TY - JOUR
T1 - What has a greater influence on adolescent mental health
T2 - BMI or self-efficacy? Evidence from a Peruvian sample
AU - Huanca-Cachicatari, Daniela
AU - Navarro-Carrasco, Raquel
AU - Javier-Aliaga, David
AU - Lozano, Bertha Chanducas
AU - Calizaya-Milla, Yaquelin E.
AU - Saintila, Jacksaint
N1 - Publisher Copyright:
© The Author(s) 2025.
PY - 2025/12
Y1 - 2025/12
N2 - Background: Mental health in adolescents is a public health issue with both immediate and long-term implications. Several studies have demonstrated that Body Mass Index (BMI) and self-efficacy are associated with this issue, although they have generally been examined independently. Therefore, the aim of this study was to determine the predictive role of BMI and self-efficacy in mental health in a sample of Peruvian adolescents. Method: The research was non-experimental and predictive in nature. The sample consisted of 343 students (49.6% male and 50.4% female), aged 12 to 17 years (M = 14.71; SD = 1.08), from a public educational institution in Metropolitan Lima, Peru. The sample was selected through non-probabilistic, purposive sampling. The General Self-Efficacy Scale (GSE) and the Mental Health Inventory (R-MHI-5) were used, and BMI was measured using Quetelet’s formula. Results: The results showed a significant relationship between BMI and mental health, as well as between self-efficacy and mental health (p < 0.001). Additionally, no statistically significant differences were found between BMI, self-efficacy, and mental health according to gender and age (p > 0.05). Moreover, multiple regression analysis revealed that the predictor variables BMI and self-efficacy explained 25.1% (adjusted R2) of the variability in adolescent mental health. The standardized coefficients (β) indicated that self-efficacy (0.452) had a greater impact on the prediction of mental health than BMI (-0.202). Conclusions: These findings demonstrate that self-efficacy, understood as adolescents’ personal beliefs about their ability to control their lives and solve problems, has a more significant impact on their mental health than their body mass index (BMI). Therefore, it is recommended that educational and public health interventions aimed at improving mental health adopt a holistic approach that integrates both physical and nutritional components (BMI) as well as psychological components (self-efficacy).
AB - Background: Mental health in adolescents is a public health issue with both immediate and long-term implications. Several studies have demonstrated that Body Mass Index (BMI) and self-efficacy are associated with this issue, although they have generally been examined independently. Therefore, the aim of this study was to determine the predictive role of BMI and self-efficacy in mental health in a sample of Peruvian adolescents. Method: The research was non-experimental and predictive in nature. The sample consisted of 343 students (49.6% male and 50.4% female), aged 12 to 17 years (M = 14.71; SD = 1.08), from a public educational institution in Metropolitan Lima, Peru. The sample was selected through non-probabilistic, purposive sampling. The General Self-Efficacy Scale (GSE) and the Mental Health Inventory (R-MHI-5) were used, and BMI was measured using Quetelet’s formula. Results: The results showed a significant relationship between BMI and mental health, as well as between self-efficacy and mental health (p < 0.001). Additionally, no statistically significant differences were found between BMI, self-efficacy, and mental health according to gender and age (p > 0.05). Moreover, multiple regression analysis revealed that the predictor variables BMI and self-efficacy explained 25.1% (adjusted R2) of the variability in adolescent mental health. The standardized coefficients (β) indicated that self-efficacy (0.452) had a greater impact on the prediction of mental health than BMI (-0.202). Conclusions: These findings demonstrate that self-efficacy, understood as adolescents’ personal beliefs about their ability to control their lives and solve problems, has a more significant impact on their mental health than their body mass index (BMI). Therefore, it is recommended that educational and public health interventions aimed at improving mental health adopt a holistic approach that integrates both physical and nutritional components (BMI) as well as psychological components (self-efficacy).
KW - Adolescents
KW - BMI
KW - Mental health
KW - Self-efficacy
UR - https://www.scopus.com/pages/publications/105010101683
U2 - 10.1186/s40359-025-03055-7
DO - 10.1186/s40359-025-03055-7
M3 - Article
C2 - 40605020
AN - SCOPUS:105010101683
SN - 2050-7283
VL - 13
JO - BMC Psychology
JF - BMC Psychology
IS - 1
M1 - 720
ER -
