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OBJECTIVES: As mistaken body weight perceptions have been linked to less healthy diet and activity behaviors, accurate weight perception may help individuals set appropriate, health-related weight goals. However, some data link poor weight perception with negative mental health. The purpose of this study is to examine the prevalence of body weight misperception and self-reported life satisfaction among undergraduate college students. METHODS: Data were collected from undergraduate students (18–24 years) participating in an on-going cross-sectional health survey at a midsize, northeastern university between 2010–18 (n = 3921). Students self-reported their described weight status and life satisfaction via online questionnaire; body composition was assessed via bioelectrical impedance in a fasted state. Proportional differences between men and women were evaluated using chi-square analyses. RESULTS: More than a third (35.9%) of students misperceived their weight status. Among men (n = 1190), 31.7% misperceived their weight status. Among women (n = 2731), 37.6% misperceived their weight status. Compared with men, women had a higher prevalence of overestimating their weight status (31.7 vs. 11.1%, P |