A Qualitative Approach to Understanding the Relationship Between Mothers’ and Daughters’ Body Image and Physical Activity Levels

The aim of this study was to explore the physical activity behaviors and body image of adolescent girls and their mothers. Adolescent girls (N = 44) and their mothers (N = 19) were recruited from three middle schools (two Colorado and one South Carolina). Girls qualifying for free or reduced-price lunches comprised 53% (South Carolina), 32% (Colorado), and 39% (Colorado) of participants. Focus groups with questions pertaining to body image and physical activity were conducted with daughters and mothers. The study was approved by the first author’s Institutional Review Board. Data were assessed using the five-step framework analysis. A thematic framework was identified, quotes were divided under the thematic content, and results were then interpreted by analyzing links among the whole data set. Four themes and eight subthemes emerged: (1) complex communication, with subthemes of daughter’s frustration and mother’s confusion, (2) societal expectations of women, with subthemes of social networks and women’s bodies, (3) high prevalence of social comparison, with subthemes of mother/daughter comparison and peer comparison, and (4) daughters’ awareness of mother’s health behaviors, with subthemes of weight loss and physical activity. Interventions aimed at improving adolescent girls’ health should include support for mothers as well as a psychosocial health and a mother’s educational component.