Body satisfaction and body weight in under- and healthy-weight adolescents: mediating effects of restrictive dieting, healthy and unhealthy food intake

Karolina Zarychta-Zajączkowska , Carina K. Y. Chan , Magdalena Kruk , Aleksandra Łuszczyńska


Purpose Theoretical models, such as the transdiagnostic model of eating disorders highlight the role of cognitive factors (e.g., the way people perceive their bodies) and their associations with maladaptive weight management behaviors resulting in underweight. This paper aims at testing the indirect association of adolescent’s body satisfaction and body mass index (BMI) through restrictive dieting, healthy eating or unhealthy eating as well as moderating role of adolescent’s weight status. Methods The study was conducted in 16 public middle and high schools in Central and Eastern Poland. A sample of 1042 under- and healthy-weight white adolescents aged 13–20 (BMI: 12.63–24.89) completed two self-reported questionnaires (fruit, vegetable, and energy-dense food intake) with a 11-month interval. Weight and height were measured objectively. Multiple mediation analysis and moderated multiple mediation analysis were conducted to test the study hypotheses. Results Adolescents less satisfied with their bodies were more likely to diet restrictively and at the same time ate more unhealthy energy-dense food rather than healthy food, which in turn predicted lower BMI. No moderating effects of weight status were found. Conclusions Low body satisfaction is a risk for restrictive diet and unhealthy food intake. Prevention programs may target under- and healthy-weight adolescents who are highly dissatisfied with their bodies, have a high intake of energy-dense food and apply a restrictive diet at the same time. Level of evidence Level III: longitudinal cohort study.
Author Karolina Zarychta-Zajączkowska (Filia we Wrocławiu / Wydział Psychologii we Wrocławiu)
Karolina Zarychta-Zajączkowska,,
- Wydział Psychologii we Wrocławiu
, Carina K. Y. Chan
Carina K. Y. Chan,,
, Magdalena Kruk (Filia we Wrocławiu / Wydział Psychologii we Wrocławiu)
Magdalena Kruk,,
- Wydział Psychologii we Wrocławiu
, Aleksandra Łuszczyńska (Filia we Wrocławiu / Wydział Psychologii we Wrocławiu)
Aleksandra Łuszczyńska,,
- Wydział Psychologii we Wrocławiu
Journal seriesEating and Weight Disorders-Studies on Anorexia Bulimia and Obesity, [Eating and Weight Disorders], ISSN 1124-4909, e-ISSN 1590-1262, (N/A 70 pkt)
Issue year2020
Keywords in EnglishBody satisfaction, Body weight, Healthy eating, Unhealthy eating, Restrictive dieting, Adolescence
ASJC Classification2738 Psychiatry and Mental health; 3203 Clinical Psychology
Languageen angielski
Body_tekst.pdf 951.73 KB
body-oswiadczenie-zarychta.pdf 570.33 KB
body-oswiadczenie-kruk.pdf 561.38 KB
body_oswiadczenie_Luszczynska.pdf 655.43 KB
Additional file
body%.pdf 315.04 KB
Score (nominal)70
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2018 = 0.767; WoS Impact Factor: 2018 = 2.73 (2) - 2018=2.127 (5)
Citation count*10 (2021-04-11)
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