Evidence map›Paper›PMID 40696468›Full record

ArticleJournal of eating disorders2025

Male body image in focus: muscularity-oriented eating behaviours, muscle dysmorphia, and exercise addiction in gay and heterosexual men.

Dalit Lev Arey, Yuli Peleg, Tomer Gutman

Abstract read
In one paragraph

Article in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Dalit Lev AreySchool of Psychology, The Academic College of Tel Aviv-Yaffo, Tel Aviv-Yaffo, Israel. dalitlevarey@gmail.com.
Yuli PelegSchool of Psychology, The Academic College of Tel Aviv-Yaffo, Tel Aviv-Yaffo, Israel.
Tomer GutmanSchool of Psychology, The Academic College of Tel Aviv-Yaffo, Tel Aviv-Yaffo, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBody image concerns among men-particularly muscularity-oriented eating behaviours, muscle dysmorphia, and exercise addiction-are increasingly recognized but remain understudied in relation to sexual orientation. Existing research suggests that gay men may be more vulnerable to these issues, yet the nature of their interrelationships remains unclear.

objectiveThis study examined the associations among muscularity-oriented eating behaviours, muscle dysmorphia, and exercise addiction in gay and heterosexual men and tested whether sexual orientation moderated these associations.

methodA sample of 168 physically active men (104 heterosexual, 64 gay) completed validated self-report questionnaires. Analyses included independent samples t-tests, multiple regression, and moderation using the PROCESS macro.

resultsGay men reported significantly higher levels of muscularity-oriented eating behaviours (p = .006, d = 0.44), muscle dysmorphia (p < .001, d = 0.66), and exercise addiction (p = .002, d = 0.50) compared to heterosexual men. Regression analyses showed that both muscularity-oriented eating behaviours and muscle dysmorphia were significantly associated with exercise addiction, jointly accounting for 42% of the variance. Moderation analyses further revealed that sexual orientation significantly moderated these associations, with stronger links observed among gay men for both muscularity-oriented eating behaviours and muscle dysmorphia in relation to exercise addiction.

conclusionsThese findings reveal important clinical implications for professionals working with male populations experiencing body image concerns. The stronger association between body image concerns and exercise behaviours in gay men highlights the need for targeted assessment strategies that consider sexual orientation as a meaningful factor in clinical presentations. Results support an integrated approach to screening and treatment that addresses these interconnected concerns simultaneously rather than as separate issues. Clinicians should incorporate muscularity-oriented assessment tools when working with men and develop interventions that specifically address the unique manifestations of body image distress in diverse male populations. Future research should explore underlying sociocultural mechanisms using longitudinal and mixed method approaches to further refine these clinical applications.

Indexed as

Body imageExercise addictionGay menMuscle dysmorphiaMuscularity-oriented eating behavioursSexual orientation

Identifiers

PMID40696468
PMCPMC12285041

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.