Childrens body image scale

About the Children's Body Image Scale

The  CBIS is a pictorial scale that can be used to measure body perception and  satisfaction in children aged seven to twelve years (1). It comprises separate  scales for males and females. There is no licensing fee for the CBIS to be used  for research purposes. Helen Truby owns the copyright of the CBIS, hence it  should not be reproduced in print or journals without consent (contact

The  figures are matched to the Centers for Disease Control and Prevention 2000 Body  Mass Index (BMI) percentiles for ten year olds (2). The CBIS was updated to new  International percentiles in 2008 (3).

The CBIS  was developed in 1999 for a primarily Caucasian population (1). The CBIS has  been updated to reflect different racial backgrounds. Each of the scales has  identical bodies as per the original CBIS, however three different heads were  available – a modern Caucasian head, a South East Asian head and one with a  blurred face (see links 4 to 9 below to download these figures).


  • Truby H, Paxton SJ.  Development of the Children's Body Image Scale. Br J Clin Psychol.  2002;41(2):185-203.
  • Kuczmarski RJ, Ogden CL,  Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, et al. 2000 CDC growth charts for  the United States: methods and development. Vital Health Stat.  2002;11(246):1-190.

Research utilising the CBIS

The  following research studies utilised the CBIS in their methodologies:

  • Allen KL, Byrne SM, Blair EM, Davis EA.  Why do some overweight children experience psychological problems? The role of  weight and shape concern. Int J Pediatr Obes. 2006;1(4):239-47.
  • Follansbee-Junger K, Janicke DM, Sallinen BJ. The  influence of a behavioral weight management program on disordered eating  attitudes and behaviors in children with overweight. J Am Diet Assoc. 2010 Nov;110(11):1653-9.
  • Gage H, Erdal E, Saigal P, Qiao Y,  Williams P, Raats MM. Recognition and management of overweight and obese  children: a questionnaire survey of general practitioners and parents in  England. J Paediatr Child Health. 2012 Feb;48(2):146-52.
  • Gardner RM, Brown DL. Body image  assessment: A review of figural drawing scales. Personality and Individual  Differences. 2010 Jan;48(2):107-11.
  • Lampard AM, Byrne SM, Zubrick SR, Davis  EA. Parents' concern about their children's weight. Int J Pediatr Obes.  2008;3(2):84-92.
  • Saxton J, Hill C, Chadwick P, Wardle J.  Weight status and perceived body size in children. Arch Dis Child.  2009 Dec;94(12):944-9.
  • Spurrier NJ, Magarey A, Wong C.  Recognition and management of childhood overweight and obesity by clinicians. J  Paediatr Child Health. 2006 Jul;42(7-8):411-8.
  • Truby H, Paxton AS. Body image and  dieting behavior in cystic fibrosis. Pediatrics. 2001 Jun;107(6):E92.
  • Truby H, Paxton SJ. Development of the  Children's Body Image Scale. Br J Clin Psychol. 2002 Jun;41(Pt 2):185-203.
  • Truby H, Paxton SJ. The Children's Body  Image Scale: reliability and use with international standards for body mass  index. Br J Clin Psychol. 2008 Mar;47(Pt 1):119-24.
  • Innovations in Clinical Practice: Focus on Health and Wellness  Eds Leon VandeCreek and Jeffrey Allen, Professional Resource Press 2005

Children’s Body Image Scale for Girls

Children’s Body Image Scale for Boys

Children’s Body Image Scale of Caucasian girl

Children’s Body Image Scale of Caucasian Boy

Children’s Body Image Scale of Asian Girl

Children’s Body Image Scale of Asian Boy

Children’s Body Image Scale of Boy with Blurred Face

Children’s Body Image Scale of Girl with Blurred Face