Sociodemographic and Anthropometric Determinants of Body Dissatisfaction in a Sample of Spanish Adolescents: The EHDLA Study.
13 affiliations
- 1School of Medicine, Universidad Espíritu Santo, Samborondón 092301, Ecuador.
- 2Universidad Internacional para el Desarrollo (UNINDE), 06080 Badajoz, Spain.
- 3Universidad Autónoma del Paraguay, Asunción 111215, Paraguay.
- 4Vicerrectoría de Investigación y Postgrado, Universidad de Los Lagos, Osorno 5290000, Chile.
- 5Department of Health Research, Icen Cognis, 38370 La Matanza de Acentejo, Spain.
- 6Carver University, Orlando, FL 32804, USA.
- 7Faculty of Education and Social Sciences, Universidad Andres Bello, Viña del Mar 2520000, Chile.
- 8AFySE Group, Research in Physical Activity and School Health, School of Physical Education, Faculty of Education, Universidad de las Américas, Santiago 8320000, Chile.
- 9Grupo Investigación Efidac, Escuela Educación Física, Pontificia Universidad Católica de Valparaíso, Valparaíso 2370200, Chile.
- 10Center for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul 02447, Republic of Korea.
- 11Department of Precision Medicine, Kyung Hee University College of Medicine, Seoul 02447, Republic of Korea.
- 12Department of Pediatrics, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul 02447, Republic of Korea.
- 13Faculty of Health Sciences, Universidad Tecnológica Atlántico Mediterráneo-UTAMED, 29590 Málaga, Spain.
Abstract
Body dissatisfaction is prevalent among adolescents and linked to adverse outcomes. This study examined sociodemographic and anthropometric factors associated with body dissatisfaction in Spanish adolescents. Cross-sectional data from the Eating Healthy and Daily Life Activities (EHDLA) study (N = 1378 students aged 12-17 years) were analyzed. Body dissatisfaction was assessed using the Body Image Dimensional Assessment (BIDA) instrument (overall index and three subscales). Variables included age, sex, socioeconomic status, immigrant status, family structure, parental education, area of residence, and body mass index. Robust multivariable linear models adjusted for all a priori covariates were fitted. Multivariable complete-case models included n = 747 of 1378 adolescents. Younger age, female sex, and excess weight were associated with higher body dissatisfaction on one or more BIDA dimensions. Excess weight showed the largest standardized associations and was linked to all BIDA dimensions (p < 0.001). Maternal educational attainment was not significant in the fully adjusted primary models but remained associated with lower Body Dissatisfaction Score in a reduced-model sensitivity analysis. No significant associations were observed for socioeconomic status, immigrant status, family structure, or area of residence in the primary models. Younger adolescents, female adolescents, and those with excess weight represent subgroups at greater risk of body dissatisfaction. These findings underscore the need for targeted prevention and intervention strategies addressing both anthropometric and sociodemographic risk factors during adolescence.
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BibTeX
@article{ramoscamino2026sociodemographic,
title = {{Sociodemographic and Anthropometric Determinants of Body Dissatisfaction in a Sample of Spanish Adolescents: The EHDLA Study.}},
author = {Diana Ramos-Camino and Camila Miño and José Adrián Montenegro-Espinosa and Fiorella Quiroz-Cárdenas and Lucille Ridgell and Rodrigo Yáñez-Sepúlveda and Jorge Olivares-Arancibia and Jacqueline Páez-Herrera and Dong Keon Yon and José Francisco López-Gil},
journal = {European journal of investigation in health, psychology and education},
year = {2026},
month = sep,
doi = {10.3390/ejihpe16100146},
url = {https://europepmc.org/article/MED/42930209},
note = {CC BY},
}
RIS
TY - JOUR
TI - Sociodemographic and Anthropometric Determinants of Body Dissatisfaction in a Sample of Spanish Adolescents: The EHDLA Study.
AU - Diana Ramos-Camino
AU - Camila Miño
AU - José Adrián Montenegro-Espinosa
AU - Fiorella Quiroz-Cárdenas
AU - Lucille Ridgell
AU - Rodrigo Yáñez-Sepúlveda
AU - Jorge Olivares-Arancibia
AU - Jacqueline Páez-Herrera
AU - Dong Keon Yon
AU - José Francisco López-Gil
PY - 2026
DA - 2026/09/23
JO - European journal of investigation in health, psychology and education
DO - 10.3390/ejihpe16100146
UR - https://europepmc.org/article/MED/42930209
AB - Body dissatisfaction is prevalent among adolescents and linked to adverse outcomes. This study examined sociodemographic and anthropometric factors associated with body dissatisfaction in Spanish adolescents. Cross-sectional data from the Eating Healthy and Daily Life Activities (EHDLA) study (N = 1378 students aged 12-17 years) were analyzed. Body dissatisfaction was assessed using the Body Image Dimensional Assessment (BIDA) instrument (overall index and three subscales). Variables included age, sex, socioeconomic status, immigrant status, family structure, parental education, area of residence, and body mass index. Robust multivariable linear models adjusted for all a priori covariates were fitted. Multivariable complete-case models included n = 747 of 1378 adolescents. Younger age, female sex, and excess weight were associated with higher body dissatisfaction on one or more BIDA dimensions. Excess weight showed the largest standardized associations and was linked to all BIDA dimensions (p < 0.001). Maternal educational attainment was not significant in the fully adjusted primary models but remained associated with lower Body Dissatisfaction Score in a reduced-model sensitivity analysis. No significant associations were observed for socioeconomic status, immigrant status, family structure, or area of residence in the primary models. Younger adolescents, female adolescents, and those with excess weight represent subgroups at greater risk of body dissatisfaction. These findings underscore the need for targeted prevention and intervention strategies addressing both anthropometric and sociodemographic risk factors during adolescence.
SN - 2174-8144
SN - 2254-9625
ER -