Open Access, Peer-reviewed
pISSN 2288-3886
eISSN 2288-3959
    Korean J Nutr. 2010 Jun;43(3):285-293. Korean.
    Published online Jun 30, 2010.
    https://doi.org/10.4163/kjn.2010.43.3.285
    © 2010 The Korean Nutrition Society
    Original Article

    Relationships of Body Image, Body Stress and Eating Attitude, and Dietary Quality in Middle School Girls Based on Their BMI

    Mi Hee Kang,1 and Ryowon Choue1,2
      • 1Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yongin 446-701, Korea.
      • 2Research Institute of Medical Nutrition, Kyung Hee University, Seoul 130-701, Korea.
    • To whom correspondence should be addressed. (Email: rwcho@khu.ac.kr )
    Received February 12, 2010; Revised April 09, 2010; Accepted May 23, 2010.

    Abstract

    This study investigated the body image, body stress, eating attitude, and dietary quality in middle school girls. Questionnaires were administered to one hundred fifty seven middle school girls in Seoul area. The subjects were categorized into the five groups according to their body mass index (BMI); 1) severely under-weight (BMI < 16.5 kg/m2), 2) under-weight (16.5 ≤ BMI < 18.5 kg/m2), 3) normal weight (18.5 ≤ BM I < 23.0 kg/m2), 4) overweight (23.0 ≤ BMI < 25.0 kg/m2), and 5) obese (BMI ≥ 25 kg/m2). 7.0%, 14.6%, 58.9%, 10.2%, and 10.2% of the subjects were classified as severely under-weight, under-weight, normal weight, overweight and obese groups, respectively. Regardless of the BMI, the subjects had disturbed body image, body stress, and poor eating attitude. The actual BMIs of the normal weight, overweight and obese subjects were significantly different from their desired BMI and perceived BMI, representing these subjects dissatisfied their body shape. Almost all subjects tried to lose their body weight even in the severely under-weight and under-weight groups. There were significant correlations of BMI with body image disturbance (p < 0.05), body stress (p < 0.01) and eating attitude (p < 0.05). These results indicated that middle school girls who have higher BMI seemed to have more body image distortion, body stress and risk of eating disorder. However, any significant difference in dietary quality among the five groups was not observed even though their dietary patterns were not balanced. As a conclusion, it is required that middle school girls should correct their distorted body image and body stress. Also, efforts to improve eating attitude, dietary pattern and nutritional status in the middle school girls are needed.

    Keywords
    body image; body stress; eating attitude; dietary quality; middle school girls

    Figures

    Fig. 1
    Proportions of the subjects not consuming specific food group.

    *: Significantly different among the groups at, *: p < 0.001 by χ2-test.

    Tables

    Table 1
    Mean ages and anthropometric measurements of the subjects according to their BMI (kg/m2)

    Table 2
    Characteristics of the weight management according to the subjects' BMI (kg/m2) ([%])

    Table 3
    Average scores of BIDQ, BAQ, EAT, and food behavior of the subjects according to their BMI (kg/m2)

    Table 4
    Correlations among the BMI, BIDQ, BAQ, EAT and Food behaviors

    Table 5
    Dietary quality of the subjects according to their BMI (kg/m2)

    References

      1. Hyun WJ, Lee JW. Seasonal and regional variations in nutrient intakes of Korean adolescents as assessed by 3-day dietary records. Korean J Community Nutr 2001;6(4):592–603.
      1. Park JW, Ahn SJ. Dietary behaviors and food perception of Koreans living in Seoul by age and gender. Korean J Food Cookery Sci 2001;17(5):441–455.
      1. Ahn SJ. In: A study on nutrition knowledge, meal management and dietary intake of self boarding high school students. Seoul national university of education; 1995.
      1. Yoon GA. Contribution of food Behavior and psychological factor to perceived tiredness in Adolescents. Korean J Nutr 2001;34(1):89–87.
      1. Lee JE, Lee IH. Classification of eating disorder patterns of female middle school students and their association with self-body image, weight control behavior, and eating behavior. Korean J Community Living Sci 2006;17(2):89–103.
      1. Ryu HK, Yoon JS, Park DH. A study of factors influencing weight control behavior in adolescent females. Korean J Community Nutr 1999;4(4):561–567.
      1. Wardle J, Marsland L. Adolescent concerns about weight and eating. J Psychosom Res 1990;34(4):377–391.
      1. Soh HK, Lee EJ, Choi BS. The development of nutrition education program for improvement of body perception of middle school girls (II); development of nutrition education program. Korean J Food Cult 2008;23(1):130–137.
      1. Cho SJ, Lim CK. Influence on a stress caused by obesity degree and weight control from of undergraduette. J Korean Public Health Assoc 1997;14(2):1–15.
      1. Thompson JK, Coovert MD, Richards KJ, Johnson S, Cattarin J. Development of body image, eating disturbance, and general psychological functioning in female adolescents: covariance structure modeling and longitudinal investigations. Int J Eat Disord 1995;18(3):221–236.
      1. Yoo WS, Kim YN. A study in eating disorders and it's related factors in high school girls. Korean J Community Nutr 2004;9(3):274–284.
      1. Park MY, Park EJ, Chung YJ. Evaluation of diet quality of Korean adolescents based on nutrient and food and food group intake. Korean J Community Living Sci 2005;18(1):95–110.
      1. Park MY, Um JS, Hyun HJ, Park HR, Chung YJ. Comparison of indices for diet quality evaluation of Korean adolescents by residence area and body size. Korean J Community Nutr 2006;11(2):180–190.
      1. Kim YJ, Park HR. Development of Healthy Eating Index (HEI) for Korean adolescents; Proceedings of the Korean Society of Community Nutrition; 2004. pp. 105.
      1. Jang HS. The assessment of diet quality according to exercise practices of middle school students. Korean J Exerc Nutr 2004;8(3):295–301.
      1. Jung SH, Sung HI, Kim SK, Kim KH, Cho MH, Chang KJ. Eating behaviors, perception of body image, hematological indices and nutrient intake of adolescent female athletes in Incheon. Korean J Community Nutr 2003;8(6):951–963.
      1. Bulik C, Wade TD, Heath AC, Martin NG, Stunkard AJ, Eaves LJ. Relating body mass index to figural stimuli: population-based normative data for Caucasians. Intr J Obes 2001;25:1517–1524.
      1. Ministry of Health and Welfare. Health survey for adolescents. 2009.
      1. Phillips KA. In: The broken mirror: Understanding and treating body dysmorphic disorder. New York: Oxford University Press; 1996.
      1. Thomas FC, Phillipsb Katharine A, Santosc Melanie T, Joshua IH. Measuring "negative body image": validation of the Body Image Disturbance Questionnaire in a nonclinical population. Body Image 2004;1:363–372.
      1. Ben-Tovim DI, Walker MK. The development of the Ben-Tovim Walker Body Attitudes Questionnaire (BAQ), a new measure of women's attitudes towards their own bodies. Psychol Med 1991;21(3):775–784.
      1. Kwon YS. A study on obesity stress and related factors among female college students. J Korean Community Nurs 2008;19(3):431–442.
      1. Choi JH, Nam JH, Cho YG, Choi BY, Ahn DH. Reliability testing of eating attitude test for Korean adolescents. J Child Adolesc Psychiatry 1998;9(1):91–97.
      1. Han MJ, Cho HA. The food habits and stress scores of high school students in Seoul area. Korean J Food Cookery Sci 2000;16(1):84–90.
      1. Park JE, Kim SJ, Choue RY. Study on stress, depression, binge eating, and food behavior of high school girls based on their BMI. Korean J Community Nutr 2009;14(2):175–181.
      1. Lim KS, Lee TY, Park HS. The development and validation of a food frequency questionnaire to assess diets of Korean adolescents. Korean J Community Nutr 2003;8(2):149–159.
      1. Guthrie HA, Scheer JC. Validity of dietary score for assessing nutrient adequacy. J Am Diet Assoc 1981;78(3):240–245.
      1. Ries CP, Daehler JL. Evaluation of the nutrient guide as a dietary assessment tool. J Am Diet Assoc 1986;86(2):228–233.
      1. Kant AK, Block G, Schatzkin A, Ziegler RG, Nestle M. Dietary diversity in the US population, NHANES II, 1976-1980. J Am Diet Assoc 1991;91(12):1526–1531.
      1. Patterson RE, Haines PS, Popkin BM. Diet quality index: capturing a multidemensional behavior. J Am Diet Assoc 1994;94(1):57–64.
      1. The Korean Nutrition Society. Dietary Reference Intakes for Koreans. Seoul: 2005.
      1. Korean society for lipid and atherosclerosis. Guidelines for treatment of hyperlipidemia. Committee for establishment of hyperlipidemia therapy. 2nd version. 2003.
      1. Lim JY, Na HB. Nutrient intakes and physical Fitness by BMI among middle school students in Seoul. Korean J Community Nutr 2005;10(1):22–35.
      1. Ryu HK, Yoon JS. A study of perception about body image in adolescent females: in Daegu city. Korean J Community Nutr 1999;4(4):554–560.
      1. Schulken ED, Pinciaro PJ, Sawyer RG, Jensen J, Hoban MT. Sorority women's body size perceptions and their weight-related attitudes and behaviors. J Am Coll Health 1997;46(2):69–74.
      1. Ryan YM, Gibney MJ, Flynn MA. The pursuit of thinness: a study of Dublin schoolgirls aged 15y. Int J Obes Relat Metab Disord 1998;22(5):485–487.
      1. Ryu HK. A survey of adolescent's concern and perception about body image; at Miryang city. Korean J Community Nutr 1997;2(2):197–205.
      1. Her ES, Kang HJ, Lee KH. The factors associated with weight control experiences among adolescents based on self-esteem, body-cathexis, attitudes toward the body, anthropometric characteristics and perceptions of body Shape. Korean J Community Nutr 2003;8(5):658–666.
      1. Kim YK, Shin WS. A comparison study on perception of body image and dietary habits of high school students between urban and rural areas. Korean J Community Nutr 2008;13(2):153–163.
      1. Bellisle F, Monneuse MO, Steptoe A, Wardle J. Weight concerns and eating pattern: a survey of university students in Europe. Int J Obes Relat Metab Disord 1995;19(10):723–730.
      1. Lee HJ, Choi MR, Koo JO. A study body image, weight control and dietary habits with different BMI in female high school students. Korean J Community Nutr 2005;10(6):805–813.
      1. Hong EK, Park SB, Shin YS, Park HS. Body image perception and self-reported weight control activities in adolescent girls. J Korean Acad Fam Med 1997;18(7):714–721.
      1. Bae YJ, Kim ST, Sung BJ. Body dissatisfaction, eating attitude, obesity related stress, and exercise behavior according to body mass index in female teenagers. Korea Sports Res 2004;15(4):881–890.
      1. Lee JW, Hyun WJ, Kwak CS, Kim CI, Lee HS. Relationship between the number of different food consumed and nutrient intakes. Korean J Community Nutr 2000;5 Suppl:297–306.
      1. Kim JY, Moon SJ. An ecological analysis of the relationship between diet diversity and nutrient intake. Korean J Nutr 1990;23(5):309–316.
      1. Ro HK. Analysis of methods on dietary quality assessment. Korean J Community Nutr 2000;5 Suppl:280–288.
      1. Kim BR, Cho YE. A study on the evaluation of food intake of middle school students in Kangneung. J Korean Soc Food Sci Nutr 2001;30(5):986–992.
      1. Kim BR, Kim YM. Evaluation of food intake and diet quality in high school students. J Korean Home Econ Educ Assoc 2005;17(3):83–96.
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    MeSH Terms
    Body Image
    Body Mass Index
    Body Weight
    Eating
    Feeding and Eating Disorders
    Humans
    Nutritional Status
    Overweight
    Surveys and Questionnaires
    Metrics
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