Browse > Article
http://dx.doi.org/10.4094/chnr.2017.23.2.249

Body Weight Perception, Mental Health, and Weight Control Behavior in Normal Weight Adolescents: Based on the Korea National Health and Nutrition Examination Survey 2013-2015  

Lee, Eun Jee (Department of Nursing, The Graduate School, Yonsei University)
Publication Information
Child Health Nursing Research / v.23, no.2, 2017 , pp. 249-257 More about this Journal
Abstract
Purpose: The aim of this study was to assess the body weight perception of adolescents and to investigate the difference between mental health and weight control behavior according to body weight perception. Methods: Study data on 12-18 years old adolescents with normal BMI was obtained from the 6th Korea National Health and Nutrition Examination Survey (2013-2015). Rao-Scott Chi-square test and ANOVA were used for the analysis. Results: The percentage of adolescents with a misperception of body weight was 43.3%, and their subjective health status (p=.013), stress perception (p=.001), and depression (p=.001) were worse than for adolescents who had the correct perception of their body weight. The percentage of adolescents who were trying to lose weight while perceiving their body weight as normal was 36.9%. Body weight control behavior had significant differences according to dietary intake (frequency of eating dinner (p=.015)), energy intake (p=.004), and carbohydrate intake (p<.001), but there was no significant difference according to exercise. Conclusion: Parents, school teachers, and nurses should make efforts to ensure that Korean adolescents perceive their body weight correctly, and prevent unhealthy weight control behaviors.
Keywords
Adolescent; Weight perception; Mental health; Diet-Reducing; Exercise;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Song MK, Ha JH, Park DH, Ryu SH, Oh JH, Yu JH. Effect of body image and eating attitude on depressive mood and suicide ideation in female adolescents. Korean Journal of Psychosomatic Medicine. 2010; 18(1):40-47.
2 Quick V, Nansel TR, Liu D, Lipsky LM, Due P, Iannotti RJ. Body size perception and weight control in youth: 9-year international trends from 24 countries. International Journal of Obesity. 2014;38(7):988-994. http://dx.doi.org/10.1038/ijo.2014.62   DOI
3 Kim SJ, Wee EH. Effect of sociocultural attitude toward appearance and appearance comparison on appearance management behavior of adolescents. Journal of the Korean Society of Clothing and Textiles. 2015;39(1):1-14. http://dx.doi.org/10.5850/JKSCT.2015.39.1.1   DOI
4 Statistics Korea. Are you really suffering? Then stop it! [Internet]. Daejeon: Statistics Korea; 2013 [cited 2017 April 7]. Available from: http://hikostat.kr/2049.
5 Zaccagni L, Masotti S, Donati R, Mazzoni G, Gualdi-Russo E. Body image and weight perceptions in relation to actual measurements by means of a new index and level of physical activity in Italian university students. Journal of Translational Medicine. 2014;12:42-49. http://dx.doi.org/10.1186/1479-5876-12-42   DOI
6 Kwak HK, Lee MY, Kim MJ. Comparison of body image perception, health related lifestyle and dietary behavior based on the self-rated health of university students in Seoul. Korean Journal of Community Nutrition. 2011;16(6):672-682. http://dx.doi.org/10.5720/kjcn.2011.16.6.672   DOI
7 Lee JE. A study on the perception of self-body image and differences of weight control behavior, eating disorder by self-body image distortion in adolescents. Korean Education Inquiry. 2006;24:63-77.
8 Xie B, Chou CP, Spruijt-Metz D, Reynolds K, Palmer PH, Wu Q, et al. Longitudinal analysis of weight perception and psychological factors in Chinese adolescents. American Journal of Health Behavior. 2011; 35(1):92-104.
9 Franko DL, Striegel-Moore RH. The role of body dissatisfaction as a risk factor for depression in adolescent girls: are the differences Black and White? Journal of Psychosomatic Research. 2002;53(5):975-983.   DOI
10 Armstrong B, Westen SC, Janicke DM. The role of overweight perception and depressive symptoms in child and adolescent unhealthy weight control behaviors: a mediation model. Journal of Pediatric Psychology. 2014;39(3):340-348. http://dx.doi.org/10.1093/jpepsy/jst091   DOI
11 Nurkkala M, Keranen AM, Koivumaa-Honkanen H, Ikaheimo TM, Ahola R, Pyky R, et al. Disordered eating behavior, health and motives to exercise in young men: Cross-sectional population-based MOPO study. BMC Public Health. 2016;16:483-490. http://dx.doi.org/10.1186/s12889-016-3162-2   DOI
12 Chung AE, Perrin EM, Skinner AC. Accuracy of child and adolescent weight perceptions and their relationships to dieting and exercise behaviors: A NHANES study. Academic Pediatrics. 2013;13(4):371-388. http://dx.doi.org/10.1016/j.acap.2013.04.011   DOI
13 Yeon JY, Shin KY, Lee SK, Lee HY, Kang BW, Park HK. A study on dietary habits, body satisfaction and nutritional knowledge by body image of middle school girl students in Chungbuk area. Korean Journal of Community Nutrition. 2013;18(5):442-456. http://dx.doi.org/10.5720/kjcn.2013.18.5.442   DOI
14 Deschamps V, Salanave B, Chan-Chee C, Vernay M, Castetbon K. Body-weight perception and related preoccupations in a large national sample of adolescents. Pediatric Obesity. 2015;10(1):15-22. http://dx.doi.org/10.1111/j.2047-6310.2013.00211.x   DOI
15 Song HJ, Moon HK. Body image and nutrient intakes of female middle school students in Seoul area by the risk of eating disorder. Korean Public Health Research. 2014;40(2):13-29.
