{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T21:04:28Z","timestamp":1791407068932,"version":"4.3.3"},"reference-count":47,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2004,5,1]]},"abstract":"<jats:p>Objective. The prevalence of overweight and obesity in children is rising. Childhood obesity is associated with many negative social and psychological ramifications such as peer aggression. However, the relationship between overweight and obesity status with different forms of bullying behaviors remains unclear. The purpose of this article is to examine these relationships.<\/jats:p>\n                  <jats:p>Methods. We examined associations between bullying behaviors (physical, verbal, relational, and sexual harassment) with overweight and obesity status in a representative sample of 5749 boys and girls (11\u201316 years old). The results were based on the Canadian records from the 2001\/2002 World Health Organization Health Behaviour in School-Aged Children Survey. Body mass index (BMI) and bullying behaviors were determined from self-reports.<\/jats:p>\n                  <jats:p>Results. With the exception of 15- to 16-year-old boys, relationships were observed between BMI category and peer victimization, such that overweight and obese youth were at greater relative odds of being victims of aggression than normal-weight youth. Strong and significant associations were seen for relational (eg, withdrawing friendship or spreading rumors or lies) and overt (eg, name-calling or teasing or hitting, kicking, or pushing) victimization but not for sexual harassment. Independent of gender, there were no associations between BMI category and bully-perpetrating in 11- to 14-year-olds. However, there were relationships between BMI category and bully-perpetrating in 15- to 16-year-old boys and girls such that the overweight and obese 15- to 16-year-olds were more likely to perpetrate bullying than their normal-weight classmates. Associations were seen for relational (boys only) and overt (both genders) forms of bully-perpetrating but not for sexual harassment.<\/jats:p>\n                  <jats:p>Conclusions. Overweight and obese school-aged children are more likely to be the victims and perpetrators of bullying behaviors than their normal-weight peers. These tendencies may hinder the short- and long-term social and psychological development of overweight and obese youth.<\/jats:p>","DOI":"10.1542\/peds.113.5.1187","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T20:53:04Z","timestamp":1092430384000},"page":"1187-1194","source":"Crossref","is-referenced-by-count":643,"title":["Associations Between Overweight and Obesity With Bullying Behaviors in School-Aged Children"],"prefix":"10.1542","volume":"113","author":[{"given":"Ian","family":"Janssen","sequence":"first","affiliation":[{"name":"Department of Community Health and Epidemiology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy M.","family":"Craig","sequence":"additional","affiliation":[{"name":"Psychology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William F.","family":"Boyce","sequence":"additional","affiliation":[{"name":"Department of Community Health and Epidemiology"},{"name":"Social Program Evaluation Group, Faculty of Education"},{"name":"Centre for Health Services Policy and Research, Queen's University, Kingston, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Pickett","sequence":"additional","affiliation":[{"name":"Department of Community Health and Epidemiology"},{"name":"Emergency Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2004,5,1]]},"reference":[{"key":"2021121010064976300_R1","unstructured":"World Health Organization. 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Int J Obes Relat Metab Disord.\u20082002;26:538\u2013543","DOI":"10.1038\/sj.ijo.0801923"},{"key":"2021121010064976300_R5","doi-asserted-by":"crossref","unstructured":"Flegal KM, Troiano RP. Changes in the distribution of body mass index of adults and children in the US population. Int J Obes Relat Metab Disord.\u20082000;24:807\u2013818","DOI":"10.1038\/sj.ijo.0801232"},{"key":"2021121010064976300_R6","doi-asserted-by":"crossref","unstructured":"Fagot-Campagna A, Saaddine JB, Flegal KM, Beckles GL. Diabetes, impaired fasting glucose, and elevated HbA1c in U.S. adolescents: the Third National Health and Nutrition Examination Survey. Diabetes Care.\u20082001;24:834\u2013837","DOI":"10.2337\/diacare.24.5.834"},{"key":"2021121010064976300_R7","doi-asserted-by":"crossref","unstructured":"Sinha R, Fisch G, Teague B, et al. Prevalence of impaired glucose tolerance among children and adolescents with marked obesity. N Engl J Med.\u20082002;346:802\u2013810","DOI":"10.1056\/NEJMoa012578"},{"key":"2021121010064976300_R8","doi-asserted-by":"crossref","unstructured":"Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med.