

19.

Erermis

Cetin

Tamar

Bukusoglu

Akdeniz

Goksen

(2004). Is obesity a risk factor for psychopathology among adolescents?. Pediatrics International, 46(3), 296–301. https://doi.org/10.1111/j.1442-200x.2004.01882.x

20.

Falkner

N. H.

Neumark-Sztainer

Story

Jeffery

R. W.

Beuhring

Resnick

M. D.

(2001). Social, educational, and psychological correlates of weight status in adolescents. Obesity Research, 9(1), 32–42. https://doi.org/10.1038/oby.2001.5

21.

Festinger

(1954). A theory of social comparison processes. Human Relations, 7(2), 117–140. https://doi.org/10.1177/001872675400700202

22.

Fredrickson

B. L.

Roberts

T. A.

(1997). Objectification theory: Toward understanding women’s lived experiences and mental health risks. Psychology of Women Quarterly, 21(2), 173–206. https://doi.org/10.1111/j.1471-6402.1997.tb00108.x

23.

García-Hermoso

Martinez-Gomez

del Rosario Fernández-Santos

Ortega

F. B.

Castro-Piñero

Hillman

C. H.

Esteban-Cornejo

(2021). Longitudinal associations of physical fitness and body mass index with academic performance. Scandinavian Journal of Medicine & Science in Sports, 31(1), 184–192. https://doi.org/10.1111/sms.13817

24.

Chang

M. X.-L.

Jetten

Cruwys

Haslam

(2017). Cultural identity and the expression of depression: A social identity perspective. Journal of Community & Applied Social Psychology, 27(1), 16–34. https://doi.org/10.1002/casp.2291

25.

Dekkers

J. C.

van Wier

M. F.

Hendriksen

I. J.

Twisk

J. W.

van Mechelen

(2008). Accuracy of self-reported body weight, height and waist circumference in a Dutch overweight working population. BMC Medical Research Methodology, 8(1), 1. https://doi.org/10.1186/1471-2288-8-69

26.

Gillen

M. M.

(2015). Associations between positive body image and indicators of men’s and women’s mental and physical health. Body Image, 13, 67–74. https://doi.org/10.1016/j.bodyim.2015.01.002

27.

Goldman

(1994). Social factors and health: The causation-selection issue revisited. Proceedings of the National Academy of Sciences, 91(4), 1251–1255. https://doi.org/10.1073/pnas.91.4.1251

28.

Herhaus

Kersting

Brähler

Petrowski

(2020). Depression, anxiety and health status across different BMI classes: a representative study in Germany. Journal of affective disorders, 276, 45–52. https://doi.org/10.1016/j.jad.2020.07.020

29.

Itani

(2011). Body image, self-esteem and academic achievement of 8th and 11th grades Male and female Lebanese students (c2011) (Doctoral dissertation, Lebanese American University). https://doi.org/10.26756/th.2011.35

30.

Kostanski

Gullone

(1998). Adolescent body image dissatisfaction: Relationships with self-esteem, anxiety, and depression controlling for body mass. The Journal of Child Psychology and Psychiatry and Allied Disciplines, 39(2), 255–262. https://doi.org/10.1017/S0021963097001807

31.

Latner

J. D.

Stunkard

A. J.

Wilson

G. T.

(2005). Stigmatized students: Age, sex, and ethnicity effects in the stigmatization of obesity. Obesity Research, 13(7), 1226–1231. https://doi.org/10.1038/oby.2005.145

32.

LeCroy

C. W.

(2004). Evaluation of an empowerment program for early adolescent girls. Adolescence, 39, 155.

33.

Lefa

(2014). The Piaget theory of cognitive development: An educational implications. Educational Psychology, 1(1), 1–8.

34.

Bai

Luo

(2020). Body mass index and academic achievement in Chinese elementary students: The mediating role of peer acceptance. Children and Youth Services Review, 108, 104593. https://doi.org/10.1016/j.childyouth.2019.104593

35.

Gao

Chiu

D. T.

Ding

Wang

(2020). Overweight and Obesity impair academic performance in adolescence: A national cohort study of 10,279 adolescents in China. Obesity, 28(7), 1301–1309. https://doi.org/10.1002/oby.22801

36.

Mikkilä

Lahti-Koski

Pietinen

Virtanen

S. M.

Rimpelä

(2003). Associates of obesity and weight dissatisfaction among Finnish adolescents. Public Health Nutrition, 6(1), 49–56. https://doi.org/10.1079/PHN2002352

37.

Morita

Nakajima

Okita

Ishihara

Sagawa

Yamatsu

(2016). Relationships among fitness, obesity, screen time and academic achievement in Japanese adolescents. Physiology & Behavior, 163, 161–166. https://doi.org/10.1016/j.physbeh.2016.04.055

38.

