Body Image and Muscle Dysmorphia in Competitive Weightlifters: Relationships Across Variables

Year 2025, Volume: 10 Issue: 3, 374 - 391

Bekir Tokay

https://doi.org/10.25307/jssr.1707482

Abstract

The aim of this study was to determine the levels of Body Image (BI) and Muscle Dysmorphia (MD) among weightlifters and to examine whether these variables differ according to selected demographic and sport-related characteristics. A descriptive survey design was employed, and the sample consisted of 203 weightlifters (n = 203; females = 108, age = 16.04 ± 2.22 years; males = 95, age = 17.53 ± 3.26 years) who participated in National Team (NT) selection events across various categories. Data were collected using a Demographic Information Form, the Body Image Scale (BIS), and the Muscle Dysmorphic Disorder Inventory (MDDI). Normality of the data was assessed using skewness and kurtosis, and homogeneity of variances was tested with Levene’s test. When assumptions of normality and homogeneity were met, independent samples t-tests, one-way analysis of variance (ANOVA), and Tukey HSD tests were applied; when homogeneity was violated, Welch ANOVA and Games-Howell tests were used. Relationships between BI and MD and their subdimensions were analyzed using Pearson correlation analysis. Results indicated a significant inverse relationship between BI and MD symptoms among weightlifters. No significant differences were found for variables such as gender, naitional team status (NT), and daily training duration (TD); however, certain subdimensions varied according to BMI and age. These findings suggest that resistance exercises, such as weightlifting, may promote a healthier BI among young individuals, potentially reducing symptoms of MD.

