Internalized appearance ideals, emotional distress, and social approval pressures are linked to weight- and physique-driven supplement behaviors in college students.
Key Findings
Results
Higher scores on the Investment in Ideals and Health-Fitness Evaluation subscales were significantly associated with higher performance-enhancing supplement (PES) use.
Chi-square analyses examined supplement prevalence in students ranked within the highest and lowest tertiles of each subscale
Both the Investment in Ideals subscale and the Health-Fitness Evaluation subscale showed significantly higher PES use in the high-scoring group compared to the low-scoring group
Both subscales and male gender were identified as significant predictors of PES use in logistic regression analysis
Sample consisted of college students aged 18-28 years (N = 122)
Results
Higher scores on the Fatness Evaluation, Negative Affect, and Social Dependence subscales were significantly associated with higher weight-loss supplement (WLS) use.
Chi-square analyses found significantly higher WLS use among students scoring in the highest tertile for Fatness Evaluation, Negative Affect, and Social Dependence subscales compared to the lowest tertile
Fatness Evaluation subscale and age were identified as significant predictors of WLS use in logistic regression analysis
Middle tertile data were excluded as part of the extreme-group design for chi-square analyses
All responses were included in the logistic regression analysis
Results
Body self-image subscales were not significantly associated with general dietary supplement (DS) use.
None of the nine psychological subscales showed significant associations with general dietary supplement use in either chi-square or logistic regression analyses
General dietary supplement use was assessed via a single dichotomous question
This finding contrasts with the significant associations found for PES and WLS use
The Body Self-Image Questionnaire-Short Form assessed nine psychological subscale groups
Results
Male gender was a significant predictor of performance-enhancing supplement use in logistic regression analysis.
Male gender was identified alongside the Investment in Ideals and Health-Fitness Evaluation subscales as a significant predictor of PES use
Three dichotomous questions assessed general dietary (DS), performance-enhancing (PES), and weight-loss (WLS) supplement use
The sample included college students aged 18-28 years (N = 122)
Results
Age was a significant predictor of weight-loss supplement use in logistic regression analysis.
Age was identified alongside the Fatness Evaluation subscale as a significant predictor of WLS use in logistic regression
The study sample ranged from 18 to 28 years of age
WLS use was assessed via a single dichotomous question
Methods
The study used an extreme-group design with an established body image instrument to examine supplement behaviors in a college student sample.
Participants (N = 122; aged 18-28 years) completed the Body Self-Image Questionnaire-Short Form (BSIQ-SF) to assess body self-image across nine psychological subscale groups
Student scores were ranked as high, moderate, or low percentile within the study sample
Chi-square analyses compared supplement prevalence between the highest and lowest tertiles, excluding the middle tertile
Logistic regression analysis included all responses and examined predictors of each supplement type
Berridge J, Austin A, N Clifford S, Shultz S. (2026). Exploration of Body Self-Image and Associated Body Composition Supplement Behaviors in College Students.. Nutrients. https://doi.org/10.3390/nu18010007