To the Editor The article by Drs Neumark-Sztainer and Eisenberg1 discussed important issues concerning body image, muscle building, and disordered eating among men, but it did not mention the implications of body image on the behaviors of males who are gay or bisexual.
Men who have sex with men often have perceptions of body type that differ substantially from heterosexual males. Clinicians should take this into consideration when providing preventive care and counseling so that clinically important conditions such as anorexia and bulimia can be identified early or perhaps even prevented. Recent data indicate that adolescent males who have had prior same-sex partners are more likely than exclusively heterosexual males to perceive themselves as overweight, even when they are normal weight or underweight.2
Nguyen GT, Margo KL. Male Body Image and Weight-Related Disorders. JAMA. 2015;313(8):856. doi:10.1001/jama.2015.424