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Wanting Extremely Low BMI May be Associated with Higher Depression and Undesirable Dietary Habits in High School Girls Who were Not Overweight


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Wanting Extremely Low BMI May be Associated with Higher Depression and Undesirable Dietary Habits in High School Girls Who were Not Overweight

Article information

Korean J Community Nutr. 2013;18(4):344-353
Publication date (electronic) : 2013 August 31
doi : https://doi.org/10.5720/kjcn.2013.18.4.344
Hyeyoung Park, Hongmie Lee1
Graduate School of Nutrition Education, Daejin University, Pocheon, Korea.
1Department of Food Science & Nutrition, Daejin University, Pocheon, Korea.
Corresponding author: Hongmie Lee, Department of Food Science & Nutrition, Daejin University, Pocheon 487-711, Korea. Tel: (031) 539-1862, Fax: (031) 539-1860, hmlee@daejin.ac.kr
Received 2013 May 20; Revised 2013 August 05; Accepted 2013 August 05.

Abstract

The widespread pursuit for the thin physique may have detrimental impact on the wellbeing of the young generation, especially females. This study aimed to determine the effect of wanting very low body weight on dietary habits and psychological factors of female adolescents. Participants were 619 girls from 5 high schools in Kyeonggi, Korea. Information on dietary behaviors, psychological factors as well as current heights and weights and the desired weight for current height were obtained by questionnaire. Of total subjects, 38.1%, 35.5%, and 26.5% desired weights corresponding to normal (10~85 percentile), low (3~10 percentile) and very low BMI (< 3 percentile), respectively. The subjects who wanted to be very low weight had the average BMI of 18.57 kg/m2, which was significantly lower than 21.21 kg/m2 of those who wanted to be normal weight (p < 0.001). The subjects who desired very low weight had significantly higher scores for depression symptoms (p < 0.05), while there were no differences in obsession to lose weight and obesity stress. Moreover, more subjects in this group had undesirable dietary habits such as eating fast foods more than weekly (p < 0.05). These findings suggest that the desire for extreme thinness may lead female adolescents to have not only unreasonably similar obesity stress and obsession to lose weight but also higher depression symptoms, along with undesirable dietary habits. The findings suggest the potential harm from excessive weight concerns of female adolescents; thus efforts to teach this group about healthy weights are urgently needed.

Keywords: body mass index; adolescents; depression; dietary habits

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Copyright © 2013 The Korean Society of Community Nutrition

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Table 1

Desired BMI of high school students according to gender

Table 1

1) N (%)

Table 2

Actual weight status of high school girls according to groups with BMI desired

Table 2

1) N (%), 2) Mean ± SD

abc: Different superscripts in the same row mean significant difference among groups by Duncan's multiple range test.

***: p < 0.001

Table 3

Health related lifestyle of high school girls according to BMI desired

Table 3

1) N (%)

*: p < 0.05 by χ2 test.

Table 4

Dietary habits of high school girls according to desired BMI

Table 4

1) N (%)

*: p < 0.05 by χ2 test.

Table 5

Weight control behaviors of high school girls according to desired BMI

Table 5

1) N (%)

***: p < 0.001 by χ2 test.

Table 6

Obsession to lose weights of high school girls according to desired BMI

Table 6

1) Mean ± SD

ab: Different superscripts in the same row mean significant difference among groups by Duncan's multiple range test.

*: p < 0.05, **: p < 0.01 by one-way ANOVA.

Table 7

Obesity stress of high school girls according to desired BMI

Table 7

1) Mean ± SD

ab: Different superscripts in the same row mean significant difference among groups by Duncan's multiple range test.

*: p < 0.05, **: p < 0.01 by one-way ANOVA.

Table 8

Depression symptoms of high school girls according to desired BMI

Table 8

1) Mean ± SD

ab: Different superscripts in the same row mean significant difference among groups by Duncan's multiple range test.

*: p < 0.05, ***: p < 0.001 by one-way ANOVA.