Algamdi Maaidah
Community and Psychiatric Health Nursing Department, Faculty of Nursing, University of Tabuk, Tabuk, Saudi Arabia.
Front Public Health. 2025 Feb 5;12:1495973. doi: 10.3389/fpubh.2024.1495973. eCollection 2024.
Self-esteem (SE) and obesity have been associated in various studies. This study investigates this relationship among adults in Saudi Arabia. The objectives of this study are to investigate the relationships between SE and body mass index (BMI) and to examine the interactions between sociodemographic-related factors.
We designed a cross-sectional study using an online survey that included sociodemographics, a BMI measure, and the Rosenberg Self-Esteem Scale.
Levels of SE did not change substantially between the various age groups, as indicated by the Chi-Square test (12, = 332, = 5.278, -value = 0.948). The results for males reveal that there is a variation in the levels of SE across the different BMI categories. This suggests that the BMI categories have a major influence on the levels of SE among males. In both genders, the results indicate a negative association between variables, with a higher BMI being associated with a lower level of SE. The significance of this association stands for both genders (-value <0.001). For males, the association has a greater influence (Estimate = -0.110, -value <0.001) than it does for females (Estimate = -0.099, -value <0.001). In females, the negative link is larger for education (-0.273) and highly impactful (-value <0.001) in comparison to men (Estimate = -0.157, -value <0.001). Higher education levels are associated with a lower BMI (-value = 0.018). For men, the indirect effects show that education (Estimate = 0.0173*) and marital status (Estimate = -0.0405*) significantly influence SE, with other factors mediating these effects. Both genders experience significant and detrimental impacts from BMI on SE, with males experiencing a more pronounced impact. There are considerable disparities in the ways in which these parameters impact SE in both genders, as revealed by the comparisons of the nested models.
There is a negative correlation between BMI and SE in both genders, with a more pronounced impact in men. Gender-specific differences in the relationship between BMI and SE underscore the importance of considering distinct pathways for males and females in future analyses.
自尊（SE）与肥胖在多项研究中存在关联。本研究调查沙特阿拉伯成年人中的这种关系。本研究的目的是调查自尊与体重指数（BMI）之间的关系，并检验社会人口学相关因素之间的相互作用。
我们设计了一项横断面研究，使用在线调查问卷，内容包括社会人口学信息、BMI测量值以及罗森伯格自尊量表。
卡方检验表明（自由度为12，χ² = 332，F = 5.278，p值 = 0.948），不同年龄组之间自尊水平没有显著变化。男性的结果显示，不同BMI类别之间自尊水平存在差异。这表明BMI类别对男性的自尊水平有重大影响。在男女两性中，结果均表明变量之间存在负相关，BMI越高，自尊水平越低。这种关联在两性中均具有显著性（p值 < 0.001）。对于男性，这种关联的影响更大（估计值 = -0.110，p值 < 0.001），而对于女性（估计值 = -0.099，p值 < 0.001）则较小。在女性中，教育程度方面的负相关更大（-0.273），且与男性相比影响更为显著（估计值 = -0.157，p值 < 0.001）。较高的教育水平与较低的BMI相关（p值 = 0.018）。对于男性，间接效应表明教育程度（估计值 = 0.0173*）和婚姻状况（估计值 = -0.0405*）对自尊有显著影响，其他因素介导了这些影响。BMI对自尊的影响在男女两性中均显著且有害，男性受到的影响更为明显。嵌套模型的比较显示，这些参数影响自尊的方式在男女两性中存在相当大的差异。
BMI与自尊在男女两性中均呈负相关，在男性中影响更为明显。BMI与自尊关系中的性别差异凸显了在未来分析中考虑男女不同路径的重要性。
