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coefficient, r = −0.37, p<0.01), physical appearance(r = − 0.3, p<0.01), social acceptance (r = −0.29, p<0.01) and global self-worth (r = −0.37, p<0.01) compared with normal weight children. Girls scored lower in scholastic competence (Pearson's correlation coefficient, r = −0.09, p<0.05), social acceptance (r = −0.13, p<0.001) and global self-worth (r = −0.14, p<0.001) compared with boys. Children with low global self-worth have 29% more probability to be girl. (odds ratio=0.71, p<0.01, CI: 0.55-0.91). Conclusions High body weight impacts the self-perception of children entering adolescence, especially in girls, but in selected areas of competence. Children with high body weight are at particular risk of low global self-worth, scholastic competence and social acceptance. Quantifying risk of psychological distress should help in arguing for more resources in maintaining a normal body weight in children.

Association of body weight and gender with self-esteem in schoolchildren. Survey of Ioannina, Epirus, Greece. The Children study