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Essay on Body Positivity

Students are often asked to write an essay on Body Positivity in their schools and colleges. And if you’re also looking for the same, we have created 100-word, 250-word, and 500-word essays on the topic.

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100 Words Essay on Body Positivity

Understanding body positivity.

Body positivity is a social movement that promotes acceptance of all body types. It encourages people to have a healthy body image. Everyone should feel happy and confident about their bodies, no matter the shape, size, or color. This movement is about loving your body as it is.

Importance of Body Positivity

Body positivity is important because it helps people to feel good about themselves. It fights against body shaming, which can lead to low self-esteem and mental health problems. It teaches us that beauty is not just about being slim or having a certain skin color.

Body Positivity and Mental Health

Body positivity can boost our mental health. When we accept and love our bodies, we feel happier and less stressed. We stop comparing ourselves with others. This can prevent feelings of sadness, anxiety, and depression.

Body Positivity in Media

The media often shows only certain body types as beautiful. This can make people feel bad about their bodies. Body positivity encourages the media to show all body types as beautiful. This can help everyone feel good about their bodies.

Practicing Body Positivity

Practicing body positivity means loving and accepting your body as it is. It’s about treating your body with kindness and respect. Eating healthy, exercising regularly, and thinking positive thoughts about your body are all ways to practice body positivity.

250 Words Essay on Body Positivity

What is body positivity.

Body Positivity is a social movement that focuses on accepting and appreciating all body types. It encourages people to be comfortable with their bodies, no matter their size, shape, or color. The aim is to boost self-esteem and promote mental well-being.

Why is Body Positivity Important?

Body Positivity is important because it helps people to love themselves just as they are. It fights against the idea that only a certain type of body is beautiful. This is a harmful idea that can lead to low self-esteem and even mental health issues like anxiety and depression.

Body Positivity and Media

Media often shows a very narrow idea of beauty. This can make people feel bad about their bodies. But Body Positivity is changing this. Now, we see more diverse bodies in ads, movies, and on social media. This helps everyone feel seen and valued.

Practicing Body Positivity means being kind to your body and to other people’s bodies too. It means not judging yourself or others based on size or shape. It’s about accepting and respecting all bodies.

In conclusion, Body Positivity is a powerful movement that promotes self-love and acceptance. It fights against harmful beauty standards and promotes mental well-being. By practicing Body Positivity, we can create a kinder and more accepting world.

(Word Count: 250)

500 Words Essay on Body Positivity

Body positivity is a social movement that encourages people to have a positive view of their bodies. It asks people to appreciate and love their bodies as they are, without trying to fit into society’s often narrow ideas of beauty.

Why Body Positivity is Important

Body positivity is important because it promotes self-love and acceptance. It tells us that we are more than just our looks. It helps us understand that our value does not depend on our body size, shape, or color. It encourages us to treat our bodies with kindness and respect.

Challenges to Body Positivity

There are many challenges to body positivity. One of the biggest is the media. Advertisements, movies, and social media often show pictures of people with “perfect” bodies. This can make us feel like our bodies are not good enough. Body positivity helps us see that these images are not real and that all bodies are good bodies.

Ways to Practice Body Positivity

There are many ways to practice body positivity. Here are a few ideas:

1. Positive Self-Talk: Speak kindly to yourself. Instead of saying negative things about your body, say positive things. For example, instead of saying “I hate my legs,” say “I am thankful for my legs because they help me walk and run.”

2. Gratitude: Be thankful for what your body can do. It can help you run, jump, dance, and play. It can help you hug your friends and family. It can help you see, hear, touch, taste, and smell the world around you.

3. Respect: Treat your body with respect. This means eating healthy foods, getting enough sleep, and exercising regularly. It also means avoiding things that harm your body, like drugs and alcohol.

Body positivity can also help improve our mental health. When we love and accept our bodies, we feel better about ourselves. This can lead to greater self-esteem and happiness. It can also help reduce feelings of stress and depression.

In conclusion, body positivity is a powerful movement that encourages us to love and respect our bodies. It helps us see beyond society’s narrow ideas of beauty and understand that all bodies are good bodies. By practicing body positivity, we can improve our mental health and live happier, healthier lives.

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If you’re looking for more, here are essays on other interesting topics:

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What Is Body Positivity?

Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the "Everything Psychology Book."

essay on body positivity

Claudia Chaves, MD, is board-certified in cerebrovascular disease and neurology with a subspecialty certification in vascular neurology.

essay on body positivity

Verywell / Catherine Song

Brief History

Reasons for body positivity, what you can do.

Body positivity refers to the assertion that all people deserve to have a positive body image, regardless of how society and popular culture view ideal shape, size, and appearance.

Some of the goals of the body positivity movement include:

  • Challenging how society views the body
  • Promoting the acceptance of all bodies
  • Helping people build confidence and acceptance of their own bodies
  • Addressing unrealistic body standards

Body positivity is not just about challenging how society views people based upon their physical size and shape, however. It also recognizes that judgments are often made based on race, gender, sexuality, and disability. 

Body positivity also aims to help people understand how popular media messages contribute to the relationship that people have with their bodies, including how they feel about food, exercise, clothing, health, identity, and self-care.

By better understanding the effect that such influences have, the hope is that people can develop a healthier and more realistic relationship with their bodies.

Press Play for Advice On Dealing With Body Image Issues

This episode of The Verywell Mind Podcast , featuring model Iskra Lawrence, shares how to be more comfortable in your body and with the way you look. Click below to listen now.

Follow Now : Apple Podcasts / Spotify / Google Podcasts / Amazon Music

Body positivity has its roots in the fat acceptance movement of the late 1960s. Fat acceptance focuses on ending the culture of fat-shaming and discrimination against people based upon their size or body weight. The National Association to Advance Fat Acceptance was first established in 1969 and continues to work to change how people talk about weight.

The term "body positive" emerged in 1996 when a psychotherapist and an individual who had been through treatment for an eating disorder founded the website thebodypositive.org. The site offers resources and educational materials designed to help people feel good about their bodies by taking the focus off of losing weight through unhealthy diet and exercise efforts.

The body positivity movement in its current form began to emerge around 2012, initially focusing on challenging unrealistic feminine beauty standards. As the movement grew in popularity, the original focus on acceptance of weight began to shift toward a message that “all bodies are beautiful.” 

While body positivity has become increasingly popular, people continue to be confused about exactly what it means. Part of the reason why body positivity is so misunderstood is due to the fact that there are so many different definitions for what the movement means.

 Depending on who you ask, body positivity can mean:

  • Appreciating your body in spite of flaws
  • Feeling confident about your body
  • Loving yourself
  • Accepting your body’s shape and size

Body positivity also means enjoying the body you have and not beating yourself up over changes that happen naturally due to aging, pregnancy, or lifestyle choices.

Instagram played a pivotal role in the rise of the body positivity movement. In recent years, a number of magazines and companies have incorporated efforts to be more body positive in their publications and marketing efforts. Some magazines have stopped airbrushing models, while companies including Dove and Aerie have developed marketing campaigns incorporating body positivity messages.

One of the major goals of body positivity is to address some of the ways that body image influences mental health and well-being. Having a healthy body image plays a role in how people feel about their appearance and even how they judge their self-worth. Research suggests that having a negative body image is associated with an increased risk for some mental conditions including depression and eating disorders.

One study found that even brief exposure to media messages portraying an "ideal physique" was linked to increased body image concerns and increased eating disorder symptoms.   

Body image refers to a person's subjective perception of their own body—which may be different from how their body actually appears. Feelings, thoughts, and behaviors related to body image can have a major impact on your mental health and how you treat yourself.

The formation of body image starts early in life. Unfortunately, even young children may suffer from body dissatisfaction. A report published by Common Sense Media found that more than 50% of girls and nearly 33% of boys between the ages of 6 and 8 felt that their ideal body weight was less than their current weight. Results also revealed that 25% of kids had tried some type of dieting behavior by the age of seven.

Problems that can emerge as a result of poor body image include:

  • Depression: Women experience depression at much higher rates than men do, and some researchers believe that body dissatisfaction may play an important role in explaining this gender difference in depression rates.
  • Low self-esteem: Research has found that body dissatisfaction is associated with poor self-esteem in adolescents regardless of their gender, age, weight, race, ethnicity, and socioeconomic status.  
  • Eating disorders: Research also indicates that body dissatisfaction is linked to disordered eating, particularly among adolescent girls.  

