Jurnal Ilmiah Kesehatan Sandi Husada (JIKSH)
Vol. 15 No. 2 (2026): Articles in Press

Associations between nutritional status, body image, and self-esteem among university students: An analytical cross-sectional study

Andi Nursiah (Master of Public Health Study Program, Universitas Muslim Indonesia, South Sulawesi)
Idris Idris (Master of Public Health Study Program, Universitas Muslim Indonesia, South Sulawesi)
Fatmawati Fatmawati (Bachelor of Nursing Study Program, Universitas Islam Makassar, South Sulawesi)
Badaruddin Badaruddin (Department of Nursing, Universitas Islam Makassar, South Sulawesi)



Article Info

Publish Date
19 Aug 2026

Abstract

Introduction: Social pressure regarding ideal body standards among university students has intensified concerns about body image and self-esteem, particularly during the transition to early adulthood. Nutritional status may influence psychological well-being; however, evidence suggests that subjective perception of the body may play a more critical role than objective physical measures. This study aimed to analyze the relationships between nutritional status, body image, and self-esteem among university students. Research Methodology: A quantitative analytic survey with a cross-sectional design was conducted among 142 university students in Makassar, Indonesia. Nutritional status was assessed using Body Mass Index (BMI), body image using the Body Shape Questionnaire (BSQ), and self-esteem using the Rosenberg Self-Esteem Scale (RSES). Data were analyzed using Spearman correlation due to non-normal distribution (Shapiro–Wilk p<0.05). Results: A significant positive correlation was found between BMI and body image (r=0.288; p=0.001), indicating that higher BMI was associated with poorer body image perception. A significant negative correlation was observed between body image and self-esteem (r=−0.305; p<0.001), suggesting that more negative body image was associated with lower self-esteem. No significant relationship was found between BMI and self-esteem (r=−0.086; p=0.307). Confidence intervals were not computed due to non-parametric analysis. Conclusion: Body image plays a more influential role than objective nutritional status in shaping self-esteem among university students. Interventions focused on body acceptance, mental health promotion, and the reduction of body dissatisfaction are recommended to improve student well-being.

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Journal Info

Abbrev

jiksh

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing Public Health

Description

The scope of this journal includes research that intends to review and understand nursing health care interventions and health policies that utilize advanced nursing research from an Asian perspective. The Sandi Husada Health Scientific Journal publishes research related to clinical, community, and ...