\u20081997;337:869\u2013873","DOI":"10.1056\/NEJM199709253371301"},{"key":"2021121010064976300_R9","doi-asserted-by":"crossref","unstructured":"Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH. Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935. N Engl J Med.\u20081992;327:1350\u20131355","DOI":"10.1056\/NEJM199211053271904"},{"key":"2021121010064976300_R10","doi-asserted-by":"crossref","unstructured":"Freedman DS, Khan LK, Dietz WH, Srinivasan SR, Berenson GS. Relationship of childhood obesity to coronary heart disease risk factors in adulthood: the Bogalusa Heart Study. Pediatrics.\u20082001;108:712\u2013718","DOI":"10.1542\/peds.108.3.712"},{"key":"2021121010064976300_R11","doi-asserted-by":"crossref","unstructured":"Strauss CC, Smith K, Frame C, Forehand R. Personal and interpersonal characteristics associated with childhood obesity. J Pediatr Psychol.\u20081984;10:337\u2013343","DOI":"10.1093\/jpepsy\/10.3.337"},{"key":"2021121010064976300_R12","doi-asserted-by":"crossref","unstructured":"Maddox GL, Back KW, Liederman V. Overweight as social deviance and disability. J Health Soc Behav.\u20081969;9:287\u2013298","DOI":"10.2307\/2948537"},{"key":"2021121010064976300_R13","doi-asserted-by":"crossref","unstructured":"Goldfield A, Chrisler JC. Body stereotyping and stigmatization of obese persons by first graders. Percept Mot Skills.\u20081995;81:909\u2013910","DOI":"10.2466\/pms.1995.81.3.909"},{"key":"2021121010064976300_R14","doi-asserted-by":"crossref","unstructured":"Harper DC, Wacker DP, Seaborg-Cobb LS. Children's social preferences toward peers with visible physical differences. J Pediatr Psychol.\u20081986;11:323\u2013342","DOI":"10.1093\/jpepsy\/11.3.323"},{"key":"2021121010064976300_R15","doi-asserted-by":"crossref","unstructured":"Baum CG, Forehand R. Social factors associated with adolescent obesity. J Pediatr Psychol.\u20081984;9:293\u2013302","DOI":"10.1093\/jpepsy\/9.3.293"},{"key":"2021121010064976300_R16","doi-asserted-by":"crossref","unstructured":"Pearce MJ, Boergers J, Prinstein MJ. Adolescent obesity, overt and relational peer victimization, and romantic relationships. Obes Res.\u20082002;10:386\u2013393","DOI":"10.1038\/oby.2002.53"},{"key":"2021121010064976300_R17","doi-asserted-by":"crossref","unstructured":"Smith PK. Bullying in schools: the UK experience and the Sheffield Anti-Bullying Project. Ir J Psychol.\u20081997;18:191\u2013201","DOI":"10.1080\/03033910.1997.10558139"},{"key":"2021121010064976300_R18","doi-asserted-by":"crossref","unstructured":"Nansel TR, Overpeck M, Pilla RS, Ruan WJ, Simons-Morton B, Scheidt P. Bullying behaviors among US youth: prevalence and association with psychosocial adjustment. JAMA.\u20082001;285:2094\u20132100","DOI":"10.1001\/jama.285.16.2094"},{"key":"2021121010064976300_R19","doi-asserted-by":"crossref","unstructured":"Craig WM. The relationship among bullying, victimization, depression, anxiety, and aggression in elementary school children. Pers Individ Dif.\u20081998;24:123\u2013130","DOI":"10.1016\/S0191-8869(97)00145-1"},{"key":"2021121010064976300_R20","unstructured":"Geckova A, Pudelsky M, Tuinstra J. Peer contacts, social network, and social support from adolescents' point of view. Psycholo\u0301gia a Patopsycholo\u0301gia Dietata.\u20082000;35:121\u2013136"},{"key":"2021121010064976300_R21","doi-asserted-by":"crossref","unstructured":"Epstein LH, Myers MD, Anderson K. The association of maternal psychopathology and family socioeconomic status with psychological problems in obese children. Obes Res.\u20081996;4:65\u201374","DOI":"10.1002\/j.1550-8528.1996.tb00513.x"},{"key":"2021121010064976300_R22","doi-asserted-by":"crossref","unstructured":"Gortmaker SL, Must A, Perrin JM, Sobol AM, Dietz WH. Social and economic consequences of overweight in adolescence and young adulthood. N Engl J Med.\u20081993;329:1008\u20131012","DOI":"10.1056\/NEJM199309303291406"},{"key":"2021121010064976300_R23","doi-asserted-by":"crossref","unstructured":"Parker JG, Asher SR. Peer relations and later personal adjustment: are low-accepted children at risk?Psychol Bull.\u20081987;102:357\u2013389","DOI":"10.1037\/0033-2909.102.3.357"},{"key":"2021121010064976300_R24","doi-asserted-by":"crossref","unstructured":"Roff M. Childhood social interaction and young adult psychosis. J Clin Pyschol.\u20081963;19:152\u2013157","DOI":"10.1002\/1097-4679(196304)19:2<152::AID-JCLP2270190203>3.0.CO;2-8"},{"key":"2021121010064976300_R25","unstructured":"McGuire WJ, McGuire CV. The spontaneous self-concept as affected by personal distinctiveness. In: Lynch MD, Normen-Hebeinsen AA, Gergen KJ, eds. Self-Concept: Advances in Theory and Research Cambridge, MA: Ballinger; 1981"},{"key":"2021121010064976300_R26","unstructured":"Currie C, Samdal O, Boyce W, Smith B. Health Behaviour in School-Aged Children: A World Health Organization Cross-National Study. Research Protocol for the 2001\/02 Survey. 