Body image anxiety refers to a psychological state in which individuals have excessive worries and negative emotions about their physical appearance. In recent years, with the diversiffcation of aesthetic communication and the development of social media, the number of people troubled by body image anxiety has gradually expanded, which has become a non-negligible public mental health problem. By sorting out domestic and international studies on the influencing factors of body image anxiety in recent years, this paper summarizes the research progress from individual, social and media levels, and puts forward corresponding countermeasures, so as to provide a reasonable reference for the intervention and guidance of body image anxiety.