{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:39:32Z","timestamp":1777891172173,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["WOR"],"published-print":{"date-parts":[[2021,11,26]]},"abstract":"<jats:p>BACKGROUND: Appropriate body image self-perceptions provide a good help to increase the feeling of personal well-being, thus having an important impact on health. Universities, having an important role in shaping of the future workers, represent an important setting to approach health issues. OBJECTIVE: This study determined to what extent different types of students in higher education (four categories of students were created: \u201cself-secure\u201d, \u201cperfect\u201d, \u201cdestructive\u201d and \u201capologetic\u201d) are likely to adopt different health risk behaviors. METHODS: A cross-sectional study in a sample of students from five European Universities in the 2016\/2017 academic year was conducted. Based on the combination of body image perception and body mass index, four types of students were identified: \u201cself-secure\u201d (overweight students with a good self-esteem); \u201cperfect\u201d (underweight students with a good self-esteem); \u201cdestructive\u201d (overweight students with a poor self-esteem); \u201capologetic\u201d (underweight students with a poor self-esteem). RESULTS: The study reveals that the defined types of students differed in terms of risk behavior. When the control was included, the \u201cself-secure\u201d student type had a reduced likelihood of being on a diet (22.3%) and physically active (17.8%) than other students (p\u200a&lt;\u200a0.001). CONCLUSIONS: The results of this paper raise concerns about the future because the body dissatisfaction of the college student could be a big impact in long term whether at collective, personally or even professionally.<\/jats:p>","DOI":"10.3233\/wor-213613","type":"journal-article","created":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T17:09:06Z","timestamp":1635872946000},"page":"937-944","source":"Crossref","is-referenced-by-count":0,"title":["Is health behavior among university students determined by actual body shape or by body image? A European study"],"prefix":"10.1177","volume":"70","author":[{"given":"Maria Piedade","family":"Brand\u00e3o","sequence":"first","affiliation":[{"name":"School of Health Sciences, University of Aveiro, Aveiro, Portugal"},{"name":"Center for Health Technology and Services Research, University of Aveiro, Aveiro, Portugal"}]},{"given":"Annettte Quinto","family":"Romani","sequence":"additional","affiliation":[{"name":"Department of Sociology and Social Work, Aalborg University, Aalborg, Denmark"}]},{"given":"Frantitsek","family":"Sudzina","sequence":"additional","affiliation":[{"name":"Department of Business and Management, Aalborg University, Aalborg, Denmark"}]},{"given":"Inger Glavind","family":"Bo","sequence":"additional","affiliation":[{"name":"Department of Sociology and Social Work, Aalborg University, Aalborg, Denmark"}]},{"given":"Bent Egberg","family":"Mikkelsen","sequence":"additional","affiliation":[{"name":"Department of Geosciences and Natural Resource, University of Copenhagen, Copenhagen, Denmark"}]}],"member":"179","reference":[{"issue":"4","key":"10.3233\/WOR-213613_ref2","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.bodyim.2014.06.008","article-title":"Victimization, social anxiety, and body dysmorphic concerns: appearance-based rejection sensitivity as a mediator","volume":"11","author":"Lavell","year":"2014","journal-title":"Body Image"},{"key":"10.3233\/WOR-213613_ref3","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.ypmed.2015.03.018","article-title":"Association of self-perceived body image with body mass index and type 2 diabetes-The ADDITION-PRO study","volume":"75","author":"Bjerggaard","year":"2015","journal-title":"Prev Med"},{"key":"10.3233\/WOR-213613_ref4","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.bodyim.2016.03.003","article-title":"Self-compassion, body image, and disordered eating: A review of the literature","volume":"17","author":"Braun","year":"2016","journal-title":"Body Image"},{"issue":"3","key":"10.3233\/WOR-213613_ref5","first-page":"533","article-title":"Perceived and desired body weight among female university students in relation to BMI-based weight status and socio-economic factors","volume":"20","author":"Wronka","year":"2013","journal-title":"Ann Agric Environ Med"},{"key":"10.3233\/WOR-213613_ref6","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1186\/s12889-015-2624-2","article-title":"Weight perception and its association with socio-demographic and health-related factors among Korean adolescents","volume":"15","author":"Shin","year":"2015","journal-title":"BMC Public Health"},{"key":"10.3233\/WOR-213613_ref7","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.eatbeh.2015.09.003","article-title":"Gender differences in body image and preferences for an ideal silhouette among Brazilian undergraduates","volume":"19","author":"Laus","year":"2015","journal-title":"Eat Behav"},{"key":"10.3233\/WOR-213613_ref8","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1177\/10253823020090010111","article-title":"The health promoting university\u2013from idea to implementation","volume":"1","author":"Dooris","year":"2002","journal-title":"Promot Educ. 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