Research has consistently shown that exposure to depictions of the "thin ideal" are associated with both behavioral and emotional symptoms related to disordered eating. It is not just exposure to these images that pose a danger; it is the development of beliefs that beauty, success, and esteem are determined by thinness. Studies have also found that when people internalize these ideas, they are more likely to experience body dissatisfaction and engage in unnecessary dieting.

Body positivity strives to address these issues by helping people recognize the influences that contribute to poor body image. The hope is that people will then be able to adjust their body expectations and feel more positive and accepting of their own bodies. Such acceptance may then help combat the toll that poor body image has on mental and physical health.

While the body positivity message is intended to help people feel better about themselves, it isn’t without its problems and critics. 

For example, one problem is the idea that body positivity implies that people should do whatever they think they need to do in order to feel positive about how they look. Unfortunately, the popular messages that people are bombarded with include the idea that thinner, fitter people are happier, healthier, and more beautiful. This idealization of thinness can then contribute to people engaging in unhealthy actions—including excessive exercise or extreme diets—under the guise of feeling "body positive."

Another criticism of body positivity is that it can be non-inclusive. Depictions of body positivity messages tend to exclude people of color as well as those who are disabled, LGBTQ, and non-binary.

The body images often portrayed in body-positive messages often still conform to a specific beauty ideal; many people simply don’t feel included in body positivity. 

Actress Jameela Jamil, who stars on the tv series The Good Place , is often described as one of the faces of the body positivity movement, which she suggests is miscategorization. In an Instagram post , Jamil explained that body positivity is essential for people who are "not believed by doctors, who are abused in the street, and who can't find clothing in their size." 

However, she also recognizes that the movement isn't right for everyone and that many people feel shut out of the body positivity conversation. 

Instead, Jamil suggests that she advocates for body liberation or even body neutrality. This approach involves taking your body out of the center of your self-image. She has the privilege of taking such a stance, she notes, because she is not persecuted because of her size. Other people, those who the body positivity movement is specifically aimed at, simply do not have that luxury.

Another criticism of the body positivity trend is that it makes the appearance of the body one of the most important elements of a person’s self-perception. It neglects all of the other elements of a person’s identity that are more important than how a person looks. In this aspect, Jamil’s stance, suggesting that people should stop making the body the determinant of self-worth and self-perception, might be a healthier, more inclusive approach.

Body positivity is designed to foster acceptance and love of your body, but it can be a struggle that adds another element of pressure and impossible standards to live up to. The body positivity message is that you should change how you feel about your body, but can also be just one more demand. 

Simply telling people to accept themselves and be resilient in the face of the bombardment of images promoting the thin ideal can be damaging. Telling people to ignore the dominant beauty ideal isn’t realistic. It can create more pressure for a person who is already feeling anxious, negative, and devalued. Popular culture tells people that they are flawed—but then demands that they have a positive attitude about it. Not feeling positive about your body can then lead to shame and guilt. 

Research has even found that when people with low self-esteem repeat positive affirmations that they don't actually believe in, the results tend to backfire, leaving people feeling even worse about themselves than they did before.  

This does not mean that you shouldn't say nice things or think positive thoughts about yourself. But simply covering up negative thinking with positive messages may be harmful. A better approach would be to work on replacing negative thought patterns with more realistic ones.

So what can you do to maintain a healthy body image? Whether or not the body positivity movement speaks to you, there are ideas from this approach that may help you feel better about your body and less obsessed with chasing “perfection.”

Adopt Body Neutrality

It’s ok to admit that you don’t necessarily love everything about your body. It’s ok to feel neutral or even indifferent about your body. Your worth and value do not lie in your shape or your size or in any other aspect of your appearance. Body image does play a part in self-concept, but it isn’t everything.

Focus on taking the mental spotlight off your body and try to base your self-perceptions on other parts of yourself.

None of these things are easy. They take continual effort and, in most cases, it’s not something you can perfectly achieve. There will be moments when you feel weak, when you dislike aspects of yourself, and when you compare yourself to others. The key is to keep trying to find new ways to avoid the negative thought patterns that contribute to poor body image.

Try Health-Focused Self-Care

Self-care can sometimes masquerade as a way to change or control your appearance, but self-care should focus on doing things that make you feel good about the body you have now. Show respect for your body. Eat healthy meals because it fuels your mind and body. Exercise because it helps you feel strong and energized, not because you're trying to change or control your body.

Wear and buy clothes for the body you have now—not for some planned future version of yourself. You might be holding on to your “thin clothes” because you plan to eventually lose weight, but such habits can make it hard to feel good about yourself today. Look for things that make you feel comfortable and good about how you look. Purge your closet of clothes that don't fit your current physique. Your body may change in size and shape in the future, but that doesn’t mean that you shouldn’t be able to look at feel good about yourself in the here and now.

Purge your social media feeds of accounts that don’t make you feel good about yourself. If you find yourself constantly comparing yourself to others, you’re less likely to feel good about yourself. Follow accounts that spark your interests and that leave you with positive feelings. On Instagram in particular, many accounts are focused only on portraying perfection or an idealized image of the body.

Try following body positive accounts that are inclusive of all body types, shapes, colors, genders, and abilities.

A Word From Verywell

Recent research presented at the American Psychological Association’s 2016 annual conference indicates that body dissatisfaction may be on the decline.   In the meta-analysis, researchers looked at over 250 studies involving more than 100,000 participants over a 31 year time period. While women consistently report more body dissatisfaction than men, the results indicated that this dissatisfaction has declined in recent years. 

 These findings are a positive sign that may suggest that the body acceptance and body positivity movements are having an effect on how women and girls view themselves. While it may be an uphill battle, increasing the representation of all body types in popular media may help combat poor body image.

Loeber S, Burgmer R, Wyssen A, et al. Short-term effects of media exposure to the thin ideal in female inpatients with an eating disorder compared to female inpatients with a mood or anxiety disorder or women with no psychiatric disorder . Int J Eat Disord . 2016;49(7):708-15. doi:10.1002/eat.22524

Common Sense Media. Children, teens, media, and body image: a Common Sense research brief .

Ferreiro, F, Seoane, G, and Senra, C. Toward understanding the role of body dissatisfaction in the gender differences in depressive symptoms and disordered eating: A longitudinal study during adolescence . J Adolesc . 2014;37(1):73-84. doi: 10.1016/j.adolescence.2013.10.013

Van den Berg PA, Mond J, Eisenberg M, Ackard D, Neumark-Sztainer D. The link between body dissatisfaction and self-esteem in adolescents: Similarities across gender, age, weight status, race/ethnicity, and socioeconomic status . J Adolesc Health . 2010;47(3):290–296. doi:10.1016/j.jadohealth.2010.02.004

Hausenblas, HA, Campbell, A, Menzel, JE, Doughty, J, Levine, M, Thompson, JK. Media effects of experimental presentation of the ideal physique on eating disorder symptoms: A meta-analysis of laboratory studies . Clin Psychol Rev . 2013;33(1):168-81. doi: 10.1016/j.cpr.2012.10.011

Hawkins N, Richards PS, Granley HM, Stein DM. The impact of exposure to the thin-ideal media image on women . Eat Disord . 2004;12(1):35-50. doi:10.1080/10640260490267751

Juarascio, AS, Forman, EM, Timko, CA, Herbert, JD, Butryn, M, and Lowe, M. Implicit internalization of the thin ideal as a predictor of increases in weight, body dissatisfaction, and disordered eating . Eat Behav. 2011;12(3):207-13. doi: 10.1016/j.eatbeh.2011.04.004

Wood, JV, Perunovic, WQE, and Lee, JW. Positive self-statements: Power for some, peril for others . Psychological Science . 2009;20(7):860-866. doi:10.1111/j.1467-9280.2009.02370.x

American Psychological Association. Is body dissatisfaction changing across time? A cross-temporal meta-analysis . 2016.

By Kendra Cherry, MSEd Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the "Everything Psychology Book."

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Body Positivity and Self-Compassion on a Publicly Available Behavior Change Weight Management Program

Meaghan mccallum.

1 Academic Research, Noom, 229 W 28th St., New York, NY 10001, USA; moc.moon@mnahgaem (M.M.); moc.moon@llebanna (A.S.H.); moc.moon@menitsirhc (C.N.M.); ude.koorbyas@rhebh (H.B.); moc.moon@saerdna (A.M.)

Annabell Suh Ho

Christine n. may, heather behr.

