Understanding Body Image and Eating Disorders in Children
Body image refers to the way a person perceives and feels about their own body. For pre-teens, many factors shape these feelings. They include rapid physical development, peer pressure, and society’s expectations. In Sandwell, our local community, the media and culture may influence children. They can affect their self-image.
Eating disorders are serious mental health conditions. They can affect people of all ages, including pre-teens. Examples include anorexia, bulimia, and binge eating disorder. These disorders are most often diagnosed in adolescents. But, they can develop much earlier if body image concerns go unchecked.

Early Warning Signs to Watch For
Early recognition of potential eating disorders can help you get support in Sandwell. Some pre-teens may have eating or body image issues due to growth spurts or peer influence. But persistent negative changes should raise concerns. Watch out for these signs:
Emotional and Social Withdrawal
Some children may avoid social situations involving food. Or they may seem anxious, withdrawn, or irritable around mealtimes.
Fixation on Weight or Appearance
A child might worry about their body. They might compare themselves to others or obsessively check their appearance in mirrors.


Changes in Eating Habits
Look for skipped meals, extreme diets, and food avoidance. Also, note if they develop strict food rituals. For example, only eating certain types of food or cutting it into small pieces.
Excessive Exercise
If a pre-teen is over-exercising to control their weight, it may signal an unhealthy relationship with their body image.
If you see these warning signs, local services in Sandwell can help.
How to Promote a Positive Body Image
In Sandwell, we must promote a positive body image at home and in schools. This is key to preventing body dissatisfaction in pre-teens. Here are some effective ways to promote body positivity:
Focus on Health, Not Looks
Promote talks about health and body function, not appearance. Celebrate your child’s strengths, rather than their appearance.
Be Aware of Media Influence
Today, kids see unrealistic body standards on social media. Help your child understand that many of the images they see online could be edited or staged. Encourage them to follow accounts that promote body positivity and diversity.
Model Self-Compassion
Your views on your body and food can shape a child’s mindset. Try to model a balanced, compassionate approach towards food and body image. Avoid discussing diets or negative body talk in front of children.
Promote Fun, Not Perfection in Exercise
Encourage pre-teens to have fun with exercise. Sandwell Leisure Trust offers community sports and activities, like dance and swimming. They aim for kids to exercise for fun and fitness, not looks.
Find local activities by getting in touch with Healthy Sandwell team.


Healthy Conversations About Food and Bodies
Having open and positive conversations about food and body image can help children develop a healthy mindset. Here’s how you can approach these conversations in a way that supports children in Sandwell:
Listen and Validate Feelings
If your child expresses concern about their body, listen without judgment. Validate their feelings but try and steer the conversation towards what their body can do, rather than how it looks. Make sure to be empathetic and reassure them.
For example, your response as a parent, caregiver, or teacher, could be similar to “I understand that this upsets you. Let’s take a moment to think about how amazing our bodies are – can you share some of things that your body helps you do on a daily basis? I can think of several, my legs help me to walk and run. My brain helps me to learn. My arms help me to hug my friends and family. My lungs help me to breathe. My stomach helps me to digest all of the nutrients my body needs to thrive.”
Use Neutral Language About Food
All food gives us energy for play and learning, but having a balanced diet is important to provide all the nutrients our bodies need.
Visit our School Nurses page to find out what support is available for your child in school.
You can also get in touch with the Healthy Sandwell team.
Encourage Critical Thinking About Media
Ask your child what they see in the media and how it makes them feel. Help them understand that some body images in media are unrealistic. Sandwell’s libraries and schools provide workshops on media literacy that can be help with this.
Visit the SAFL website for resources about e-safety
Address Peer Influence
Pre-teens are often influenced by their friends’ attitudes towards appearance and food. Ask your child how their friends talk about these topics and offer advice on how to handle the conversation.
For example, you can use this opportunity to talk about how every body is different and that each body has their own unique characteristics but reminding them that bodies alone do not make that person who they are.
Discuss what the child likes about their friends’ personalities, skills and interests and then get the child to reflect on their own.
Creating a Supportive Environment
Creating a supportive environment helps pre-teens feel more confident. In Sandwell, there are many opportunities to nurture this environment:

Local Activities for Fun and Fitness
Encourage participation in community activities that focus on fun. Sandwell Leisure Trust offer lots of sports and activities for pre-teens.
Find an activity that you can do as a family by contacting the Healthy Sandwell team.
School-Based Support
Sandwell schools can increase awareness of the importance of mental health and positive body image. This can include lessons on body image, self-esteem, and media literacy.
Promote Body Diversity
Surround your child with images and messages that reflect body diversity. Exposing them to a range of body shapes and abilities can help them understand that there isn’t one ideal body. Sandwell libraries and schools can recommend resources that promote body inclusivity.
Encourage Family Meals
Regular family meals provide an opportunity to focus on enjoying food together. It also means enjoying food without making it about appearance or weight.

When and How to Seek Professional Help
If you’re concerned that a pre-teen may be developing an eating disorder or struggling with body image, it’s important to seek support early. Sandwell has a range of services designed to help families navigate these challenges:


National Support Resources
For more guidance, you can access support through national organisations like BEAT Eating Disorders. These provide helplines, online support, and resources for families dealing with eating disorders. BEAT Eating Disorders has specific resources for parents and carers, including advice on how to start conversations and get help early.
Black Country All Age Eating Disorders Service (AAEDS)
AAEDS offers specialised support for children and young people with eating disorders. This service includes family therapy and nutritional advice. They work closely with schools and families to provide holistic care.
Speak to Your GP
Your child’s GP can provide guidance and, if necessary, refer them to a specialist for further support. Sandwell GPs are experienced in managing early signs of disordered eating. They can refer you to appropriate services.
Access School-Based Support
Many Sandwell schools have pastoral care teams or school counsellors who offer support to children. Speak to your child’s school to find out what services are available.
Just Youth and the Mental Health Foundation
These organisations can provide information on eating disorders and body image issues.
Be Body Positive
Be Body Positive addresses the escalation of eating disorders in young people in the UK by providing digital access to early intervention resources to young people, caregivers and professionals.