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Factors associated with body image distortion in Korean adolescents

Authors Hyun M, Jung Y, Kim M, Kwak Y, Hong S, Bahk W, Yoon B, Yoon H, Yoo B

Received 26 February 2014

Accepted for publication 21 March 2014

Published 13 May 2014 Volume 2014:10 Pages 797—802

DOI https://doi.org/10.2147/NDT.S63143

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Mi-Yeul Hyun,1 Young-Eun Jung,2 Moon-Doo Kim,2 Young-Sook Kwak,2 Sung-Chul Hong,3 Won-Myong Bahk,4 Bo-Hyun Yoon,5 Hye Won Yoon,6 Bora Yoo6

1College of Nursing, Jeju National University, Jeju, Korea; 2Department of Psychiatry, School of Medicine, Jeju National University, Jeju, Korea; 3Department of Preventive Medicine, School of Medicine, Jeju National University, Jeju, Korea; 4Department of Psychiatry, Yeouido St Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea; 5Department of Psychiatry, Naju National Hospital, Naju, Korea; 6School of Medicine, Jeju National University, Jeju, Korea

Purpose:
Body image incorporates cognitive and affective components as well as behaviors related to own body perception. This study evaluated the occurrence of body image distortion and its correlates in Korean adolescents.
Methods: In a school-based cross-sectional survey, a total of 2,117 adolescents were recruited. They filled out self-completing questionnaires on body image distortion, eating attitudes, and behaviors (Eating Attitude Test-26) and related factors.
Results: Body image distortions were found in 51.8 percent of adolescents. Univariate analyses showed that boys and older adolescents had higher rates of body image distortion. In the multivariate analyses, body image distortion was associated with high risk for eating disorders (odds ratio [OR] =1.69; 95% confidence interval [CI] 1.11–2.58; P=0.015) and being over weight (OR =33.27; 95% CI 15.51–71.35; P<0.001) or obese (OR =9.37; 95% CI 5.06–17.34; P<0.001).
Conclusion: These results suggest that body image distortion is relatively common in Korean adolescents, which has implications for adolescents at risk of developing eating disorders.

Keywords: body image distortion, high risk for eating disorders, Korean adolescent

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