AIM: We explored associations of weight perception with measured weight status and weight loss intention among urban youth. METHODS: This community surveillance project included 317 youth (10-19 years, 64% black) who answered YRBSS questions and underwent measurements of height and weight. RESULTS: Weight misperception was observed among 47% of participants; 41% underestimated and 6% overestimated their weight status. Among youth with overweight and obesity, however, 72% misperceived their weight status; those with accurate perception were more likely to report trying to lose weight. CONCLUSION: Addressing weight status misperceptions may be essential when advocating lifestyle behavior change to promote healthful body weight among youth.
