Korean J Fam Pract. 2017; 7(3): 322-329  https://doi.org/10.21215/kjfp.2017.7.3.322
The Association between Recognition of Weight and Health Behavior of Korean Adolescents: The Korea Youth Risk Behavior Web-Based Survey, 2014
Yoongoo Kim, Byung Sung Kim*, Chang Won Won, Hyun-Rim Choi, Sunyoung Kim, Han Kim
Department of Family Medicine, Kyung Hee University Medical Center, Seoul, Korea
Byung Sung Kim
Tel: +82-2-958-8700, Fax: +82-2-958-8699
E-mail: byungskim@naver.com
Received: May 13, 2016; Revised: August 30, 2016; Accepted: September 3, 2016; Published online: June 20, 2017.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Adolescents’ health behaviors are closely related to their physical conditions. This study aims to identify the correlations between Korean adolescents’ health behaviors and body image distortion.
Methods: Participants were recruited from the Korea Youth risk behavior web-based survey 2014 dataset. According to the level of concordance between body mass index and subjective body image, the participants were divided into three groups: overweight distortion, underweight distortion, and control. The distinctive characteristics among the three groups were identified through multiple logistic regression analysis.
Results: For male adolescents, the overweight distortion group drank less, smoked less, had higher family economic conditions, and spent less of their allowance than did the control group. This group showed more effort to control their weight. The underweight distortion group drank more and spent more of their allowance than did the control group. Most boys in this group lived apart from their families and made less effort to control their weight. For female adolescents, the overweight distortion group showed lower level of happiness and higher level of daily stress and made more effort to control their weight. The underweight distortion group revealed higher level of caffeine consumption, more allowance, and less effort to control weight than in the control group.
Conclusion: Health behaviors differed among the three groups. To maintain good physical shape and health behaviors, a personalized counseling and guidance plan should be provided for the body image distortion groups.
Keywords: Adolescent; Health Behavior; Body Mass Index; Body Image; Thinness; Overweight
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