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Body Image and its Relation with Body Mass Index among Indian Adolescents. OBJECTIVE: To evaluate association of body mass index with perception and attitude towards bodyweight, shape and body image among adolescents. Methods: This cross-sectional study was done on 1811 adolescents. Attitude towards body image was assessed by using a self-administered Multidimensional Body-Self Relations Questionnaire. Perceived body shape was measured using the Stunkard scale. RESULTS: Adolescents showed significant difference (P<0.005) in perceptions and behaviors related to appearance, fitness, health, body areas and weight across various body mass index and socioeconomic categories. Girls articulated significantly higher (P<0.005) body dissatisfaction than boys. CONCLUSION: Attitudes and perceptions towards body image differ with sex, body mass index and socioeconomic class.