{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T18:14:08Z","timestamp":1788286448746,"version":"build-2803163510"},"reference-count":12,"publisher":"Ordem dos Medicos","issue":"9","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Body image is a multidimensional construct about one\u2019s appearance. Social and media factors contribute to dissatisfaction and are associated with mental health disorders. In adolescence, obesity emerges as a significant factor, with a four-fold increased risk of body dissatisfaction. Muscle dysmorphia is characterized by an obsessive pursuit of muscularity and distorted body image. A 16-year-old male with a history of obesity and depression, medically accompanied since age 10, developed obsessive behaviors around diet and exercise after weight loss and remission of depression. He adopted a \u201cbulking and cutting\u201d regimen and used creatine, protein, and caffeine supplements. He displayed rigid behavior, with poor insight. Given the pervasive functional impairment, he was referred to child and adolescent psychiatry. Muscle dysmorphia, classified as a body dysmorphic disorder, is underdiagnosed. Adolescent obesity may be a predisposing factor. Early recognition, particularly in adolescents with obesity and body image concerns is crucial for healthy development.<\/jats:p>","DOI":"10.20344\/amp.24473","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T15:24:34Z","timestamp":1784906674000},"page":"559-562","source":"Crossref","is-referenced-by-count":0,"title":["From Obesity to Bigorexia: A Clinical Case Report"],"prefix":"10.20344","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0881-7816","authenticated-orcid":false,"given":"In\u00eas","family":"Eiras","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8560-8792","authenticated-orcid":false,"given":"Maria In\u00eas","family":"Sousa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1457-6659","authenticated-orcid":false,"given":"Ana","family":"Bandeira Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1805-508X","authenticated-orcid":false,"given":"Filipe","family":"Oliveira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7792-6870","authenticated-orcid":false,"given":"Paula","family":"Fonseca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8464","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"13210","unstructured":"Latorre-Rom\u00e1n P\u00c1, Garrido-Ruiz A, Garc\u00eda-Pinillos F. Versi\u00f3n espa\u00f1ola del cuestionario del complejo de Adonis; un cuestionario para el an\u00e1lisis del dimorfismo muscular o vigorexia. Nutr Hosp. 2015;31:1326-32."},{"key":"13211","doi-asserted-by":"publisher","DOI":"10.1556\/2006.8.2019.44"},{"key":"13212","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2025.101948"},{"key":"13213","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(25)00283-4"},{"key":"13214","doi-asserted-by":"publisher","DOI":"10.6018\/cpd.347981"},{"key":"13215","unstructured":"Alencar AS, Nascimento LB, Soares CF, Bressera MG, Brito NL. Vigorexy: a danger in the search of the ideal body. Int J Soc Psychiatry. 2020;66:726-27."},{"key":"13216","unstructured":"Mitchison D, Mond J, Griffiths S, Hay P, Nagata JM, Bussey K, et al. Prevalence of muscle dysmorphia in adolescents: findings from the EveryBODY study. Psychol Med. 2021;51:2199-206."},{"key":"13217","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"13218","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-022-01470-y"},{"key":"13219","doi-asserted-by":"publisher","DOI":"10.1177\/1359104514521639"},{"key":"13220","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-5480-z"},{"key":"13221","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12251"}],"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/24473\/15997","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/24473\/15997","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T17:29:09Z","timestamp":1788283749000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/24473"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,24]]},"references-count":12,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9,1]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.24473","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7,24]]}}}