Fig. 4: Body image scale responses (A) and estimated mean body image scale scores (B) among adolescent and young adult patients.

Error bars indicate 95% confidence interval of the mean score at each assessment timepoint. Body Image Scale (BIS) responses and mean scores over time in young women ( ≤ 40 years). Body image was assessed at three time points (T1–T3) using the 10-item Body Image Scale. Twenty-nine participants (88%) completed the BIS at T1 and T2; one participant was lost to follow-up and did not complete the assessment at T3. A Stacked bar charts show the distribution of responses for each BIS item at each time point. Response categories are colour-coded as follows: Not at all (very light blue), A little (light blue), Quite a bit (medium blue), Very much (dark blue), Not applicable (white), and Did not answer (grey). Across all items and time points, most participants reported minimal body image concerns, with the majority of responses falling within the “Not at all” or “A little” categories. B Mean BIS total scores at each time point are shown with 95% confidence intervals. The mean BIS score increased from 6.3 at T1 to 8.4 at T2 (mean change 2.0 points; 95% CI − 0.4 to 4.5), followed by a reduction to 7.2 at T3 (T2 to T3 change −1.1 points; 95% CI − 3.6 to 1.3). Overall change from T1 to T3 was small and not statistically significant (mean change 0.9 points; 95% CI − 1.6 to 3.4).