2 Department of Integrative Health, Saybrook University, 55 W Eureka St., Pasadena, CA 91103, USA

Ellen Siobhan Mitchell

Andreas michealides, associated data.

Restrictions apply to the availability of these data. Data were obtained from Noom and are available by request from the corresponding author with the permission of Noom.

According to recent research, body positivity and self-compassion are key outcomes that are tied to better psychological and physical health. To date, it is unclear whether body positivity and self-compassion improve, stay constant, or deteriorate over the course of a weight management program, particularly one that addresses the psychological roots of behavior change. Additionally, beyond controlled settings, there are no studies on body positivity and self-compassion in individuals who choose to join a commercial weight management program. Therefore, this single-arm prospective study examined changes in body positivity and self-compassion from baseline to the 16 week milestone of Noom Weight, a commercial behavior change weight management program informed by acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and cognitive behavioral therapy (CBT). We also examined how baseline and over-time changes in body positivity and self-compassion predicted engagement in program-measured relevant behaviors (e.g., exercises logged). Participants were a random subset of individuals who had recently self-enrolled in the program ( n = 133). Body positivity and self-compassion were measured via survey at baseline and end of the core program (16 weeks). Self-reported weight and program-recorded engagement were extracted from the program database. Compared to baseline, body appreciation, body image flexibility, self-compassion, and body-focused rumination significantly improved at 16 weeks (all p s < 0.007). Participants lost a statistically significant amount of weight (3.9 kg; t(128)) = 10.64, p < 0.001) by 16 weeks, which was 4.4% body weight. Greater engagement, especially messaging a coach, reading articles, and logging meals, was associated with improvements over time in body appreciation (r = 0.17, p = 0.04), body image flexibility (r = −0.23, p = 0.007), and the brooding component of rumination (r = −0.23, p = 0.007). Greater engagement was also associated with baseline total self-compassion (r = 0.19, p = 0.03) and self-judgment (r = 0.24, p = 0.006). The results suggest that individuals experience improvements in body positivity and self-compassion while learning about ACT, DBT, and CBT through curriculum and coaching in this setting. The results also have important clinical implications, such as the possibility that psychologically-oriented (i.e., ACT, DBT, and CBT-based) weight management could be important to improve body positivity or that baseline self-compassion could be used to target individuals at risk for lower engagement. Future work should investigate these possibilities as well as delineate the causal relationships between body positivity, self-compassion, engagement, and weight loss.

1. Introduction

A positive body image and self-compassion are associated with greater psychological well-being and engagement in healthy behaviors [ 1 , 2 , 3 , 4 , 5 ]. Recent scholarship has conceptualized a positive body image, or body positivity, as a positive orientation towards one’s body, distinct from low body dissatisfaction or negative body image. A positive body image includes body acceptance, or accepting one’s body as it is, and body image flexibility, or non-judgmentally accepting negative body-related emotions or experiences and then engaging in meaningful behaviors [ 3 , 6 ]. Self-compassion is extending kindness and understanding to oneself or one’s distressing experiences, thoughts, or feelings. Research has increasingly found that self-compassion is strongly linked to body positivity [ 7 , 8 ]. For example, individuals report better body positivity on days they show themselves more self-compassion [ 9 ].

An important question relates to individuals’ body positivity and self-compassion on weight management programs. Most studies have examined standard behavioral weight (SBW) programs, which provide practical support and tools aimed to help individuals achieve goals of moderate weight loss. These studies have primarily examined negative body image rather than body positivity, and findings are mixed. According to recent systematic reviews of mostly randomized controlled trials, some studies have shown no change in body image or body dissatisfaction, other studies have shown improvements, and still other researchers have expressed concern about potential negative effects from monitoring one’s weight [ 10 , 11 , 12 ]. Additionally, researchers have noted that SBW programs insufficiently address underlying psychological factors, such as relationships towards food or negative emotions and thoughts towards one’s body or self [ 13 , 14 , 15 ].

There is reason to believe that programs informed by acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), or cognitive behavioral therapy (CBT), could lead to more consistent improvements in body positivity and self-compassion than those demonstrated in SBW programs so far. ACT and DBT aim to help individuals accept and integrate distressing emotions, thoughts, and experiences, and to take meaningful action [ 16 , 17 , 18 ]. For example, ACT could help an individual to become non-judgmentally aware of aversive negative thoughts and fears surrounding their body and how it may be perceived, identify value-laden motivations for healthy behaviors (e.g., running with my grandchildren vs. looking good), and to process negative thoughts in ways that may encourage meaningful action (e.g., going to the gym) [ 18 ]. In addition to helping with body positivity, these principles could help individuals to extend themselves self-compassion. They could help individuals to give themselves kindness and compassion in the midst of distressing thoughts or emotions, learn that they do not need to blame themselves for not being perfect, and become non-judgmentally aware of emotions and thoughts just as they are [ 19 ]. Further, CBT is designed to help individuals modify negative thought patterns, such as ruminative negative thoughts [ 15 , 20 ]. ACT-, DBT-, or CBT-informed programs that primarily target body image, eating disorder prevention, or self-compassion have been found to improve body dissatisfaction or self-compassion [ 19 , 21 , 22 , 23 , 24 , 25 ]. Studies of generalized programs (i.e., not specifically targeted for body image or self-compassion, but with some psychological component) have shown improvements in psychological well-being as well as body image [ 26 , 27 ]. However, the question still remains whether improvements in body positivity and self-compassion occur on generalized weight management programs informed by ACT, DBT, or CBT.

Therefore, this study aims to contribute to the literature in four major ways. First, almost all previous studies were in controlled settings (e.g., controlled trials) with individuals who were recruited to take part in this study. However, millions of individuals with obesity voluntarily join digital commercial programs outside the context of a controlled trial and self-manage their own participation. There is almost no relevant work on this type of program, though it is a different setting (i.e., self-managed vs. researcher-managed) with a potentially different population [ 28 ]. For example, it is possible that individuals who choose to join a publicly available program show different changes over time in body positivity or self-compassion than individuals recruited for controlled trials. Therefore, it is important to contribute to existing knowledge with data from this type of program. Another gap in the literature is that there is little knowledge about weight management programs and body positivity, rather than body image or body dissatisfaction. As explained previously, some studies have shown that body image and body dissatisfaction can improve on weight management programs over time [ 10 ]. However, it is conceivable that weight management programs could improve body dissatisfaction, but not necessarily improve positivity and acceptance of one’s own body, making it important to explore body positivity as an outcome. There is also little current knowledge of how generalized weight management programs improve self-compassion. Additionally, while improvements have been reported in psychologically-oriented (e.g., CBT-based) programs focused on body image or dissatisfaction, it is unclear whether CBT-based weight management programs can improve body positivity. This study adds to current knowledge by providing data on changes in body positivity and self-compassion on a CBT-based weight management program. Finally, there is little, if any, work on how baseline body positivity and self-compassion, or changes in those factors over time, predict real-world engagement in relevant behaviors (e.g., food or exercise logged).

Therefore, in this single-arm prospective study, participants who had self-enrolled in a digital commercial behavior change weight loss program informed by ACT, DBT, and CBT were followed from baseline to end of the program with data extracted from the program database and self-reported by survey. This provided the unique opportunity to examine changes in body positivity and self-compassion in a setting that reflects real-world use of the program as much as possible (i.e., with individuals who self-voluntarily joined the program and minimal participation requirements). For this study’s primary aim, based on past work on ACT, DBT, and CBT [ 19 , 21 , 22 , 23 , 24 , 25 ], we hypothesized that body acceptance, body image flexibility, and self-compassion would significantly increase from baseline to end of the program and body-focused rumination (i.e., continuous negative thought patterns) would significantly decrease. We also hypothesized that these improvements would be independent of weight lost, with no significant associations between weight loss and body appreciation, body image flexibility, self-compassion, and body-focused rumination. The secondary aim was to explore associations between engagement and baseline as well as over-time changes in body acceptance, body image flexibility, self-compassion, and body-focused rumination.

2. Materials and Methods

This study was a single-arm prospective cohort design. A prospective design helps to minimize bias when observing changes and ensure that outcomes occurred over time and that baseline measures could be used to predict future changes. We chose a single-arm design because the motivation for this study was to understand the outcomes that occurred on this type of program, and among a population motivated to self-enroll in a real-world program.