Keywords

Body image , Muscle dysmorphia , Performance , Weightlifting

References

• Almeida, M., Campos, P. F., Gomes, V. M. G. M., Neves, C. M., Queiroz, A. C. C., Brito, C. J., Miarka, B., Ferreira M. E. C., Henrique, P., & De Carvalho, P. H. B. (2019). Muscle dysmorphia, body image disturbances and commitment to exercise: A comparison between sedentary and physical active undergraduate men. Journal of Physical Education and Sport, 19(1), 507-513. [CrossRef].
• Algars, M., Santtila, P., Varjonen, M., Witting, K., Johansson, A., Jern, P., & Sandnabba, N. K. (2009). The Adult body: How age, gender, and body mass index are related to body image. Journal of Aging and Health, 21(8), 1112-1132. [CrossRef]
• Babusa, B., Czeglédi, E., Túry, F., Mayville, S. B., & Urbán, R. (2015). Differentiating the levels of risk for muscle dysmorphia among Hungarian male weightlifters: A factor mixture modeling approach. Body image, 12, 14-21. [CrossRef]
• Bowman, Z., Drummond, M., Church, J., Kay, J., & Petersen, J. M. (2024). Dating apps and their relationship with body image, mental health and wellbeing: A systematic review. Computers in Human Behavior, 165, Article 108515. [CrossRef]
• Cerea, S., Bottesi, G., Pacelli, Q. F., Paoli, A., & Ghisi, M. (2018). Muscle dysmorphia and its associated psychological features in three groups of recreational athletes. Scientific Reports, 8(1), Article 8877. [CrossRef]
• Chatzopoulou, E., Filieri, R., & Dogruyol, S. A. (2020). Instagram and body image: Motivation to conform to the “Instabod” and consequences on young male wellbeing. Journal of Consumer Affairs, 54(4), 1270-1297. [CrossRef]
• Chen, M., & Richardson, A. (2024). Male competitive powerlifters relationship with Body Image: Utilising the Multidimensional Body Image Self Relations Questionnaire (MBSRQ). The Sports Journal, 22(3), 1-23. [CrossRef]
• Choi, P. Y. L., Pope, H. G., & Olivardia, R. (2002). Muscle dysmorphia: A new syndrome in weightlifters. British Journal of Sports Medicine, 36(5), 375-376. [CrossRef]
• Cohane, G. H., & Pope Jr, H. G. (2001). Body image in boys: A review of the literature. International Journal of Eating Disorders, 29(4), 373-379. [CrossRef]
• Dahlenburg, S. C., Gleaves, D. H., Hutchinson, A. D., & Coro, D. G. (2020). Body image disturbance and sexual orientation: An updated systematic review and meta-analysis. Body image, 35, 126-141. [CrossRef]
• Dane, A., & Bhatia, K. (2023). The social media diet: A scoping review to investigate the association between social media, body image and eating disorders amongst young people. PLOS Global Public Health, 3(3), Article e0001091. [CrossRef]
• Esco, M. R., Olson, M. S., & Williford, H. N. (2005). Muscle dysmorphia: An emerging body image concern in men. Strength & Conditioning Journal, 27(6), 76-79. [CrossRef]
• Foster, A., Shorter, G., & Griffiths, M. (2015). Muscle dysmorphia: Could it be classified as an addiction to body image?. Journal of Behavioral Addictions, 4(1), 1-5. [CrossRef]
• Frederick, C. M., Morrison, C., & Manning, T. (2007). Motivation to participate, exercise affect, and outcome behaviors toward physical activity. Perceptual and Motor Skills, 104(3), 703-711. [CrossRef]
• Ganson, K. T., Hallward, L., Cunningham, M. L., Rodgers, R. F., Murray, S. B., & Nagata, J. M. (2023). Muscle dysmorphia symptomatology among a national sample of Canadian adolescents and young adults. Body Image, 44, 178-186. [CrossRef]
• Ganson, K. T., Mitchison, D., Rodgers, R. F., Murray, S. B., Testa, A., & Nagata, J. M. (2025). Prevalence and correlates of muscle dysmorphia in a sample of boys and men in Canada and the United States. Journal of Eating Disorders, 13(1), Article 47. [CrossRef]
• George, D., & Mallery, P. (2024). IBM SPSS statistics 26 step by step: A simple guide and reference. Routledge. [CrossRef]
• Goodale, K. R., Watkins, P. L., & Cardinal, B. J. (2001). Muscle dysmorphia: A new form of eating disorder?. American Journal of Health Education, 32, 260–266. [CrossRef]
• Hale, B. D., Diehl, D., Weaver, K., & Briggs, M. (2013). Exercise dependence and muscle dysmorphia in novice and experienced female bodybuilders. Journal of Behavioral Addictions, 2(4), 244-248.[CrossRef]
• Hausenblas, H. A., & and Downs, D. S. (2001). Comparison of Body Image between Athletes and Nonathletes: A Meta-Analytic Review. Journal of Applied Sport Psychology, 13(3), 323-339.[CrossRef]
• Hildebrandt, T., Langenbucher, J., & Schlundt, D. G. (2004). Muscularity concerns among men: Development of attitudinal and perceptual measures. Body Image, 1(2), 169-181.[CrossRef]
• Hildebrandt, T., Schlundt, D., Langenbucher, J., & Chung, T. (2006). Presence of muscle dysmorphia symptomology among male weightlifters. Comprehensive Psychiatry, 47(2), 127-135. [CrossRef]
• Hovardaoğlu, S. (1993). Body perception scale. 3P Journal (Special Issue on Tests), 1(1), 26-29.
• Karasar, N. (2007). Scientific research method: Concepts, principles, techniques. Nobel Academic Publishing.
• Leone, J. E., Sedory, E. J., & Gray, K. A. (2005). Recognition and treatment of muscle dysmorphia and related body image disorders. Journal of Athletic Training, 40(4), 352–359. [CrossRef]
• Longobardi, C., Prino, L. E., Fabris, M. A., & Settanni, M. (2017). Muscle dysmorphia and psychopathology: Findings from an Italian sample of male bodybuilders. Psychiatry Research, 256, 231-236. [CrossRef]
• Lloyd, R. S., Oliver, J. L., Meyers, R. W., Moody, J. A., & Stone, M. H. (2012). Long-term athletic development and its application to youth weightlifting. Strength & Conditioning Journal, 34(4), 55-66. [CrossRef]
