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How to Support Boys Who Are Struggling with Body Image

Published July 19, 2021 | Last Updated August 11, 2026

Coach talking with a young athlete, symbolizing the What to Say Coaches Program, which equips coaches with positive, supportive language to promote kids’ confidence, health, and well-being.

Boys can struggle with body image even when they do not talk about it openly. As a parent, you can help by watching for changes in eating or exercise, listening without judgment, and avoiding comments that place value on body size or muscularity. If these concerns cause distress or begin interfering with daily life, reach out to your child’s healthcare provider.

Body image struggles in boys are often overlooked because they may look different than expected. Instead of wanting to lose weight, some boys become focused on getting bigger, leaner, or more muscular.

In the video below, Dr. Jason Nagata explains what these concerns can look like and how you can support your child.

Signs of Body Image Struggles in Boys

Your child may not tell you that he feels uncomfortable with his body. Instead, you might notice:

  • Exercising excessively or becoming upset when he misses a workout
  • Following rigid food rules or closely tracking what he eats
  • Frequently checking or comparing his body
  • Worrying that he is too small or not muscular enough
  • Using muscle-building supplements or other substances
  • Withdrawing from meals, friends, sports, or activities he once enjoyed

Exercise, sports, and an interest in nutrition are not automatically concerning. Look for patterns that create anxiety, cause injury, or interfere with school, relationships, rest, and everyday life.

Understand the Pressure Boys May Feel

Boys receive messages about how their bodies should look from peers, sports, advertising, entertainment, and social media. The lean, highly muscular bodies they see may be edited, carefully posed, or unrealistic for their age and stage of development.

Some boys develop muscle dysmorphia, an intense preoccupation with feeling too small or not muscular enough. An NIH research review about muscle dysmorphia in young adults found that this can involve rigid eating, compulsive exercise, body checking, and the use of muscle-building substances.

How to Check In With Your Child

Choose a calm, private moment and begin with something specific you have noticed. You might say:

  • “I’ve noticed that you seem really worried about missing workouts lately. How have you been feeling about your body?”

Listen before offering advice. Try not to dismiss his feelings by saying, “But you look fine.” Instead, acknowledge what you hear and ask what may be contributing to the concern.

If social media is part of the pressure, our Parent’s Guide to Social Media can help you discuss what he sees online.

Help Your Child Build a Healthier Body Image

Avoid commenting on your child’s weight, height, muscles, or physique, even when you mean it as praise. Be mindful of how you discuss your own body and the bodies of athletes, actors, or other people.

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 your encouragement on his effort, skills, character, and relationships. Instead of saying, “You’re so strong,” you might say:

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

If your child is an athlete, learn more about supporting young athletes’ body image and relationship with food. If he feels smaller than his peers, these body-supportive conversation tips may also help.

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.”

For more tips, check out our free 3 Simple Shifts mini-course.

When to Seek Professional Help

Contact a pediatrician or another qualified healthcare provider if your child’s worries about food, exercise, body size, or muscularity are causing distress or disrupting daily life. You do not need to wait until you are certain there is a serious problem.

Your child may not begin the conversation himself. By checking in calmly and continuing to listen, you show him that body image struggles are real, support is available, and he does not have to manage these feelings alone.

Why Boys’ Body Image Support 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.

Dr. Jason Nagata
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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