2.1. Participants

Participants included adults who voluntarily signed up for Noom Weight (NW) during a one-week period in March 2021. A random subset of 2000 users who elected to subscribe to NW following a two-week trial period were invited to participate in this prospective study. Inclusion criteria assessed at signup were: located within the US, BMI of 25 or higher, and English speaking. A total of 290 NW users enrolled in the current study and completed a baseline survey. Of these participants, 135 also completed a follow-up survey at week 16. Two participants who never engaged in NW were excluded from analysis, resulting in a final sample of 133 participants who completed both surveys (see Figure 1 ). The 133 participants who completed both baseline surveys did not significantly differ in any demographic variable or baseline outcome from the individuals who completed only the baseline survey.

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Object name is ijerph-18-13358-g001.jpg

Diagram of study inclusion.

2.2. Power and Sample Size Calculation

An a priori sample size calculation was performed with G*Power for our primary aim. Regarding our hypothesized difference in body positivity from baseline to follow-up, power was calculated based on the within subjects effect of a short-term, CBT-based weight loss intervention on body satisfaction reported by Rapoport and Wardle [ 29 ] (d = 0.55; 2000). Using an alpha error probability of 0.05, the total sample size needed for a paired samples t test to achieve a corresponding power of 0.95 was estimated to be 45 participants. Thus, the final sample size of 133 was considered to be adequately powered.

2.3. Procedure

This study was approved by the Advarra Institutional Review Board. A random subset of NW subscribers who signed up for the program between 24 February and 20 March 2021 were invited to participate in the current study. As part of the approved consent process, all potential participants were given the option to opt in to prospective research studies or the option to opt out. In opting in, participants agreed to the use of their de-identified program data for research purposes, and were told they could opt out at any time. Participants were invited to complete the baseline questionnaire following the 2 week trial period. Those who completed the baseline questionnaire were invited to participate in the follow-up survey after a cumulative 16 weeks using NW. A duration of 16 weeks was chosen because that is the length of the core curriculum before individuals are introduced to maintenance material. Engagement with in-app actions encouraged by the program (e.g., reading articles) was directly recorded within the program. Study completers were compensated for their participation. In order to measure real-world engagement, participants were not given specific minimum engagement requirements to stay in this study.

2.4. Program

Noom Weight is a mobile health behavior change program that has demonstrated effects on clinically significant weight loss [ 30 , 31 , 32 , 33 ]. NW leverages evidence-based techniques in behavior change and weight control, drawn from ACT, DBT, and CBT. For example, the curriculum introduces the framework (e.g., what is DBT) and describes its principles (e.g., components of DBT such as mindfulness, emotional regulation, and distress tolerance), explains how these principles can help, and provides practical tips on how to incorporate these principles or understanding into users’ daily lives (e.g., “Close your eyes and visualize your breath traveling in and out as you breathe”). The curriculum covers primary components of ACT, DBT, and CBT, such as accepting negative emotions, feelings, and thoughts; mindfulness; acceptance-based integration and movement towards value-laden meaningful behaviors; and recognizing, unpacking, and replacing thought distortions or ruminative thinking [ 34 , 35 , 36 ]. Articles also include principles of self-compassion, and explain the importance of showing oneself kindness and understanding even with limitations or failures and refraining from self-judgment. In terms of body positivity, articles explain possible sources of body image, help users to reflect on what their body image truly is and where it came from, and encourage users to reflect on thoughts that appreciate their body or restructure thoughts towards self-acceptance of one’s body and away from self-value based on appearance. The curriculum also includes aspects of psychological well-being such as stress management, coping skills, goal-setting, and cognitive flexibility. Mobile features enable hands-on activities and reflection; for example, in CBT-informed articles on thought distortions and ruminations, users are guided through writing down their thoughts and emotions, providing supporting and contrary evidence, and describing the objective facts of the situation to identify distortions, with their previous responses displayed at key moments of reflection.

Users self-enroll in the mobile program by downloading it on their smartphone from the app store or via the Noom website. Within the first few days of the program, users are guided through an exercise in which they set an overall goal for their participation in the program. Users are guided away from weight loss goals (e.g., lose 20 pounds) and towards value-laden goals (e.g., have energy for my grandchildren) with sequential “why?” questions. Users are then reminded of these value-laden goals periodically throughout the program. On the mobile program, users are provided access to food, exercise, and weight logging features; individual and group coaching; and an interactive curriculum, all of which all have been shown to be effective components of weight management interventions [ 37 , 38 ]. In addition to the psychologically-informed content described above, the curriculum involves daily articles on empirically-supported psychological principles, nutrition, physical activity, and behavior change. Coaches, trained to use techniques from CBT and motivational interviewing, interact with users via in-app text messaging to help emphasize psychological principles, to help users to set and meet goals, and to help users reflect on their progress [ 39 ]. Logging features allow users to input the foods they have eaten for a given meal, their weight, or the type of exercise they did each day, in order to self-monitor their patterns and progress. Users are encouraged but not required to log their meals and weight daily, and logging fear and avoidance are progressively addressed throughout the curriculum. When logging foods, users can choose from a food database containing thousands of foods or users can input their own custom entry. Users have access to an analysis showing them the percentage of high-calorie-dense, medium calorie-dense, and low calorie-dense foods they have eaten so far each day. The program recommends a ratio of 25%, 35%, and 45%, respectively. Adhering to the recommended ratios is associated with greater weight loss [ 40 ]. In the latter half of the program, users are put into online groups with other users. Users can add posts or react to others’ posts with comments or reactions (i.e., hearts).

2.5. Measures

Identical surveys were completed at baseline and the 16 week follow-up periods, with the addition of demographic information assessed at baseline. For each self-report, change scores were computed by subtracting baseline scores from week 16 scores. For all of these survey measures, there were no missing data.

Body Appreciation Scale-2 (BAS). The BAS [ 41 ] assessed the degree to which participants held an accepting and positive view of their body’s features, regardless as to if they also held a certain degree of body dissatisfaction. This 10-item measure yielded an overall average body appreciation score. Internal reliability (α = 0.93 and 0.94 for baseline and follow-up, respectively) and the stability coefficient (r = 0.78) reflected good reliability.

The Body Image-Acceptance and Action Questionnaire (BI-AAQ). The BI-AAQ [ 42 ] assessed the degree to which participants endorsed body image flexibility: the capacity to experience one’s perceptions, thoughts, and feelings associated with one’s body fully, even when difficult, while simultaneously and intentionally engaging in behavior that is consistent with one’s chosen values. Body image flexibility is not characterized by the specific content of thoughts (e.g., “What I look like is an important part of who I am”), but on how body image is impacting life (e.g., “When I start thinking about the size and shape of my body, it’s hard to do anything else”). This 12-item measure yielded a total body image flexibility score. Internal reliability (α = 0.90 for both baseline and follow-up) and the stability coefficient (r = 0.73) reflected good reliability.

Self-Compassion Scale, Short Form (SCS-SF). The SCS-SF, a well-validated measure of self-compassion [ 43 ], assessed participants’ ability to hold one’s feelings of suffering with a sense of warmth, connection and concern. This 12-item measure yielded a total self-compassion score in addition to six subscale scores: (1) self-kindness and (2) self-judgment: the ability to treat oneself with care rather than harsh self-judgment; (3) common humanity and (4) isolation: the ability to recognize that imperfection is a shared aspect of the human experience rather than feeling isolated; and (5) mindfulness and (6) over-identification: the ability to hold one’s experience in balanced perspective rather than exaggerating the storyline of suffering or overidentifying with emotions. Internal reliabilities ranged from α = 0.57 to 0.89 and stability coefficients ranging from r = 0.56 to 0.78, indicating adequate reliability.

Ruminative Response Scale for Eating Disorders (RRS-ED). The RRS-ED [ 44 ] assessed participants’ mental ruminations concerning food, figure and weight. This scale was originally validated on healthy (i.e., without eating disorder) individuals to understand body-focused rumination [ 44 ]. This 9-item measure yielded a total rumination score in addition to two subscale scores: (1) brooding: the tendency to compare one’s recent eating-related behavior, figure, or weight with some ideal and (2) reflection: the tendency to deliberately think about one’s eating, weight, and/or shape. Internal reliabilities ranged from α = 0.60 to 0.89 for baseline and follow-up subscale and overall rumination scores. Stability coefficients ranging from r = 0.55 to 0.73, indicating adequate reliability.

