Association body image and nutrient intake among female adolescent in SMA Lab School Surabaya

Body image defined as an individual's perception, thoughts, and feelings about their physical appearance, is significantly shaped during adolescence by peers, family, romantic partners, and social media influencers. This study aimed to analyze the association between body image and macronutrient intake among female adolescents. A cross-sectional study was conducted with 116 female students aged 16-19 at SMA Lab School in Surabaya. Body image was assessed using the Body Shape Questionnaire (BSQ-34), and dietary intake was estimated using two non-consecutive 24-hour recalls calculating energy and macronutrient consumption. Although 59.3% of participants had a positive body image, the majority had inadequate energy and macronutrient intake. Inadequate consumption was prevalent across both body image groups. A significant association was found between body image and energy intake (p=0.029), as well as fat intake (p=0.001). This study establishes a significant association between body image and specific dietary components in adolescent girls. The findings highlight the critical need for health interventions that simultaneously promote balanced nutrition and a positive body image.