How to Support Boys Who Are Struggling with Body Image

Published July 19, 2021 | Last Updated April 9, 2026

When we talk about body image, we often think of girls first. But boys struggle too—and often, they’re left out of the conversation.

In this video, Dr. Jason Nagata shares what body image issues can look like in boys, why they’re often missed, and what adults can do to help.

Signs of Body Image Struggles in Boys

Boys who are struggling with body image may not always talk about it, but you might notice signs like:

Obsessively working out or tracking food
Worrying about being “too small” or not muscular enough
Comparing their bodies to athletes, actors, or influencers

Body image issues in boys can show up differently than in girls, but they’re just as real, and just as serious.

How Adults Can Support Boys’ Body Confidence

Here are a few practical ways to support the boys in your life:

1. Avoid comments about body size or muscles

Try not to comment on a boy’s weight, height, or physique, even if it seems positive. This includes comments about the bodies of other boys, men on TV, or athletes.

2. Compliment what their body can do

Focus on skills, effort, and character—things that build true confidence.
Instead of: “You’re so strong,” try:

“You were so quick on your feet out there.”
“That pass showed awesome awareness.”
“I saw how you supported your teammates today.”

3. Watch your own words

Kids pick up on how we talk about bodies, including our own. Try shifting the focus from looks to health and strength.
Instead of: “I need to work off this meal,” try:

“I feel better when I move my body.”
“Let’s go outside and get some fresh air.”

Why Body Image Support for Boys Matters

Boys may not always say they’re struggling with body image, but that doesn’t mean they’re not. Your words, encouragement, and presence make a lasting impact.

Even small shifts in the way you talk about bodies can help boys feel seen, respected, and confident in who they are.

Encourage your son’s coach to partner with you in this effort by taking the What to Say Coaches Challenge – our email series with helpful tips and phrases for strengthening the body image of young athletes.

By Dr. Jason Nagata MD

Jason Nagata, M.D., M.Sc. is an Associate Professor of Pediatrics in the Division of Adolescent and Young Adult Medicine at the University of California San Francisco and affiliated faculty with the Institute for Global Health Sciences and the Center for Sexual and Gender Minority Health. He is Co-Founder of the International Association for Adolescent Health Young Professionals Network. He is an expert in eating disorders, particularly in boys and men. His other research interests include adolescent and young adult screen time, digital technology use, eating behaviors, food security, nutrition, alcohol use, cardiovascular disease, HIV, and LGBTQ+ health.

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