Noom Engagement. On Noom, individuals are encouraged, but not required, to read articles, log their food, weight, and exercise; message their coach; and post on online groups. Engagement, or adherence to these behaviors encouraged by the program, was summarized by calculating the total number of activities performed by each participant over the 16 week study period: (1) meals logged, (2) weigh-ins completed, (3) exercises logged, (4) messages sent to individual coaches, (5) articles read, and (6) group activities (posts, post hearts, thread posts, thread post hearts). These six frequencies were summed to form a total engagement score.

Weight Loss. Weight was measured via self-report on the program. Weight loss was calculated by subtracting latest weight from initial weight logged within the app. Last-observation-carried-forward was used for any missing weight data. Seven participants did not log more than one weight within the app and were excluded from analyses related to weight loss.

2.6. Statistical Analysis

For the primary aim, paired t -tests compared baseline and follow-up (16 week) outcomes (i.e., body acceptance, body image flexibility, self-compassion, and rumination). To measure the relationship between changes in outcomes (from baseline to follow-up) and weight loss, unadjusted and adjusted analyses were conducted. Unadjusted Pearson correlations examined the relationship between outcome change scores (each outcome’s change score as a separate independent variable) and weight loss (dependent variable). Linear regression models then adjusted for baseline weight. For this study’s secondary aim, Pearson correlations were conducted between body positivity and self-compassion scales at baseline and the total engagement score. The same analysis was then conducted with change scores and engagement. Analyses were conducted in SPSS (version 27; IBM Corporation, Armonk, NY, USA) with an alpha of 0.05. t -tests were corrected for multiple tests using the Sidak–Bonferroni correction [ 45 ]. Effect sizes were measured using Cohen’s d [ 46 ]. Though interpretation varies based on the field, effect sizes are typically considered to be small (d ≥ 0.2), medium (d ≥ 0.5), or large (d ≥ 0.8) [ 46 ].

3.1. Participant Characteristics

Participants were mainly female ( n = 106, 80%), married ( n = 87, 65.4%), and employed ( n = 102, 76.7%); had a four-year college degree or more advanced education ( n = 107, 80.4%); and identified as non-Hispanic Caucasian ( n = 106, 79.7%). The average age was 45.38 (SD = 13.34). There were no significant group differences across participants who completed the baseline survey only versus those who completed both baseline and follow-up surveys. Weight significantly decreased from baseline to 16 week follow-up (t(128) = 10.64, p < 0.001, d = 0.94). Participants lost an average of 3.91 kg (SD = 4.18), with 36% achieving weight loss ≥ 5% of their initial body weight. Over 16 weeks, participants did an average of 937 in-app actions (SD = 555.91). Participants averaged 3.34 actions (SD = 1.81) per week over 16 weeks.

3.2. Changes in Outcomes

First, we examined if body positivity, self-compassion, and rumination changed over the course of the program ( Table 1 ). Body appreciation and body image flexibility significantly improved from baseline to 16 weeks (t(132) = 5.23, p < 0.001, d = 0.45; t(132) = 3.56, p < 0.001, d = 0.31). Similarly, self-compassion significantly improved over the course of the program, as seen in the summary variable of total self-compassion (t(132) = 4.04, p < 0.001, d = 0.35), along with the subscales of self-judgment (t(132) = 3.87, p < 0.001, d = 0.34), common humanity, (t(132) = 3.64, p < 0.001, d = 0.32), and mindfulness (t(132) = 2.72, p = 0.007, d = 0.24). Marginally significant improvements were also observed in the subscales of self-kindness (t(132) = 1.66, p = 0.10, d = 0.14) and overidentification (t(132) = 1.88, p = 0.06, d = 0.16). No change was seen in the subscale of isolation (t(132) = −1.12, p = 0.27). Finally, rumination concerning food, figure, and weight improved from baseline to 16 weeks, as observed in the summary variable of total rumination (t(132) = 2.92, p = 0.004, d = 0.25) as well as the brooding subscale (t(132) = 3.11, p = 0.002, d = 0.27). There was no significant change in the reflection subscale (t(132) = 1.47, p = 0.14).

Change in primary outcomes from baseline to week 16.

1 The body image flexibility scale is reverse coded such that higher scores denote worse body image flexibility. *** p < 0.001, ** p < 0.01, + p < 0.10. 2 These subscales are reverse-scored so that higher scores mean less self-judgment, isolation, and overidentification.

Next, we examined whether these changes were associated with the amount of weight participants lost. In both unadjusted correlations and adjusted regression models, weight loss was only associated with changes from baseline to 16 weeks in body appreciation ((r(127) = 0.24, p = 0.007; B = 0.23, p = 0.01, 95% CI 0.48–3.39); increased body appreciation over time was associated with greater weight loss. Weight loss was not associated with changes in self-compassion, body image flexibility, and rumination in both unadjusted and adjusted models. This suggests that these improvements were independent of weight loss.

3.3. Baseline Measures and Engagement

Then, we examined whether baseline measures of the outcomes were associated with engagement over the 16 week study. Baseline levels of total self-compassion, as well as the self-judgment subscale of self-compassion, were significantly associated with total engagement ((r(131) = 0.19, p = 0.03; r(131) = 0.24, p = 0.006, respectively). The higher participants’ initial levels of total self-compassion, and the lower their self-judgment, the more they engaged in relevant behaviors. No other self-compassion subscales at baseline were significantly associated with engagement. Similarly, no scales of body appreciation, body image flexibility, and rumination were significantly associated with engagement.

3.4. Changes in Outcomes and Engagement

Finally, we examined whether improvements in these outcomes over time were associated with engagement. Overall engagement over 16 weeks was significantly associated with improvements in body appreciation (r(131) = 0.17, p = 0.04) and body image flexibility (r(131) = −0.23, p = 0.007). Engagement was also significantly associated with the brooding subscale of rumination (r(131) = −0.23, p = 0.007), in which greater engagement was associated with improvement over time in brooding. No other scales were significantly associated with engagement, including overall rumination and all self-compassion subscales.

Further, we examined which specific engagement measures showed significant associations with these improvements. The frequency of coach messages, articles read, and meals logged was significantly associated with changes in body appreciation (r(131) = 0.17, p = 0.05; r(131) = 0.17, p = 0.05; r(131) = 0.23, p = 0.009), body image flexibility (r(131) = −0.27, p = 0.002; r(131) = −0.27, p = 0.002; r(131) = −0.24, p = 0.005), and the brooding scale of rumination (r(131) = −0.30, p = 0.001); r(131) = −0.30, p = 0.001; r(131) = −0.23, p = 0.009). The frequency of weigh-ins, exercises logged, and group interactions was not significantly associated with changes in body appreciation, body image flexibility, or brooding (all ps = n.s.). Thus, the amount of engagement in interactions with the coach, reading the articles, and logging meals were most strongly related to improvements in body positivity (i.e., body appreciation, body image flexibility, and body-related brooding). There were no significant correlations between specific engagement measures and changes in all self-compassion subscales or the other rumination subscales aside from brooding.

4. Discussion

In this single-arm prospective study, we sought to examine changes in body positivity and self-compassion among individuals who had self-enrolled in a digital commercial program informed by ACT, DBT, and CBT. We also explored how these measures were associated with engagement in program-measured relevant behaviors. From baseline to end of the program (16 weeks), body appreciation, body image flexibility, self-compassion (as in total self-compassion and subscales of self-judgment, common humanity, and mindfulness), and rumination (as in total rumination and the brooding subscale) significantly improved. These changes were not related to weight loss, with the exception of body appreciation. Average weight loss from baseline to 16 weeks was statistically significant but modest (3.9 kg), and 36% of participants achieved clinically significant weight loss (≥5% body weight). Baseline total self-compassion and self-judgment were associated with higher engagement, but there was no significant association for baseline body appreciation, body image flexibility, and rumination. Higher engagement was associated with improvements over time in body appreciation, body image flexibility, and rumination. In particular, more articles read, coach messages, and meal logs were associated with improvements in these outcomes.

