“…Self-esteem declines during adolescence, with research suggesting that changes in body composition contribute to this considerable reduction (Clay, Vignoles, & Dittmar, 2005;Ata, Ludden, & Lally, 2007). Self-esteem is related to thoughts and feelings about one's body (Ata, et al, 2007), which can contribute to poorer mental and physical health (Trzesniewski, Donnellan, Moffitt, et al, 2006), and multiple factors can lead to this reduction in self-esteem.…”