FOCUS ON OBESITY AND WEIGHT MANAGEMENTElevated Body Image Dissatisfaction Relates to Body Size of Appalachian ChildrenTulkki, Lisa A. MSHCS; Berryman, Darlene E. PhD, RD; Rana, Sharon PhD; Denham, Sharon PhD; Holben, David H. PhD, RD; Nisbett, Nancy PhDAuthor Information Cleveland Clinic Foundation, Cleveland, Ohio (Ms Tulkki); School of Human and Consumer Sciences (Ms Tulkki and Drs Berryman and Holben), School of Recreation and Sport Sciences (Dr Rana), and School of Nursing (Dr Denham), Ohio University, Athens; and California State University, Fresno (Dr Nisbett). Corresponding author: Darlene E. Berryman, PhD, RD, W324 Grover Center, Ohio University Athens, OH 45701 (e-mail: [email protected]). This work was supported with funds from the Appalachian Rural Health Institute at Ohio University. Dr Berryman is supported by a mentored career development award from NIH-NIDDK (DK064905), and Drs Rana and Nisbett were supported, in part, by funds from the School of Recreation and Sport Sciences at Ohio University. Topics in Clinical Nutrition: April 2006 - Volume 21 - Issue 2 - p 101-107 Buy Abstract Body image, diet, and anthropometric indices of children (male, N = 31; female, N = 34) from Appalachian Ohio were examined. Overweight incidence was high and comparable to other studies of children in this region. Body image distortion was not apparent. Body image dissatisfaction was common (69%) and typically associated with desiring a smaller size. Body mass index and percent body fat were positively correlated with body dissatisfaction, although no relationship between diet and body image was found. This study suggests that dietitians may confront higher rates of body image disturbances in both genders if the proportion of overweight children continues to rise. © 2006 Lippincott Williams & Wilkins, Inc.