Weight management programs tend to focus on behavioral changes that modify weight, raising questions about how and whether users experience changes in body positivity and self-compassion. To our knowledge, this is the first study to examine body positivity and self-compassion on a weight management program that is psychologically-oriented but not primarily tailored towards body image or self-compassion. This makes it difficult to directly compare our results with previous studies. However, our findings corroborate past evidence. Past prospective evidence, primarily from randomized controlled trials, suggests that standard behavioral weight management (SBW) programs or SBW programs enhanced with CBT have demonstrated improvements in body image and body dissatisfaction (see [ 11 , 27 ] for a review). Our results add to this literature by showing that body positivity and self-compassion significantly improved over time. Our findings are also consistent with studies showing improvements in body image from targeted CBT-, ACT-, or DBT-based programs, as well as programs specifically targeting self-compassion [ 21 , 22 , 23 , 47 , 48 ]. Our results also contribute new knowledge by showing that changes in body positivity and self-compassion can occur in individuals who voluntarily joined and used a digital publicly available program. This raises additional directions for future research about the similarities between this population and those recruited to participate in controlled trials. Future studies should directly compare body positivity and self-compassion in this population and those in controlled settings, as well as qualitatively understand body positivity or self-compassion concerns from this population.

The non-significant associations between weight loss and changes in body image flexibility, body-focused rumination, and self-compassion suggest that these improvements did not occur because participants’ weight or bodies changed. This departs from previous studies of SBW programs finding that weight loss mediated the effect of the intervention on improved body image [ 26 , 49 ]. Future research should investigate the possibility that this is because ACT, DBT, and CBT-based programs help improve body positivity and self-compassion in ways that do not depend on losing weight or body size changes. This aim is inherent in these psychological frameworks but could not be directly tested in this study. We found a significant association between weight loss and improvements in body appreciation, which could be due to enhanced engagement. Better engagement would help individuals increase appreciation for their bodies through the curriculum and is strongly associated with greater weight loss [ 32 , 49 ]. On the other hand, with the present study, we could not rule out the possibility that increased body appreciation stemmed from weight loss enabling participants’ bodies to look closer to their ideal body type, which may not ultimately indicate appreciation of one’s body no matter what. However, while individuals lost significant weight compared to baseline, this amount of weight loss (3.91 kg) is unlikely to lead to substantial changes to body size, and there were significant improvements in body image flexibility that were not related to weight loss. Future research should tease apart the contribution of weight loss to body appreciation and ideal body sizes in this population and type of program with causal designs and methods.

The finding that baseline self-compassion was associated with greater overall engagement is consistent with empirical and theoretical work. With self-compassion, individuals are better able to show themselves kindness and understanding for their limitations and hardships, which may generate increased motivation to persist in valued behaviors even after initial setbacks [ 50 , 51 ]. Self-compassion has been linked to greater intrinsic motivation, resilience, and persistence [ 8 , 50 , 52 ]. Our findings add to this knowledge by raising the question of whether initial self-compassion is more important for engagement than over-time improvements; perhaps those who have the highest underlying self-compassion and the lowest levels of self-judgment engage most. Engagement was not associated with changes in self-compassion (including self-judgment), which suggests that changes in self-compassion occurred similarly regardless of level of engagement. At the same time, greater total weekly engagement was associated with improvements in the brooding component of rumination. Brooding includes repeating negative thoughts about why one should have done better, which is more oriented towards behaviors or actions (“why do I always react this way around food?”) than self-judgment more generally (“I’m disapproving and judgmental about my own flaws and inadequacies”). Therefore, brooding is associated with avoidance behaviors and impaired problem solving [ 53 , 54 ]. Taken together with our results, this suggests that engagement behaviors could help improve brooding more than self-judgment or other aspects of self-compassion. Future research should test this potential explanation. Since these were correlational analyses, future research should also test the directionality of these relationships.

Total weekly engagement was also associated with greater improvements over time in body appreciation and body image flexibility. Not all types of program engagement were associated with these over-time improvements. In particular, the engagement measures most strongly associated with improvements in body positivity were coach messages, articles, and meal logging. In this program, the ACT, DBT, and CBT content was mostly delivered through the articles and coach interactions. This suggests the possibility that engaging more in ACT, DBT, and CBT content, even within a weight loss program, can motivate a more positive body perception. These results build on previously explained studies indicating that exposure to ACT-, DBT-, or CBT-based programs can improve body image [ 21 , 22 , 23 ]. Engagement in coach messages, articles, and meal logging were also associated with improved rumination in terms of brooding. Taken together, our results align with theoretical understanding that ACT and DBT encourage growing awareness of internal distress, along with acceptance and validation of these thoughts and emotions towards value-based action, and CBT encourages awareness and restructuring of negative thought patterns [ 15 , 18 , 36 ]. Our results also suggest that, at the very least, greater engagement in a weight management program is not always tied to negative changes in body image, as some have assumed, when psychologically-driven content is presented [ 12 , 55 ]. These results raise the implication that ACT, DBT, and CBT, when presented and interacted with in daily articles and in coach conversations, could improve body image flexibility and body-focused rumination over time to a greater extent. The interactivity of articles also could have been helpful, particularly in writing down and then challenging negative thoughts particular to the user in CBT articles, or in learning and applying the concepts of ACT and DBT through quizzes included in articles. Future research should investigate to what extent interactivity helps to improve outcomes.

Our results for self-compassion also align with the theoretical principles behind ACT, DBT, and CBT. While greater engagement was not associated with changes in self-compassion, we found that overall, not only did total self-compassion improve over 16 weeks, but the subscales of self-judgment, common humanity, and mindfulness showed the most improvement. These subscales concern decreasing judgment and blame towards oneself, as well as increasingly feeling that one’s distress is shared by others and that one can be mindfully aware of emotions, sensations, and thoughts. These components are directly relevant to principles in ACT, DBT, and CBT that encourage acceptance, and not blame, for feelings and thoughts; that help individuals to realize that distress and imperfection are more common than they think; and that encourage individuals to build mindful awareness and acceptance of current sensations and emotions. This suggests that articles and coaching can improve self-compassion in self-judgment, common humanity, and mindfulness when based on principles of ACT, DBT, and CBT within a generalized (i.e., not tailored towards mental wellness) weight management program.

Additionally, meal logging was positively associated with improvements in body positivity, while weigh-ins and exercise logging were not significantly associated with changes in body positivity. These results provide important data to the literature which is currently mixed in regard to whether behaviors like self-monitoring are tied to harmful body-oriented attitudes or eating behaviors [ 55 , 56 ]. Our results are consistent with a recent review showing that self-monitoring may have no relationship or a positive relationship with harmful body-related attitudes or behaviors among adults with obesity seeking treatment, in contrast to populations more at risk for body dissatisfaction or disordered eating [ 56 ]. Our results go further to show a potentially positive effect of self-monitoring of food. In addition to measuring a dose effect of ACT-, DBT-, or CBT-based curricula, future research should clearly and comprehensively lay out the individual effects and directionality of health behaviors, whether measured by a program like this or not, and body positivity. Additionally, a study of a generalized health education program found reciprocal relationships between body image and weight loss where weight loss improved body image and changes in body image then improved weight loss [ 26 ]. It is possible that the correlations we found also represented cyclical relationships in which improvements in body positivity also led to further future engagement. Along these lines, a study found that improvements in body appreciation predicted increased intrinsic motivation [ 8 ]. Future work should do time-lagged analyses to better differentiate these relationships. Though we cannot definitively state directionality, our findings show there is a clear correlation between engagement, especially in psychologically-derived content, and improvements over time in body positivity. Our findings raise empirical and clinical implications, such as the possibility that emphasizing more engagement, especially exposure to an acceptance-based curriculum, could lead to greater improvements in body positivity. Future research should test this possibility.

Limitations. This study is an exploratory observation of individuals who joined a publicly available program. Because of this goal, a control group was not used, since these individuals would need to be recruited and would not provide insight into the population of interest. Thus, our findings are correlational and causal claims cannot be made. Additionally, it is impossible to rule out the possibility that improvements in body positivity and self-compassion were due solely to the passage of time. Nevertheless, our results suggest that body positivity and self-compassion do not decrease when individuals use a program that involves weight management. This is an important finding because some researchers have voiced concerns based on the assumption that any emphasis on weight management will impair body image or self-compassion [ 57 , 58 ]. This assumption has yet to be thoroughly tested and this study cannot provide a definitive answer, but our results suggest that it is not always true and that individuals’ body positivity and self-compassion do not deteriorate, but actually can improve, during weight management guided by ACT, DBT, and CBT. Future studies should test causal pathways being weight management components and body positivity. Another limitation is that one self-selected sample was used, which means that results may not generalize to all individuals who choose to join a digital commercial program. In addition, only four month outcomes were assessed. Future studies will investigate longer-term changes in body positivity, self-compassion, and weight loss. Finally, this study does not account for the wider complex environment surrounding individuals and their body- or self-related perceptions, such as social interactions and potentially ensuing weight stigma, or media which can elevate certain body types over others [ 59 , 60 ]. A full discussion is outside the scope of this study. Taking into account these external factors, some researchers encourage increased psychoeducation on weight stigma, as well as educating individuals as to what “normal” weights may actually mean [ 59 ]. Our future studies will explore these factors, such as individuals’ expectations and perceptions of “normal” weights on this type of program.

