Objective: To study the hypothesis that underweight may be more preval
ent among dancing school students than among nondancing school girls,
and that their teachers and peers may play a role in developing this t
endency. Design: A case-control study on a convenience sample. Setting
: Two local dancing schools and one neighboring regular school. Partic
ipants: Forty ballet students, aged 13 to 17 years, from four classes
and 29 age-matched girls in four regular classes. Intervention: None.
Measurements/Main Results: Each pupil was asked to classify herself an
d her peers as underweight, nor mal, or overweight; teachers were aske
d to classify their pupils by the same categories. Results were compar
ed with an objective score, weight as a percentage of ideal weight for
height, in which less than 85% indicates underweight; 85% to 115%, no
rmal; and more than 115%, overweight. A higher prevalence of underweig
ht as well as a significant tendency to overestimate self-evaluation w
as found among dancing students. Dancing teachers' evaluation tended t
o be inaccurate, especially regarding their underweight students. Conc
lusions: The atmosphere in dancing classes may encourage striving for
thinness beyond normal limits. Ballet teachers may play a significant
role in this process. We suggest that physicians and nutritionists be
involved in ballet schools.