Psychosocial and environmental factors can influence how adolescents perceive their body image (BI) and whether it matches with the real nutritional status (normal weight, overweight and obesity). This study aimed to analyze the dissatisfaction with BI and the concept of healthy BI according to nutritional status. A cross-sectional study was carried out in 2014 in six public schools in Fortaleza, Ceara, Brazil. Participants counted 1,182 adolescents aged between 11 and 18. Body mass index (kg/m²) was calculated after measuring weight and height using international standardized protocol. We used the 9-point silhouetted scale of Stunkard et al. Perception of the current BI and the healthy body were asked.  Gender (boys and girls) and age groups (11-13 years-old and 14-18 years-old) were reported. Comparison between groups were made using Chi-square test for linear trends, considering p < 0.05.