16 Sonneville K, Thurston I, Milliren C, Kamody R, Gooding H, Richmond T. Helpful or harmful? Prospective association between weight misperception and weight gain among overweight and obese adolescents and young adults. International Journal of Obesity. 2016;40(2):328-332. http://dx.doi.org/10.1038/ijo.2015.166   DOI
17 Shirasawa T, Ochiai H, Nanri H, Nishimura R, Ohtsu T, Hoshino H, et al. The relationship between distorted body image and lifestyle among Japanese adolescents: A population-based study. Archives of Public Health. 2015;73(1):32-38. http://dx.doi.org/10.1186/s13690-015-0082-z   DOI
18 Lee J, Lee Y. The association of body image distortion with weight control behaviors, diet behaviors, physical activity, sadness, and suicidal ideation among Korean high school students: a cross-sectional study. BMC Public Health. 2016;16(1):39-48. http://dx.doi.org/10.1186/s12889-016-2703-z
19 Duncan MJ, Al-Nakeeb Y, Nevill AM, Jones MV. Body dissatisfaction, body fat and physical activity in British children. International Journal of Pediatric Obesity. 2006;1(2):89-95. http://dx.doi.org/10.1080/17477160600569420   DOI
20 Choi IS, Ro HK. A comparison study on middle school students of Gwangju and Jeonnam in terms of dietary behavior, body perception and weight control concerns according to BMI. Journal of the Korean Society of Food Science and Nutrition. 2010;39(3):383-391. http://dx.doi.org/10.3746/jkfn.2010.39.3.383   DOI
21 World Health Organization. Mental health: a state of well-being 2014 [Internet]. World Health Organization; 2014 [cited 2017 April 19]. Available from: http://www.who.int/features/factfiles/mental_health/en/.
22 Walcott-McQuigg JA. Weight control behavior and women: a crosscultural perspective. Journal of International Women’s Studies. 2013; 7(2):152-168.
23 Meland E, Haugland S, Breidablik HJ. Body image and perceived health in adolescence. Health Education Research. 2007;22(3):342-350. http://dx.doi.org/10.1093/her/cyl085   DOI
24 Banjade B, Naik V, Narasannavar A. Body weight perception by college going adolescents of North Karnataka, India-A cross sectional study. Nepal Journal of Medical Sciences. 2015;3(2):106-109. http://dx.doi.org/10.3126/njms.v3i2.13453   DOI
25 Cheung PC, Ip PL, Lam S, Bibby H. A study on body weight perception and weight control behaviours among adolescents in Hong Kong. Hong Kong Medical Journal. 2007;13(1):16-21.
26 Park E. Overestimation and underestimation: adolescents' weight perception in comparison to BMI-based weight status and how it varies across socio-demographic factors. Journal of School Health. 2011; 81(2):57-64. http://dx.doi.org/10.1111/j.1746-1561.2010.00561.x   DOI
27 Lee YJ, Lee SJ, Kim CG. Korean adolescents’ weight control behaviors by BMI (Body Mass Index) and body shape perception-Korea Youth Risk Behavior web-based survey from 2010. Journal of Digital Convergence. 2012;10(3):227-232.   DOI
28 Heshmat R, Kelishadi R, Motamed-Gorji N, Motlagh ME, Ardalan G, Arifirad T, et al. Association between body mass index and perceived weight status with self-rated health and life satisfaction in Iranian children and adolescents: The CASPIAN-III study. Quality of Life Research. 2015;24(1):263-272. http://dx.doi.org/10.1007/s11136-014-0757-x   DOI
29 Oh JW, Kim YS, Kwon HJ, Kim DH. Relationship between body weight perception and mental health in Korean adolescents. The Korean Journal of Physical Education. 2016;55(1):247-260.
30 Gil H. Comparison of Physical Education Curriculum in OECD Countries [Internet] Korea Education Development Institute; 2016 [cited 2017 March 12]. Available from: http://kess.kedi.re.kr/post/6656649?itemCode=03&menuId=m_02_03_03.