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Body image perception in relation to recent weight changes and strategies for weight loss in a nationally representative sample in the European Union

  • Sinead McElhone (a1), John M Kearney (a1), Ismene Giachetti (a2), Hans-Joachim Franz Zunft (a3) and J Alfredo Martínez (a4)
  • DOI:
  • Published online: 01 January 2007

To assess body image perception and satisfaction with current body image across the EU and to explore the influence of sociodemographic variables, body-weight change and strategies for losing weight on body image perception.


A cross-sectional study in which quota-controlled, nationally representative samples of approximately 1000 adults from each country completed a face-to-face interview-assisted questionnaire.


The survey was conducted in the 15 member states of the EU between March and April 1997.


The questionnaire was completed by 15 239 subjects (aged 15 years and upwards). Data were weighted by population size for each country and by sex, age and regional distribution within each member state.


Just 39% of respondents in the EU were satisfied with their weight and these were more likely to be male (46%) rather than female (31%). Across the EU 29% of Finnish subjects were content with their weight compared with 47% in Belgium and 48% in Luxembourg. The highest percentage of subjects who were content with their body weight was among females who were underweight (58%) and males who were normal weight (66%). A further 20% of underweight females wished to be lighter compared to only 5% of males. Diet was the most frequently selected method for losing weight especially among females wishing to be considerably lighter (27%) while males were as likely to use exercise as diet as a strategy to lose weight.


Geographical and sociodemographical influences on body image perception are evident across the EU. There were clear gender differences in the desire to be thinner with a high proportion of females who were underweight being content to be so.

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1EK Battle , KD Brownell . Confronting a rising tide of eating disorders and obesity; treatment vs. prevention and policy. Addict. Behav. 1996; 21: 755–65.

2A Wolk , S Rossner . Effects of smoking and physical activity on body weight: developments in Sweden between 1986 and 1989. J. Intern. Med. 1995; 237: 287–91.

6YM Ryan , MJ Gibney , MAT Flynn . The pursuit of thiness: a study of Dublin schoolgirls aged 15 years. Int. J. Obes. 1998; 22: 485–7.

8J Rodin . Cultural and psychosocial determinants of weight concerns Ann. Intern. Med. 1993, 119: 643–5.

11M Rosenbaum , RL Leibel , J Hirsch . Obesity. N. Engl. J. Med. 1997; 337: 396407.

12RH Striegel-Moore , LR Silberstein , J Rodin . Towards an understanding of risk factors for bulimia. Am. Psychol. 1986; 41: 246–63.

14LKC Hsu . Is there a disturbance of body image in anorexia nervosa? J. Nerv. Ment. Dis. 1982; 170: 305–7.

16RC Casper , KA Halmi , BC Goldberg , JM Davis . Disturbances in body image estimation as related to their characteristics and outcome of anorexia nervosa. Br. J. Psych. 1979; 134: 60–6.

17AE Fallon , P Rozin . Sex differences in perception of desirable body shape. J. Abnorm. Psychol. 1985; 94: 102–5.

18A Gila , J Castro , J Toro , M Salamero . Subjective body-image dimensions in normal and anorexic adolescents. Br. J. Med. Psychol. 1998; 71: 175–84.

20GT Wilson . Relation of dieting and voluntary weight loss to psychological functioning and binge eating. Ann. Intern. Med. 1993; 119: 727–30.

21JM Kearney , MJ Kearney , S McElhone , MJ Gibney . Methods used to conduct the pan-European Union survey on consumer attitudes to physical activity, body weight and health. Public Health Nutr. 1999; 2: 7986.

23D Goldsmith , JK Thompson . The effect of mirror confrontation and size estimation feedback on perceptional inaccuracy in normal females who over-estimate body size. Int. J. Eat. Disord. 1989; 8: 437–44.

24DA Williamson , ML Kelly , CJ Davis , L Ruggiero , DC Blouin . Psychopathology of eating disorders: a controlled comparison of bulimic, obese and normal subjects. J. Consult. Clin. Psychol. 1985; 53: 161–6.

26LB Mintz , NE Betz , Sex differences in the nature, realism and correlates of body image. Sex Roles 1986; 15: 185–95.

27A Drewnowski , DK Yee . Men and body image: are males satisfied with their body weight? Psychosom. Med. 1987; 49: 626–34.

29DM Czajka-Narins , ES Parham . Fear of fat: attitudes towards obesity. The thinning of America. Nutr. Today 1990; January/February: 2632.

30P Rozin , A Fallon . Body image, attitudes to weight, and misperceptions of figure preferences of the opposite sex: a comparison of men and women in two generations. J. Abnorm. Psychol. 1988; 97: 342–5.

31SL Franzoi , SA Shield . The body esteem scale; multidimensional structure and sex differences in a college population. J. Pers. Assess. 1984; 48: 173–8.

32TA Wadden , G Brown , DG Foster , KA Letizia , AJ Stunkard . Salience of weight related worries in adolescent males and females. Int. J. Eat. Disord. 1991; 10: 407–12.

34JA Martínez , JM Kearney , A Kafatos , S Paquet , MA Martínez-González . Variables independently associated with self-reported obesity in the European Union. Public Health Nutr. 1999; 2: 125133.

35ED Schulken , PJ Pinciaro , RG Sawyer , J Jensen , MT Hoban . Sorority women's body size perceptions and their weight-related attitudes and behaviours. J. Am. Coll. Health 1997; 46: 6974.

36ES Epel , A Spanakos , J Kasl-Godley , KD Brownell . Body shape ideals across gender, sexual orientation, socio-economic status, race and age in personal advertisements. Int. J. Eat. Disord. 1996; 19: 265–73.

38R McAllister , ML Caltabiano . Self-esteem, body-image and weight in non-eating disordered women. Psychol. Rep. 1994; 75: 1339–43.

39JP Foreyt , RL Brunner , GK Goodrick , G Cutter , KD Brownell , ST Stjeor . Psychological correlates of weight fluctation. Int. J. Eat. Disord. 1995; 17: 263–75.

40TA Wadden , GD Foster , KA Letizia , AJ Stunkard . A multi-centre evaluation of a proprietary weight reduction programme for the treatment of marked obesity. Arch. Int. Med. 1992; 152: 961–6.

41J Polivy , CP Herman . Dieting and binging: a causal analysis. Am. Psychol. 1985; 40: 193201.

42JP Kassirer , M Angell . Losing weight—an ill-fated new year's resolution. N. Engl. J. Med. 1998; 338: 52–4.

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