5. Conclusions

This study provides rare data into how body positivity and self-compassion change during real-world use of a psychologically-derived commercial weight management program outside of a controlled trial. To investigate this question, we leveraged a unique dataset and also explored how real-world program engagement relates to baseline and changes in body positivity and self-compassion. Individuals self-motivated to join a commercial program with techniques from ACT, DBT, and CBT experienced improved body positivity and self-compassion and lost modest weight. Given previous work, this could be because ACT, DBT, and CBT can help individuals to accept and integrate negative thoughts and feelings about their bodies or themselves, channeled into valuable action and self-compassion; future research should use controlled trials to investigate this question more deeply. Greater engagement in program-measured health behaviors was associated with changes in body image flexibility, body appreciation, and brooding; baseline self-compassion was also associated with greater engagement. Specifically, reading the curriculum, interacting with coaches, and logging meals were associated with greater improvements in body appreciation, body image flexibility, and brooding. This suggests that engaging with ACT-, DBT-, and CBT-based content, such as through curriculum and coach messaging, could further improve body positivity, which should be confirmed with future research. These findings have implications for how engagement with psychologically-derived content could be emphasized to improve body positivity, as well as how baseline self-compassion could be targeted to improve engagement. This study raises pertinent new directions for future research about the relationships between body positivity, self-compassion, and engagement in health behaviors; the causal role of ACT, DBT, and CBT on generalized (i.e., non-specialized) programs; and body positivity and self-compassion in this population and setting. Future work from weight management programs should also measure body positivity more as an outcome and test the effects of incorporating components of ACT, DBT, and CBT into curriculums to help individuals recognize that they can increasingly appreciate their bodies and themselves.

Author Contributions

Conceptualization, M.M., C.N.M. and E.S.M.; methodology, M.M. and E.S.M.; data curation, M.M. and H.B.; formal analysis, M.M.; investigation, A.S.H.; writing—original draft preparation, A.S.H.; writing—review and editing, A.S.H., M.M., E.S.M., C.N.M., H.B. and A.M.; supervision, A.M. All authors have read and agreed to the published version of the manuscript.

This research received no external funding.

Institutional Review Board Statement

This study was conducted according to the guidelines of the Declaration of Helsinki and approved by the Advarra Institutional Review Board.

Informed Consent Statement

Consent was obtained from all subjects involved in this study.

Data Availability Statement

Conflicts of interest.

Authors M.M., A.S.H., C.N.M., H.B., E.S.M. and A.M. are employees of Noom Inc. and have received salary and/or stock compensation from Noom, Inc.

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Body Positivity

Reviewed by Psychology Today Staff

Body positivity is a movement to accept bodies of all sizes and types, rather than those that conform to societal ideals of beauty. It emphasizes self-acceptance, inner worth, and appreciation for a body’s abilities.

  • Body Positivity: Concepts and Critiques
  • Body Image and Mental Health

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The body positivity movement grew out of the fat acceptance movement of the 1960s. The fat acceptance movement was created by Black and queer women to fight the discrimination and shame they faced due to their weight. Body positivity emerged from these roots. The movement champions acceptance and love for all types of bodies. It challenges cultural ideals of beauty and societal perceptions and expectations around the body. It calls attention to unhelpful or harmful messages people may have received about their bodies from individuals, media, or society. And it promotes a healthy relationship with the body through awareness and acceptance.

Despite its origins, one critique of the body positivity movement today is its lack of inclusivity; marginalized bodies are rarely centered . On social media , for example, body positivity is often exemplified by thin white women with bodies that society deems socially acceptable. The bodies that are most marginalized then continue to be marginalized while the bodies that are privileged continue to take center stage.

There are several other critiques as well. One is that corporations and celebrities have trumpeted the movement through new products and campaigns, yet they often continue to promote a narrow framework of beauty. Another is that body positivity overemphasizes appearance compared to other elements of identity and experience. Yet another is that some people may not resonate with pressure to feel positive about their bodies or may take unhealthy steps in the name of feeling positive about their body.

People can become more body positive by identifying what their individual body needs in terms of hunger, fullness, movement, and rest. Through trial and error, they can learn about their bodies, and be kind to themselves if they make mistakes along the way. 

Additionally, people can examine the messages they’ve received throughout their life about health, weight, food, and exercise. These messages may have come from friends, family, social media, advertisements, and the broader culture. They can then reflect on which messages have been helpful and which have been harmful to recognize which beliefs they should aim to keep or change.

A recent study found that women who promoted body positivity to a friend by writing a letter appreciating their body’s functionality ended up feeling more positively about their own body as well. One hypothesis for this finding was that the activity shifted the participants’ focus away from physical appearance and toward the body’s abilities.

Some proponents of body self-acceptance have embraced the term “body neutrality” instead of “body positivity.” Body neutrality also prioritizes functionality over appearance, but it also removes the expectation of specific feelings toward the body, such as positivity, allowing for neutrality instead. Some believe that body neutrality is a more realistic and preferable goal for those who have struggled with severe body dissatisfaction, eating disorders, or a history of trauma .

Some believe that the body positivity movement overemphasizes the appearance of bodies and minimizes or evades the differences in privilege afforded to those who meet the white and thin proportionate ideal. The body positivity movement has largely been perpetuated by and benefitted white women. “The movement puts the onus on individuals to change their feelings toward their bodies without resisting the systems that marginalize nonnormative bodies,” writes The Research Lab.

Additionally, body positivity may become problematic if it emphasizes the physical appearance of bodies over the appreciation of and inherent dignity of the body. A positive relationship with appearance isn’t bad, but it is incomplete. Engaging the world through a body—including breathing, moving, eating, and aging—is more than appearing in a body.

The extent to which this movement is as positive as its name suggests has been called into question . In a recent study evaluating the body positivity movement on Instagram, psychologists sought to determine the extent to which posts using the body positivity hashtag, #bodypositivity, provided positive messages about body image . Some body positivity accounts turned out to contain contradictory messages; messages of self-acceptance appeared alongside or within posts promoting weight loss.

The researchers also found that 43 percent of the bodies depicted in #bodypositivity posts were of individuals with larger bodies. Although this is less than half, it’s also more representative of the average person than posts offered as “thinspiration” or “fitspiration.”

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The body positivity movement underscores the challenges people face regarding body image and cultural attitudes. Addressing these challenges is important because negative body image can harm self-esteem , well-being, and mental health. In some cases, negative body image may contribute to disorders such as body dysmorphic disorder, eating disorders, anxiety , or depression .

Eating disorders involve a persistent disturbance of eat& shy ;ing that changes the consumption or absorption of food so that it significantly impairs the person’s physical health and or psychological functioning. Eating disorders include anorexia nervosa, bulimia nervosa, binge- eating disorder , pica, rumination disorder, and avoidant/restrictive food intake disorder. (For more, see Eating Disorders. )

Body dysmorphic disorder involves a preoccupation with perceived defects or flaws in one’s physical appearance. The person believes that these flaws make them look unattractive or abnormal, yet they are extremely minor or completely unnoticeable to others. The person may perform repetitive behaviors, such as constantly monitoring their flaw in the mirror, and the preoccupation causes significant distress. (For more, see Body Dysmorphic Disorder. )

Research suggests that body dysmorphia affects somewhere between 0.07 and 2.3 percent of the general population. But many people experience negative body image at times that don’t rise to the severity of a disorder.

Body dissatisfaction also affects men and women differently: A large study conducted in Germany found that body dissatisfaction was higher in women than in men and that the importance of appearance was higher in women than in men.

Body image encompasses the perceptions, feelings, thoughts, and actions that pertain to one’s physical appearance, and these components can shift into a negative realm for many reasons. Pressure to conform to beauty standards, social comparison propelled by social media, and mental health factors such as a genetic predisposition to anxiety or obsessive-compulsive disorder may lead to body dissatisfaction or, in some cases, a related mental health condition.

