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Abstract

Background: Social media plays a crucial role in shaping body image perceptions and health behaviors, particularly during emerging adulthood—a critical period when individuals establish lifelong health habits. Unhealthy weight management behaviors (UWMB) are gaining attention as they stem from a complex interplay of structural (e.g., social norms) and personal (e.g., body image) factors. Emerging adults are particularly vulnerable to social pressures and media influences, leading to a high prevalence of UWMB in this population. Given social media’s role in shaping body image norms and health behaviors, understanding its influence on UWMB is crucial. As a preliminary step toward investigating this influence, this study aimed to explore the conceptual and operational definitions of UWMB and analyze the types of social media that emerging adults are exposed to in relation to UWMB.

Methods: A systematic review was conducted following PRISMA guidelines. The PICO-SD framework guided the search strategy across five databases (PubMed, CINAHL, EMBASE, Web of Science, Cochrane Library) for studies published between 2014 and 2023. Study quality was assessed using the JBI checklist. The study protocol was registered with PROSPERO (CRD42024542028).

Results: Nine studies were included. Definitions of UWMB varied encompassing behaviors such as excessive exercise, substance use, surgical interventions, calorie-counting obsession, and binge eating, revealing inconsistencies in conceptualization and measurement. Social media types were classified using Kaplan and Haenlein’s (2010) framework, identifying three main types: SNS platforms, content communities, and blogs/microblogs. SNS platforms (e.g., Facebook, Instagram) were most common (n=6, 66.7%), followed by content communities (e.g., diet/fitness apps, YouTube, TikTok) (n=4, 44.4%), and blogs/microblogs (e.g., X, formerly Twitter) (n=1, 11.1%).

Conclusions: A consensus on the theoretical definition of UWMB, a critical issue among emerging adults, is proposed, along with a call for comprehensive research on measurement tools. As diverse types of social media can influence UWMB, further research should adopt a multi-platform approach rather than focusing on a single medium.

Notes

References:

Arnett, J. J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55(5), 469–480. https://doi.org/10.1037/0003-066X.55.5.469

Holland, G., & Tiggemann, M. (2016). A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body Image, 17, 100–110. https://doi.org/10.1016/j.bodyim.2016.02.008.

Neumark-Sztainer, D., Wall, M., Larson, N. I., Eisenberg, M. E., & Loth, K. (2011). Dieting and disordered eating behaviors from adolescence to young adulthood: Findings from a 10-year longitudinal study. Journal of the American Dietetic Association, 111(7), 1004–1011. https://doi.org/10.1016/j.jada.2011.04.012.

Rounsefell, K., Gibson, S., McLean, S., Blair, M., Molenaar, A., Brennan, L., Truby, H., & McCaffrey, T. A. (2020). Social media, body image and food choices in healthy young adults: A mixed methods systematic review. Nutrition and Dietetics, 77(1), 19–40. https://doi.org/10.1111/1747-0080.12581.

Kaplan, A. M., & Haenlein, M. (2010). Users of the world, unite! The challenges and opportunities of Social Media. Business horizons, 53(1), 59-68. https://doi.org/10.1016/j.bushor.2009.09.003

Description

This systematic review examines the conceptual and operational definitions of UWMB and the types of social media exposed to emerging adults in relation to UWMB. Findings highlight the need for a standardized theoretical definition of UWMB. As diverse types of social media can influence UWMB, future studies should adopt a multi-platform approach rather than focusing on a single medium.

Author Details

Chaehyeon Kang, MSN; Hyeonkyeong Lee, PhD, FAAN; Hyeyeon Lee, PhD; Gahui Hwang; MSN; Jisu Lee, PhD; Hyemi Sun, M.ed.; Zainab Auwalu Ibrahim, MSN

Sigma Membership

Non-member

Type

Poster

Format Type

Text-based Document

Study Design/Type

Systematic Review

Research Approach

Quantitative Research

Keywords:

Social Media Use, Health Risk Behaviors, Body Weight, Body Dissatisfaction, Young Adults

Conference Name

36th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Seattle, Washington, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

Invited Presentation

Acquisition

Proxy-submission

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Unhealthy Weight Management Behavior and Social Media in Emerging Adults: A Systematic Review

Seattle, Washington, USA

Background: Social media plays a crucial role in shaping body image perceptions and health behaviors, particularly during emerging adulthood—a critical period when individuals establish lifelong health habits. Unhealthy weight management behaviors (UWMB) are gaining attention as they stem from a complex interplay of structural (e.g., social norms) and personal (e.g., body image) factors. Emerging adults are particularly vulnerable to social pressures and media influences, leading to a high prevalence of UWMB in this population. Given social media’s role in shaping body image norms and health behaviors, understanding its influence on UWMB is crucial. As a preliminary step toward investigating this influence, this study aimed to explore the conceptual and operational definitions of UWMB and analyze the types of social media that emerging adults are exposed to in relation to UWMB.

Methods: A systematic review was conducted following PRISMA guidelines. The PICO-SD framework guided the search strategy across five databases (PubMed, CINAHL, EMBASE, Web of Science, Cochrane Library) for studies published between 2014 and 2023. Study quality was assessed using the JBI checklist. The study protocol was registered with PROSPERO (CRD42024542028).

Results: Nine studies were included. Definitions of UWMB varied encompassing behaviors such as excessive exercise, substance use, surgical interventions, calorie-counting obsession, and binge eating, revealing inconsistencies in conceptualization and measurement. Social media types were classified using Kaplan and Haenlein’s (2010) framework, identifying three main types: SNS platforms, content communities, and blogs/microblogs. SNS platforms (e.g., Facebook, Instagram) were most common (n=6, 66.7%), followed by content communities (e.g., diet/fitness apps, YouTube, TikTok) (n=4, 44.4%), and blogs/microblogs (e.g., X, formerly Twitter) (n=1, 11.1%).

Conclusions: A consensus on the theoretical definition of UWMB, a critical issue among emerging adults, is proposed, along with a call for comprehensive research on measurement tools. As diverse types of social media can influence UWMB, further research should adopt a multi-platform approach rather than focusing on a single medium.