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Addressing body image concerns in teen boys

While stereotypes may say differently, body image issues are not exclusive to girls; they are increasingly prevalent among teen boys as well, often leading to significant mental and physical health challenges. As parents, understanding these issues and knowing how to support your son or other teen boys in your life is crucial. Keep reading for insight into common signs of body image issues, the role of social media and ways to help foster a healthy body image. 

Common signs of body image issues 

Recognizing the markers of body image issues in teen boys is the first step towards providing support. Some common signs include: 

  • Obsession with perceived physical imperfections. 
  • Constant comparison to celebrities or friends. 
  • Excessive time spent in front of the mirror. 
  • Preoccupation with muscle building and exercise. 
  • Dissatisfaction with clothing fit and appearance. 
  • Obsession with weight and specific diets. 
  • Avoidance of activities exposing the body, like swimming. 
  • Inability to enjoy the present due to body shape concerns. 

Initiating conversations about body image 

Starting a conversation about body image can be challenging. Here are some tips: 

  • Open with observations: “I’ve noticed you’ve been spending more time focusing on your appearance.” 
  • Listen without judgment and validate their feelings. 
  • Correct myths and misconceptions about diet and exercise. 
  • Encourage a positive self-image beyond physical appearance. 

The role of social media 

Social media plays a significant role in shaping body image perceptions among teen boys. Gen Z has grown up with social media – and have been subjected to messages about “ideal” body image most of their lives. It often promotes unrealistic standards and misinformation about diet and exercise. Parents should discuss these influences with their sons and help them develop a healthy perspective. 

How to support a healthy body image 

Parents can support their sons developing a healthy body image by: 

  • Emphasizing body size varies and does not determine a person's value. 
  • Focusing on what their bodies can do rather than how they look. 
  • Encouraging healthy habits like balanced eating, adequate sleep and regular, reasonable amounts of exercise. 
  • Taking breaks from social media to avoid harmful messages. Monitor screen time if necessary. 
  • Modeling positive behaviors and acceptance of their own bodies. Try to avoid commenting on your own (or others) body shape and size. 
  • Encouraging teens to pursue interests and talents for enjoyment – not perfection. 

It’s also important to build your child’s self-esteem in all aspects. Parents can do this by: 

  • Recognizing their strengths and hobbies. 
  • Having open, non-judgmental conversations. 
  • Encouraging healthy friendships and staying involved in their peer group activities. 

Impacts on mental and physical health 

Body image issues can lead to low self-esteem, depression, anxiety and serious eating disorders. They may also cause avoidance of social situations which can impact friendships and peer relationships.  

While it's normal for teens to have concerns about their changing bodies, serious body image issues involve behaviors like restrictive eating, binging, purging and excessive exercise. These can lead to weight loss and can also impact normal growth and development and lead to life-threatening health issues. Even if your child is not engaging in negative behaviors, but seems overly preoccupied with weight or their body to the point it is affecting everyday activities (school, clubs, sports, etc.) further evaluation and treatment may be needed. 

If you notice weight loss, or your teen is showing signs of dizziness, fatigue, heart palpitations, chest pain, abdominal pain or mood changes, schedule an appointment with their primary care provider. This can happen in addition to their yearly checkup, if necessary. 

Resources for support 

If you still have concerns, start by having a conversation with your child’s primary care provider. If they feel your child needs additional support, they can refer your child to a specialist or clinic providing care for body image, like the Eating Disorder Center at Children’s Mercy.  

Online resources like KidsHealth and the National Eating Disorders Association provide additional information about body dysmorphic disorder and eating disorders.  

Body image issues in teen boys are complex. By recognizing the signs, initiating supportive conversations and fostering a healthy body image, parents can play a pivotal role in their sons' wellbeing. Remember, seeking professional help when needed is crucial for addressing these challenges effectively. 


Adolescent Medicine

Assistant Professor of Pediatrics, University of Missouri-Kansas City School of Medicine

Clinical Assistant Professor of Pediatrics, University of Missouri-Kansas City School of Medicine