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J Pers Soc Psychol.\u20081967;7:101\u2013104","DOI":"10.1037\/h0021227"},{"key":"2021121010064976300_R31","doi-asserted-by":"crossref","unstructured":"Langlois JH, Gottfried NW, Barnes BM, Hendricks D. The effect of peer age on the social behavior of preschool children. J Genet Psychol.\u20081978;132:11\u201319","DOI":"10.1080\/00221325.1978.10533311"},{"key":"2021121010064976300_R32","unstructured":"Hartup WW. Children and their friends. In: McGurk H, ed. Child Social Development London, United Kingdom: Methuen; 1978"},{"key":"2021121010064976300_R33","doi-asserted-by":"crossref","unstructured":"Strauss RS. Childhood obesity and self-esteem. Pediatrics. 2000;105(1). Available at: www.pediatrics.org\/cgi\/content\/full\/105\/1\/e15","DOI":"10.1542\/peds.105.1.e15"},{"key":"2021121010064976300_R34","doi-asserted-by":"crossref","unstructured":"Erickson SJ, Robinson TN, Haydel KF, Killen JD. Are overweight children unhappy? Body mass index, depressive symptoms, and overweight concerns in elementary school children. Arch Pediatr Adolesc Med.\u20082000;154:931\u2013935","DOI":"10.1001\/archpedi.154.9.931"},{"key":"2021121010064976300_R35","doi-asserted-by":"crossref","unstructured":"Wadden TA, Stunkard AJ. Psychopathology and obesity. Ann N Y Acad Sci.\u20081987;499:55\u201365","DOI":"10.1111\/j.1749-6632.1987.tb36197.x"},{"key":"2021121010064976300_R36","doi-asserted-by":"crossref","unstructured":"Canning H, Mayer J. Obesity: an influence on high school performance?Am J Clin Nutr.\u20081967;20:352\u2013354","DOI":"10.1093\/ajcn\/20.4.352"},{"key":"2021121010064976300_R37","doi-asserted-by":"crossref","unstructured":"Canning H, Mayer J. Obesity\u2014its possible effect on college acceptance. N Engl J Med.\u20081967;20:352\u2013354","DOI":"10.1093\/ajcn\/20.4.352"},{"key":"2021121010064976300_R38","doi-asserted-by":"crossref","unstructured":"Loeber R. Development and risk factors of juvenile antisocial behavior and delinquency. Clin Psychol Rev.\u20081990;10:1\u201341","DOI":"10.1016\/0272-7358(90)90105-J"},{"key":"2021121010064976300_R39","doi-asserted-by":"crossref","unstructured":"Crick NR. Engagement in gender normative versus nonnormative forms of aggression: links to social-psychological adjustment. Dev Psychol.\u20081997;33:610\u2013617","DOI":"10.1037\/0012-1649.33.4.610"},{"key":"2021121010064976300_R40","doi-asserted-by":"crossref","unstructured":"Crick NR, Grotpeter JK. Relational aggression, gender, and social-psychological adjustment. Child Dev.\u20081995;66:710\u2013722","DOI":"10.1111\/j.1467-8624.1995.tb00900.x"},{"key":"2021121010064976300_R41","unstructured":"Harter S, Stocker C, Robinson N. The perceived directionality of the link between approval and self-worth: the liabilities of a looking glass self orientation among adolescents. J Adolesc.\u20081996;6:285\u2013308"},{"key":"2021121010064976300_R42","doi-asserted-by":"crossref","unstructured":"Smith PK, Cowie H, Olafsson RF, et al. Definitions of bullying: a comparison of terms used, and age and gender differences, in a fourteen-country international comparison. Child Dev.\u20082002;73:1119\u20131133","DOI":"10.1111\/1467-8624.00461"},{"key":"2021121010064976300_R43","doi-asserted-by":"crossref","unstructured":"Wolke D, Woods S, Stanford K, Schulz H. Bullying and victimization of primary school children in England and Germany: prevalence and school factors. Br J Psychol.\u20082001;92:673\u2013696","DOI":"10.1348\/000712601162419"},{"key":"2021121010064976300_R44","doi-asserted-by":"crossref","unstructured":"Strauss RS. Comparison of measured and self-reported weight and height in a cross-sectional sample of young adolescents. Int J Obes Relat Metab Disord.\u20081999;23:904\u2013908","DOI":"10.1038\/sj.ijo.0800971"},{"key":"2021121010064976300_R45","doi-asserted-by":"crossref","unstructured":"Olweus D. Bullying at school: long-term outcomes for the victims and an effective school-based intervention program. In: Huesmann LR, ed. Aggressive Behavior: Current Perspectives New York, NY: Plenum Press; 1997: 97\u2013130","DOI":"10.1007\/978-1-4757-9116-7_5"},{"key":"2021121010064976300_R46","unstructured":"Office of Juvenile Justice and Delinquency Program. Bullying. Available at: www.ojjdp.ncjrs.org\/jjbulletin\/9804\/bullying.html. Accessed September 1, 2003"},{"key":"2021121010064976300_R47","unstructured":"Visionary Project. Violence prevention in schools. Available at: www.vordingbsem.dk\/vision\/visionUK.nsf. 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