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Despite the benefits of youth sports, most children drop out by the age of 13 years. A better understanding of the etiology of sports dropout in children will serve to improve interventions to keep children active. The objective of this review was to investigate the associations between body image and perceived physical competence and sports attrition in children. A systematic literature review was conducted using PubMed and MEDLINE database searches in compliance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses