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A survey of body shape perception and weight control of adolescent girls in three areas of Korea

Korean Journal of Pediatrics 2008;51(2):134-144.
Published online February 15, 2008.
A survey of body shape perception and weight control of adolescent girls in three areas of Korea
Yoon Lee1, Hye-Kyoung Shin1, Byung-Min Choi1, Baik-Lin Eun1, Sang-Hee Park1, Kee-Hyoung Lee1, Chol Shin2
1Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea
2Ansan Health Center, Korea University Medical Center Ansan Hospital, Gyeonggi-do, Korea
청소년기 여학생의 외모에 대한 인식 및 체중조절 실태 조사
이윤1, 신혜경1, 최병민1, 은백린1, 박상희1, 이기형1, 신철2
1고려대학교 의과대학 소아과학교실
2고려대학교 안산병원 안산헬스센터
Correspondence: 
Kee-Hyoung Lee, Email: Khlee218@kumc.or.kr
Abstract
Purpose
: This study aimed to investigate body shape perception, weight control behaviors and eating habits of adolescent girls in urban, suburban and rural areas of Korea to obtain basis for establishing adequate weight control program for adolescent.
Methods
: From May 2002 to November 2002, a cross-sectional questionnaire survey and physical examination were conducted to examine body shape perception, weight control behaviors, eating habits and health status of 2,891 adolescent girls and 891 boys in Seoul, Ansan and Paju.
Results
: The proportion of underweight adolescent girl was decreased in rural area than in urban area. 46.3% of girls considered themselves to be somehow or very obese. Notably 3.2% of underweight girls considered themselves obese. 57.9% were unsatisfied with their own body shape. The proportion of dissatisfaction increased with age and body mass index (BMI), but there were no differences among area. The experiences of weight control increased by age, BMI and dissatisfaction of own body shape. The eating attitudes test-26 (EAT-26) score of girls was significantly higher than that of boys. The girls with high risk of eating disorder were 10.9%. And risk factors of eating disorder were living in urban area, severe stress for weight control excessive expenditure for appearance and think themselves unhealthy.
Conclusion
: The findings of this study demonstrate that there were serious impairment of body shape perception of adolescent girls and unhealthy, inadequate weight control behaviors were widely done. Therefore adequate weight control program for adolescent girl should be established promptly.
Key Words: Adolescent, Female, Body image, Weight loss, Eating disorders


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