Many women can recall a time in their lives when they began scrutinizing their physical appearance—worrying about weight, body shape, and overall look. While some girls manage to cultivate a positive body image, others may succumb to severe eating disorders and body dysmorphia that can have lasting effects. Consequently, parents often monitor their daughters closely, promoting healthy eating habits and ensuring access to positive female role models.
But what about boys?
Recent studies indicate a troubling rise in eating disorders among males. The American Academy of Pediatrics highlights that boys are actually more prone to binge-eating disorders compared to girls. According to the National Eating Disorders Association (NEDA), one in three individuals with eating disorders is male. Unfortunately, societal expectations discourage boys from seeking help, labeling such issues as “female problems.” In reality, body image obsessions—whether striving for a lean physique or building muscle—affect boys just as significantly as girls. Alarmingly, NEDA reports that boys struggling with these issues have a higher mortality rate than girls, underscoring the importance of early intervention.
If you have a teenage son or even a pre-teen, you may notice he’s already aware of the societal ideal that values a muscular, lean physique. This can lead to insecurities, especially if he is naturally thin or genetically predisposed to being overweight. Many boys, even in middle school, are becoming preoccupied with their bodies, often resorting to extreme measures to achieve these unrealistic ideals. A recent article noted that around two-thirds of middle school boys reported taking steps to increase their muscle mass, with some resorting to protein shakes or, in alarming cases, steroids.
Yes, you read that right—steroids in middle school.
This phenomenon is often attributed to what researchers describe as “the Beauty Myth in reverse.” With heavily muscled male figures in advertisements and action figures, young boys are facing a wave of body dissatisfaction and muscle dysmorphia. The pursuit of this desired physique can lead boys to spend excessive time at the gym, sometimes even before school begins. While exercise is beneficial, it can become detrimental when taken to extremes. Witnessing boys who are fatigued from early morning workouts in class is a concerning trend.
Additionally, boys are increasingly visiting nutrition stores, searching for products to enhance muscle growth and reduce fat. Many of these supplements lack FDA oversight, meaning their long-term effects are largely unknown. Dr. Samuel Parker, a leading endocrinologist, has warned that some of these products may contain anabolic steroids and that even high-quality protein supplements can be harmful if consumed in excess.
It’s crucial to recognize that boys can also suffer from eating disorders like bulimia and anorexia, just as girls do. Parents should remain vigilant for signs of these conditions, as boys may be less inclined to seek help due to societal stigma.
What should parents look for?
Rapid and significant weight loss, vomiting, and an obsession with dieting and exercise are warning signs. Other red flags may include binge-eating, purging, and excessive use of laxatives.
Promoting healthy eating and exercise is vital. Our goal is for all children—boys and girls—to feel confident in their bodies. For instance, my 10-year-old son, who is naturally slim, has recently expressed a desire to build muscle. We’ve encouraged him to pursue a balanced diet and safe workout practices, while also ensuring he enjoys treats like pizza and ice cream with family.
Most importantly, we strive to nurture his self-esteem. We discuss the importance of diversity in body types and highlight his personal strengths—whether in academics, humor, or public speaking.
While I understand the challenges of body image issues can intensify during the tween and teen years, acknowledging that boys are equally affected is a priority. It’s essential to stay attentive and guide our children toward healthy behaviors. While athletes may adopt stricter diets and workout routines, these should always be monitored by parents and coaches to avoid dangerous practices.
We need to engage in open conversations about body image with our sons, just as we do with our daughters. It’s important to convey that even the most muscular celebrities don’t represent the norm and that it’s always okay to reach out for support.
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In summary, boys are not exempt from the pressures of body image, and parents must engage actively in discussions and monitoring their well-being. By fostering self-worth and healthy habits, we can help them navigate these challenges.

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