Journal List > J Nutr Health > v.49(3) > 1081437

J Nutr Health. 2016 Jun;49(3):153-164. Korean.
Published online June 30, 2016.
© 2016 The Korean Nutrition Society
Effects of the difference between actual body condition and body image perception on nutrient intake, weight control and mental health in Korean adults: Based on the 5th Korea National Health and Nutrition Examination Survey
Jihyun Seo,1,** Hyesun Ma,1,** Sunghee Kim,2 Jiyoung Kim,1 Minseo Shin,1 and Yoon Jung Yang1
1Department of Food and Nutrition, Dongduk Women's University, Seoul 02748, Korea.
2Department of Clinical Nutrition, Dongduk Women's University, Seoul 02748, Korea.

To whom correspondence should be addressed. tel: +82-2-940-4465, Email:

**These two authors contributed to this work equally.

Received March 11, 2015; Revised April 22, 2015; Accepted April 08, 2016.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



The objective of this study was to examine the effect of the body shape discordance, the difference between true body type based on body mass index (BMI) and self-recognized body image, on nutrient intake, weight control attempt, and mental health in Korean adults.


Subjects were persons aged 19~64 years (4,382 men and 6,226 women) who participated in the 2010~2012 Korea National Health and Nutrition Examination Survey. Subjects were categorized as RL (Group recognized as lighter than BMI criteria), RA (Group with agreement between BMI criteria and self-recognized body image), and RH (Group recognized as heavier than BMI criteria) according to the difference between actual body type based on BMI and self-recognized body image.


Means of BMI in RH groups were lower than or equal to that of RA groups in all groups. No significant differences in total energy intake were observed among the three groups in men, but total energy intake was higher in the RL group than in the RH group in 30~49 year old women. Proportion of carbohydrate was the highest in the RL group among 30~49 year old women. RH groups paid more attention to weight control and had less weight gain than other groups. Higher proportions of depressive symptoms were reported in the RH group in 19~29 year old men, while a higher proportion of depressive symptoms were reported in the RL group in 50~64 year old men.


The current findings suggest an association of perceiving body shape with energy intake, weight control attempt, or depressed mood in some age groups. Body image perception can influence eating, weight control attempt, and depressed mood, therefore proper body image perception should be established in Korean adults.

Keywords: self-recognized body image; actual body condition; nutrient intake; weight control; mental health


Table 1
Distribution of the study subject by sex and age
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Table 2
Characteristics of the study subjects by sex and age
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Table 3
Nutrient intake of the study subjects by sex and age
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Table 4
Weight related indexes of the study subjects by sex and age
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Table 5
Mental health of the study subjects by sex and age
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