Strong bodies strong minds

Trigger warning: this article discusses body image and eating disorders in young children.

We want young children to grow up with strong, active and happy bodies and minds, writes journalist Jessica Willis.

Dr Stephanie Damiano

Unfortunately, we are seeing a rise in children and adolescents suffering from body dissatisfaction.

As many as 50 percent of pre-adolescent girls, and an increasing number of pre-adolescent boys, are reporting a “desire for a more lean and muscular body”, according to the Butterfly Foundation, an organisation that provides support for people with eating disorders and body image issues.

Body dissatisfaction is therefore a significant issue as it is an important risk factor for negative physical, mental and social outcomes, including unhealthy dieting and muscle building behaviours, depression, anxiety and eating disorders.

Worryingly, greater body concerns from ages five and seven have been shown to predict dieting by nine.

The good news is that teachers, especially in early childhood education, can help foster positive foundations for body satisfaction and healthy behaviours, including supporting children to develop skills to feel confident in their bodies, building resilience and fostering positive peer relationships.

Weight stereotypes start early

Dr Stephanie Damiano is the manager of Butterfly Body Bright, a new program for primary school students tackling body image from an evidence and strengths-based approach.

She is also an honorary research fellow at La Trobe University, doing work in understanding the development of body image in young children and the associated factors that contribute to children’s body image.

Dr Damiano said early childhood education settings are equally as important in setting up good perceptions of body image as primary or high school settings.

“What we understand in young children, is that the foundations for body image are set quite early in life and so we’re starting to see that, in the early childhood education years, children get a sense of their body image and start to see their body a bit differently than they did prior to the ages of three or four,” she said.

While there isn’t consistent research finding a high degree of body dissatisfaction within that age group, Dr Damiano said what is consistent across the global research in early childhood is the development of weight stereotypes.

“A decent proportion of three-to-four-year-olds have strong attitudes around body sizes and what we tend to see is that they attribute positive qualities to people with thinner bodies and negative qualities to people with larger bodies,” she said.

“When we interview young children around this it shows a clear indication of how they then might treat peers as a result of these weight stereotypes as well.

“For example, quite a significant proportion say they wouldn’t invite a larger child to their birthday party or they would perceive an average-sized or thinner-sized child as being good and friendly and somebody they would want to be friends with,” she said.

Peers have an essential role in shaping how children feel about their own body and the bodies of others, and weight stereotypes can significantly impact relationships moving into primary school.

Dr Damiano said that the more confident, happy and satisfied a child is in their body, the more likely they are to engage in life and participate in activities inside and outside the classroom, as well as look after their body.

“Whereas when they’re feeling dissatisfied with their body, they’re more likely to engage in unhelpful behaviours, such as less physical activity and restrictive eating, and have poorer self-esteem,” she said.

“The flow-on effect is quite significant and then obviously body dissatisfaction is one of the leading risk factors for an eating disorder.”

Building confidence in strengths

There are some positive ways school communities can approach these topics to help young children feel good in their body and look after it in a way that will serve them well. Dr Damiano said an effective and strengths-based approach that teachers can implement is praising students based on their personal qualities and strengths.

“Praise them for the way they solve a problem, praise them for the way they’re thinking about something or how clever they are or how much they enjoy doing something or how they enjoy moving their body, rather than praising them for their appearance.”

She said this can be difficult because, as a society, we are trained to praise people on the way they look; however, we don’t want children to learn that this is the most important part of their identity.

Another positive thing teachers and assistants can do is be mindful about the language they use regarding food and bodies.

“Try not to label foods as good or bad, or healthy or unhealthy, or refer to foods as junk food or treats.

“Instead, label food for what it is; so, fruits or vegetables or lollies or chips – just really try to stick to what a food actually is rather than putting an umbrella term on it.

“One of the things we include in Butterfly Body Bright in our healthy eating component of the program, which also is very relevant for the preschool years, is really about promoting a natural curiosity about food in kids.

Quite a significant proportion say they wouldn’t invite a larger child to their birthday party.

“Getting children to explore and be curious around the texture and taste and sound of foods, really connecting that to their senses.

Lunchbox policing unhelpful

In the same vein, lunchbox policing can also be unhelpful. Dr Damiano said trying to keep an open mind and non-judgement around lunchboxes is important.

“Lunchbox policing is very controversial, and I can appreciate why it’s in place in some settings; however, what we would promote is intuitive eating which is encouraging children to eat what their body feels like eating.

“You provide them with the options – or their parents provide them with options – and then it’s up to them what, and how much they eat in their lunchbox which is really tricky and it’s a new way of thinking about eating.”

She suggests redirecting comments about food and lunchboxes made from other children.

“Children tend to comment on what, ‘so-and-so has’. A good way to respond would be ‘well you’ve got what you’ve got in your lunchbox and they’ve got what they’ve got and we all like to eat different things and that’s okay’,” she explained.

Zero tolerance to bullying

Perhaps one of the best strategies to implement is a zero-tolerance policy to bullying or teasing.

“Having a no-tolerance to any appearance-based teasing or negative comments about appearance is especially relevant to early childhood education settings,”Dr Damiano said.

“This is because we know that has such a significant impact on how children feel about themselves.

“If there’s the opportunity to add to an already existing teasing or bullying policy so that it includes anything about appearance – teachers should do this,” she said.

When talking about bodies, we should try to avoid emphasising or implying one body is better than another because of how it looks or what that person eats.

“Take an inclusive approach; teach children to celebrate differences in who they are and what they like doing, for example, jumping, running, skipping, rather than what they look like,” she said.

Helpful resources

Dr Damiano shared some great resources on body image and eating disorders for early childhood education settings. These include:
The Confident Body, Confident Child website (www.confidentbody.net) – while this website is targeted towards parents, there is some great information that teachers will also find useful.

The Curious Nutritionist (a nutritionist and teacher) has tips for teachers on managing lunchbox policing (www.thecuriousnutritionist.com.au/childs-teacher-is-the-lunch-box-police and www.thecuriousnutritionist.com.au/the-solution-to-healthy-eating-without-lunch-box-policing)

The Butterfly Body Bright website has a fact sheet on ‘Eating disorders in children’ as well as advice for when you are concerned about the body image, eating, and/or physical activity attitudes in children. https://butterfly.org.au/school-youth-professionals/about-our-programs/bodybright/