Several strategies can help improve body image. People can practice self-compassion and gratitude for their body’s abilities. They can meditate on what’s most important in life and how to allocate more time and attention to those domains. They can reflect on what kind of person they want to be and take small actions to align with those qualities. It can also be beneficial to take time away from social media, reach out to loved ones, and perform acts of kindness.

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Body Positivity in Terms of Psychology Essay

Introduction, about body positivity, body positivity and humanism, body positivity and psychodynamics, body positivity and neuroscience.

Psychology is an essential science that helps to understand many events that happen nowadays and the reasons for different people’s behavior. When something intriguing happens in areas like sports, art, politics, society, science, business, world news, and technology, psychologists may be able to analyze it and see something that other people do not notice. For example, one of the well-known topics that are now the subject of discussion by many people and social networks is body positivity.

The purpose of this paper is to explain the meaning of body positivity, analyze this social movement, and discuss how neuroscience, psychodynamics, and humanism might provide insight into this social phenomenon.

Body positivity is a social movement based on the statement that all people should have a positive body image, at the same time challenging the ways in which society represents and considers the physical body. This movement states that people should accept all bodies, regardless of their shape, size, and appearance. This approach will change people’s ideas about some products and services such as physical fitness, health club services, and healthy food.

The activists of body positivity work with disability movements, racial justice, and queer and trance inclusive. They acknowledge that size is just one of many ways other people value and judge our bodies. According to Cook (2019), this movement “intends to help people radically accept their and others’ bodies just as they are” (p. 3). The body positivity’s goal is to focus on unrealistic standards of beauty and strengthen confidence in people who suffer from public opinion and condemnation. The movement establishes the concept that beauty is a construction of society and argues that this construction should not influence a person’s ability to feel confident or self-esteem.

The idea associated with the movement of the positivity of the body is based on the fact that people should accept their physical characteristics and love themselves fully. Body positivity is rooted in the fat acceptance movement and in the National Association to Advance Fat Acceptance. The difference between these movements is that body positivity focuses not only on the overweighed people as the National Association to Advance Fat Acceptance does but also on all types of bodies. The movement argues that both skinny-shaming and fat-shaming are unacceptable and that all types of the body should be noted and considered beautiful.

Undoubtedly, body-shaming usually causes harmful long-term eating disorders, for example, bulimia nervosa, anorexia nervosa, and body dysmorphia, and psychological diseases such as depression, negative body image, self-hatred, and anxiety. Because of the effect this movement has on human psychology, body positivity may be considered innovative. It convinces people all over the world that the traits that dignify a person are self-love, self-acceptance, and self-respect.

This movement and its activists’ motives may be analyzed in terms of psychology. There are some major perspectives of modern psychology: neuroscience, psychodynamics, and humanism. According to Feldman (2019), “the humanistic perspective assumes that people have the ability to make their own choices about their behavior rather than relying on societal standards” (p. 17). If to connect this statement with the main idea of body positivity, one may notice that humanistic psychology is the key perspective of this movement.

The activists of body positivity state that people are free to do whatever they want with their bodies and should not pay attention to public opinion and shaming. Also, Feldman (2019) states that “more than any other approach, humanism stresses the role of psychology in enriching people’s lives and helping them achieve self-fulfillment” (p. 17). Again, it proves the connection between the movement and this approach. People need to be appreciated, respected, and loved for who they are. They do not want to hear condemnations and advice about their appearance because it prevents them from accepting and loving themselves.

As to psychodynamics, there are also some connections with body positivity. According to Feldman (2019), “the psychodynamic perspective suggests that powerful, unconscious inner forces and conflicts about which people have little or no awareness are the primary determinants of behavior” (p. 19). Hence, one may suggest that many activists of this movement have suffered in the past and have been criticized for their appearance and behavior, and all those events influenced their desire to join the movement. Some people may not even realize the reasons they support body positivity.

Another perspective of modern psychology that may provide insight into body positivity is neuroscience. Feldman (2019) says that “the neuroscience perspective considers how people and nonhumans function biologically: how the inheritance of certain characteristics from parents and other ancestors influences behavior” (p. 15). Knowing this, one may suggest that some of the body positivity activists support this movement because they have inherited special characteristics from their ancestors. Probably, their grandparents were also supporters of this movement and argued that people could do everything they wanted with their bodies.

To draw a conclusion, one may say that usually, there are strong connections between psychology and current events. If a person wants to understand other people’s motives, the causes of many situations, and the ideas of social movements, he or she may try to analyze them from a psychological point of view. It often happens that everything looks more logical and understandable in terms of psychology.

Cook, D. C. (2019). A parent’s guide to body positivity . Huntsville, AL: Axis Publishing.

Crabbe, M. J. (2018). Body positive power: Because life is already happening and you don’t need flat abs to live it . London, United Kingdom: Hachette UK.

Feldman, R. S. (2019). Understanding psychology . New York. NY: McGraw-Hill Education.

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IvyPanda. (2021, June 23). Body Positivity in Terms of Psychology. https://ivypanda.com/essays/body-positivity-in-terms-of-psychology/

"Body Positivity in Terms of Psychology." IvyPanda , 23 June 2021, ivypanda.com/essays/body-positivity-in-terms-of-psychology/.

IvyPanda . (2021) 'Body Positivity in Terms of Psychology'. 23 June.

IvyPanda . 2021. "Body Positivity in Terms of Psychology." June 23, 2021. https://ivypanda.com/essays/body-positivity-in-terms-of-psychology/.

1. IvyPanda . "Body Positivity in Terms of Psychology." June 23, 2021. https://ivypanda.com/essays/body-positivity-in-terms-of-psychology/.

Bibliography

IvyPanda . "Body Positivity in Terms of Psychology." June 23, 2021. https://ivypanda.com/essays/body-positivity-in-terms-of-psychology/.

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COMMENTS

  1. Essay on Body Positivity

    100 Words Essay on Body Positivity Understanding Body Positivity. Body positivity is a social movement that promotes acceptance of all body types. It encourages people to have a healthy body image. Everyone should feel happy and confident about their bodies, no matter the shape, size, or color. This movement is about loving your body as it is.

  2. What Is Body Positivity? - Verywell Mind

    Body positivity refers to the assertion that all people deserve to have a positive body image, regardless of how society and popular culture view ideal shape, size, and appearance. Some of the goals of the body positivity movement include: Challenging how society views the body. Promoting the acceptance of all bodies.

  3. #BodyPositive? A critical exploration of the body positive ...

    Body positivity: A movement for racial and fat justice. Although body positivity is intended to challenge body-related oppressions, such as exclusivity within physical cultures, fitness industries and popular culture have appropriated and commodified the body positive movement (9, 10) and have excluded older people, people from diverse races, individuals with physical disabilities, and gender ...

  4. Body Positivity and Self-Compassion on a Publicly Available ...

    1. Introduction. A positive body image and self-compassion are associated with greater psychological well-being and engagement in healthy behaviors [1,2,3,4,5].Recent scholarship has conceptualized a positive body image, or body positivity, as a positive orientation towards one’s body, distinct from low body dissatisfaction or negative body image.

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    Body positivity is a movement to accept bodies of all sizes and types, rather than those that conform to societal ideals of beauty. It emphasizes self-acceptance, inner worth, and appreciation for ...

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    So far, the research is very positive, suggesting that having more body positivity is associated with better emotional and psychological well-being, mindful eating, and less exposure to media that promotes the “thin ideal” (Andrew et al., 2015, 2016; Swami et al., 2018). More to the point, multiple studies have shown that viewing body ...

  8. Mind over Matter: Defining Body Positivity - Penn Medicine ...

    The message “all bodies are beautiful” encourages all humans to appreciate their body in spite of flaws, accepts its uniqueness, love them self, and reject unrealistic beauty standards. Having a body-positive mindset can play a significant role in how college students feel about their outward physical appearance and overall self-esteem and ...

  9. Body Positivity in Terms of Psychology Essay - IvyPanda

    Body positivity is a social movement based on the statement that all people should have a positive body image, at the same time challenging the ways in which society represents and considers the physical body. This movement states that people should accept all bodies, regardless of their shape, size, and appearance.

  10. Body Positivity: Definition, History and Benefits - MasterClass

    The body positivity (or body acceptance) movement is a social force that argues for individuals to accept and celebrate their physical appearance and abilities and to dismantle beauty standards as dangerous societal constructs. In recent years, the movement has grown especially active on social media sites, with a number of hashtags and ...