• Mitchell, L., Murray, S. B., Hoon, M., Hackett, D., Prvan, T., & O’Connor, H. (2017). Correlates of muscle dysmorphia symptomatology in natural bodybuilders: Distinguishing factors in the pursuit of hyper-muscularity. Body Image, 22, 1-5. [CrossRef]
• Murray, S. B., & Baghurst, T. (2013). Revisiting the diagnostic criteria for muscle dysmorphia. Strength & Conditioning Journal, 35(1), 69-74. [CrossRef]
• Munroe-Chandler, K. J., Kim, A. J., & Gammage, K. L. (2004). Using imagery to predict weightlifting dependency in men. International Journal of Men's Health, 3(2), 129-139. [CrossRef]
• Nelson, M., & Jette, S. (2023). Weighing the body: Women Olympic weightlifters negotiating weight class, body image, and the unruly body. Sociology of Sport Journal, 41(1), 99-107. [CrossRef]
• Nieuwoudt, J. E., Zhou, S., Coutts, R. A., & Booker, R. (2015). Symptoms of muscle dysmorphia, body dysmorphic disorder, and eating disorders in a nonclinical population of adult male weightlifters in Australia. The Journal of Strength & Conditioning Research, 29(5), 1406-1414. [CrossRef]
• Olivardia, R., H.G. Pope, and J.L. Hudson. (2000). Muscle dysmorphia in male weightlifters: A case-control study. Am. J. Psychiatry, 157(8),1291–1296. [CrossRef]
• Pasman, L., & Thompson, J. K. (1988). Body image and eating disturbance in obligatory runners, obligatory weightlifters, and sedentary individuals. International Journal of Eating Disorders, 7(6), 759-769. [CrossRef]
• Patton, M. Q. (2002). Qualitative research & evaluation methods. SAGE. [CrossRef]
• Peters, M. A., & Phelps, L. (2001). Body image dissatisfaction and distortion, steroid use, and sex differences in college age bodybuilders. Psychology in the Schools, 38(3), 283-289. [CrossRef]
• Pichardo, A. W., Oliver, J. L., Harrison, C. B., Maulder, P. S., Lloyd, R. S., & Kandoi, R. (2019). Effects of combined resistance training and weightlifting on motor skill performance of adolescent male athletes. Journal of Strength and Conditioning Research, 33(12), 3226–3235. [CrossRef]
• Pope Jr, H. G., Gruber, A. J., Choi, P., Olivardia, R., & Phillips, K. A. (1997). Muscle dysmorphia: An underrecognized form of body dysmorphic disorder. Psychosomatics, 38(6), 548-557. [CrossRef]
• Reel, J. J., Soohoo, S., Petrie, T. A., Greenleaf, C., & Carter, J. E. (2010). Slimming down for sport: Developing a weight pressures in sport measure for female athletes. Journal of Clinical Sport Psychology, 4, 99–111. [CrossRef]
• Robert, C. A., Munroe-Chandler, K. J., & Gammage, K. L. (2009). The Relationship between the drive for muscularity and muscle dysmorphia in male and female weight trainers. The Journal of Strength & Conditioning Research, 23(6), Article 1656. [CrossRef]
• SantaBarbara, N. J., Nosrat, S., Whitworth, J. W., & Ciccolo, J. T. (2023). Acute psychological effects of resistance exercise in men with symptoms of muscle dysmorphia: A Pilot study. The Journal of Strength & Conditioning Research, 37(2), Article 277. [CrossRef]
• SantaBarbara, N. J., Whitworth, J. W., & Ciccolo, J. T. (2017). A systematic review of the effects of resistance training on body image. The Journal of Strength & Conditioning Research, 31(10), 2880-2888. [CrossRef]
• Secord, P. F., & Jourard, S. M. (1953). The appraisal of body-cathexis: body-cathexis and the self. Journal of Consulting Psychology, 17(5), Article 343. [CrossRef]
• Skemp, K. M., Mikat, R. P., Schenck, K. P., & Kramer, N. A. (2013). Muscle dysmorphia: Risk may be influenced by goals of the weightlifter. The Journal of Strength & Conditioning Research, 27(9), 2427-2432. [CrossRef]
• Subaşi, B., Okray, Z., & Çakici, M. (2018). Kas Algısı Bozukluğu Envanteri Türkçe formunun profesyonel erkek sporcularda geçerliliği ve güvenilirliği. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi, 19. [CrossRef]
• Üstekidağ Ayna, H. (2019). Investigation of self-esteem levels of orthopedic and visually impaired individuals in terms of body image. Master’s thesis, Çukurova University, Institute of Social Sciences, Department of Educational Sciences. Çukurova University, Adana, Türkiye. [CrossRef]
• Varnes, J. R., Stellefson, M. L., Janelle, C. M., Dorman, S. M., Dodd, V., & Miller, M. D. (2013). A systematic review of studies comparing body image concerns among female college athletes and non-athletes, 1997–2012. Body Image, 10(4), 421-432. [CrossRef]
• Voelker, D. K., Reel, J. J., & Greenleaf, C. (2015). Weight status and body image perceptions in adolescents: current perspectives. Adolescent Health, Medicine and Therapeutics, 6, 149–158. [CrossRef]
• Yager, Z., & McLean, S. (2020). Muscle building supplement use in Australian adolescent boys: relationships with body image, weight lifting, and sports engagement. BMC Pediatrics, 20, 1-9. [CrossRef]
• Zaccagni, L., & Gualdi-Russo, E. (2023). The Impact of sports involvement on body image perception and ideals: A Systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 20(6), Article 5228. [CrossRef]
• Waldorf, M., Erkens, N., Vocks, S., McCreary, D. R., & Cordes, M. (2017). A single bout of resistance training improves state body image in male weight-trainers. Sport, Exercise, and Performance Psychology, 6(1), Article 53. [CrossRef]
• Walters, R., & Hefferon, K. (2020). ‘Strength becomes her’–resistance training as a route to positive body image in women. Qualitative Research in Sport, Exercise and Health, 12(3), 446-464. [CrossRef]
• Williams, P. A., & Cash, T. F. (2001). Effects of a circuit weight training program on the body images of college students. International Journal of Eating Disorders, 30(1), 75-82. [CrossRef]