Muntaner-Mas

Palou

Vidal-Conti

Esteban-Cornejo

(2018). A mediation analysis on the relationship of physical fitness components, obesity, and academic performance in children. The Journal of Pediatrics, 198, 90–97. https://doi.org/10.1016/j.jpeds.2018.02.068

39.

Neumann

R. J.

Ahrens

K. F.

Kollmann

Goldbach

Chmitorz

Weichert

Fiebach

C. J.

Wessa

Kalisch

Lieb

Tüscher

Plichta

M. M.

Reif

Matura

(2022). The impact of physical fitness on resilience to modern life stress and the mediating role of general self-efficacy. European Archives of Psychiatry and Clinical Neuroscience, 272(4), 679–692. https://doi.org/10.1007/s00406-021-01338-9

40.

New South Wales Government. (2024, August). Body mass index (BMI)-for-age percentile chart for boys and girls. https://pro.healthykids.nsw.gov.au/

41.

Puhl

R. M.

Latner

J. D.

(2007). Stigma, obesity, and the health of the nation’s children. Psychological Bulletin, 133(4), 557–580. https://doi.org/10.1037/0033-2909.133.4.557

42.

Radloff

L. S.

(1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306

43.

Robinson

Haynes

Sutin

A. R.

Daly

(2017). Telling people they are overweight: helpful, harmful or beside the point?. International Journal of Obesity, 41(8), 1160–1161. https://doi.org/10.1038/ijo.2017.85

44.

Robinson

Haynes

Sutin

Daly

(2020). Self-perception of overweight and obesity: A review of mental and physical health outcomes. Obesity Science & Practice, 6(5), 552–561. https://doi.org/10.1002/osp4.424

45.

Sabia

J. J.

Rees

D. I.

(2015). Body weight, mental health capital, and academic achievement. Review of Economics of the Household, 13, 653–684. https://doi.org/10.1007/s11150-014-9272-7

46.

Stice

Presnell

(2007). The body project: Promoting body acceptance and preventing eating disorders: Facilitator guide. Oxford University Press.

47.

Striegel-Moore

R. H.

Franko

D. L.

Cash

T. F.

Pruzinsky

(2002). Body image: A handbook of theory, research, and clinical practice. Body Image Issues Among Girls and Women, 5, 183–191.

48.

UNICEF. (2022, May). How adolescents experience and perceive mental health around the world. https://www.unicef.org/media/119751/file

49.

von Hinke Kessler Scholder

Smith

G. D.

Lawlor

D. A.

Propper

Windmeijer

. (2010). Genetic markers as instrumental variables: An application to child fat mass and academic achievement (No. CWP03/10). cemmap working paper. https://doi.org/10.1920/wp.cem.2010.0310

50.

Wang

Iannotti

R. J.

Luk

J. W.

(2010). Bullying victimization among underweight and overweight US youth: Differential associations for boys and girls. Journal of Adolescent Health, 47(1), 99–101. https://doi.org/10.1016/j.jadohealth.2009.12.007

51.

WHO. (2024, March). Obesity and overweight. https://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight

52.

Wingfield

R. J.

Graziano

P. A.

McNamara

J. P.

Janicke

D. M.

(2011). Is there a relationship between body mass index, fitness, and academic performance? Mixed results from students in a Southeastern United States elementary school. Current Issues in Education, 14(2). https://cie.asu.edu/ojs/index.php/cieatasu/article/view/727

53.

Xiang

Jackson

Zhang

Wang

Guo

(2017). Understanding adolescents’ mental health and academic achievement: Does physical fitness matter?. School Psychology International, 38(6), 647–663. https://doi.org/10.1177/0143034317717582

54.

Yanover

Thompson

J. K.

(2008). Eating problems, body image disturbances, and academic achievement: Preliminary evaluation of the eating and body image disturbances academic interference scale. International Journal of Eating Disorders, 41(2), 184–187. https://doi.org/10.1002/eat.20483

55.

Yunliang

Jiankun

L. I. U.

Xiaobin

H. E.

(2021). Impact of physical exercise on adolescents’ academic performance and its mechanisms: An empirical analysis based on China Education Panel Survey Data. Journal of Shanghai University of Sport, 45(1), 29–39. https://doi.org/10.16099/j.sus.2021.01.004

56.

Zhai

Huang

Wang

Chen

Fan

(2022). The relationship between physical fitness and academic performance among Chinese college students. Journal of American College Health, 70(2), 395–403. https://doi.org/10.1080/07448481.2020.1751643

57.

Zhang

B.-S.

(2011). Reliability and validity of a short version of center for epidemiologic studies depression scale in national adult population. Chinese Mental Health Journal, 25(7), 506–511.

58.

Zhang

Fang

, et al. (2010). Development of the Chinese age norms of CES-D in urban area. Chinese Mental Health Journal, 24(02), 139–143.

59.

Zhang

Qian

(2018). To be thin but not healthy—The body-image dilemma may affect health among female university students in China. PLOS ONE, 13(10), e0205282. https://doi.org/10.1371/journal.pone.0205282