The quality of life of adolescents who think they are too fat is worse than for adolescents who really are obese. This was a result of the all Germany Health Interview and Examination Survey for Children and Adolescents (KiGGS) of the Robert Koch Institute, as presented by Bärbel-Maria Kurth and Ute Ellert in the current edition of Deutsches Ärzteblatt International (Dtsch Arztebl Int 2008, 105[23]: 406-12).