The Impact of BMI on Self-Concept in Adolescents with Pubertal Gynecomastia

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dc.authorid0000-0002-3962-4799
dc.authorid0000-0003-0915-5546
dc.contributor.authorKaymaz, Nazan
dc.contributor.authorKara, Ozlem
dc.contributor.authorKasap, Tolga
dc.contributor.authorUzun, Mehmet Erdem
dc.contributor.authorSirin, Hande
dc.date.accessioned2026-02-03T11:59:44Z
dc.date.available2026-02-03T11:59:44Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIntroduction: Physiological changes in the body may result in anxiety and impaired self-concept during adolescence. Although temporary, pubertal gynecomastia (PG) may cause negative emotions that interrupt the development of self-concept by causing a physical appearance that does not fit the male gender. This paper aimed to identify whether the self-concept level of adolescents with PG is moderated by their anthropometrics. Materials and Methods: This case-control study included adolescent males, with pubertal stage assessed using the Marshall and Tanner criteria. PG was diagnosed by palpation of a subareolar glandular disc. Anthropometric measurements were obtained by trained pediatric endocrinology clinic staff, and self-concept was evaluated using the Piers-Harris Children's Self-Concept Scale (PHCSCS). To specify relationships correlation and regression analysis were examined. Results: The study included 38 adolescents with PG and 61 age-and pubertal stage-matched controls. BMI was significantly higher in the PG group, and self-concept scores declined with increasing BMI (p=0.044; r=-0.437, p=0.006). PG subjects at Tanner Stage 3 were shorter than controls (p=0.03) and had lower happiness and behavior subscale scores (p=0.01; p=0.04). PG duration was negatively correlated with total self-concept (r=-0.400, p=0.013) and the subscales of happiness (r=- 0.456), behavior (r=-0.334), and physical appearance (r=-0.354). Conclusion: Adolescents with PG demonstrated lower self-concept, particularly in relation to higher BMI, shorter stature at mid-puberty, and prolonged symptom duration. These findings highlight the need for early psychosocial support in affected individuals.
dc.identifier.doi10.4274/jcp.2025.67790
dc.identifier.endpage91
dc.identifier.issn1304-9054
dc.identifier.issn1308-6308
dc.identifier.issue2
dc.identifier.scopus2-s2.0-105014643897
dc.identifier.scopusqualityQ4
dc.identifier.startpage86
dc.identifier.trdizinid1334408
dc.identifier.urihttps://doi.org/10.4274/jcp.2025.67790
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1334408
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34401
dc.identifier.volume23
dc.identifier.wosWOS:001558409400001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherGalenos Publ House
dc.relation.ispartofGuncel Pediatri-Journal of Current Pediatrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260130
dc.subjectAdolescent
dc.subjectpubertal gynecomastia
dc.subjectbody
dc.subjectmass index
dc.subjectbody height
dc.subjectself-concept
dc.titleThe Impact of BMI on Self-Concept in Adolescents with Pubertal Gynecomastia
dc.typeArticle

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