Current Obesity Reports

, Volume 7, Issue 2, pp 186–192 | Cite as

Media and Its Influence on Obesity

  • Fatima Cody Stanford
  • Zujaja Tauqeer
  • Theodore K. Kyle
Psychological Issues (V Drapeau and S Sogg, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Psychological Issues


Purpose of Review

To review how the media frames obesity and the effect it has upon on public perceptions.

Recent Findings

The scientific and public health understanding of obesity increasingly points away from individual behaviors and toward medical and community factors, but diffusion of this knowledge is slow. Growing awareness of the importance of body positivity is driving attention to the harms of weight bias and fat shaming.


Health science reporting related to obesity, nutrition, and physical activity tends to perpetuate myths and misunderstandings. Moving forward, greater attention to accurate messages about obesity and evidence-based interventions will be essential for progress to reduce suffering and the impact on public health from this chronic disease.


Media Weight bias Weight stigma Obesity Health policy 



This work was supported in part by NIH NIDDK R01 DK103946 03.

Compliance with Ethical Standards

Conflict of Interest

Fatima Cody Stanford and Zujaja Tauqeer declare that they have no conflicts of interest. Theodore K. Kyle has received compensation from Novo Nordisk, Nutrisystem, the Obesity Action Coalition, and The Obesity Society for service as a consultant.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. 1.
    • Kyle TK, Dhurandhar EJ, Allison DB. Regarding obesity as a disease: evolving policies and their implications. Endocrinol Metab Clin North Am. 2016;45(3):511–20. Provides a concise review of the how views of obesity have changed over three decades and the response to those changes. Google Scholar
  2. 2.
    Lobstein T, Brinsden H, Gill T, Kumanyika S, Swinburn B. Comment: obesity as a disease—some implications for the World Obesity Federation’s advocacy and public health activities. Obes Rev. 2017;18(7):724–6.CrossRefPubMedGoogle Scholar
  3. 3.
    Bray GA, Kim KK, Wilding JPH, World Obesity F. Obesity: a chronic relapsing progressive disease process. A position statement of the World Obesity Federation. Obes Rev. 2017;18(7):715–23.CrossRefPubMedGoogle Scholar
  4. 4.
    Kilov D, Kilov G. Philosophical determinants of obesity as a disease. Obes Rev 2017.Google Scholar
  5. 5.
    Wilfley DE, Staiano AE, Altman M, Lindros J, Lima A, Hassink SG, et al. Improving access and systems of care for evidence-based childhood obesity treatment: conference key findings and next steps. Obesity (Silver Spring). 2017;25(1):16–29.CrossRefGoogle Scholar
  6. 6.
    Apovian CM, Aronne LJ, Bessesen DH, McDonnell ME, Murad MH, Pagotto U, et al. Pharmacological management of obesity: an endocrine society clinical practice guideline. J Clin Endocrinol Metab. 2015;100(2):342–62.CrossRefPubMedGoogle Scholar
  7. 7.
    Jensen MD, Ryan DH. New obesity guidelines: promise and potential. JAMA. 2014;311(1):23–4.CrossRefPubMedGoogle Scholar
  8. 8.
    • Greenhalgh S. Fat-talk nation: the human costs of America’s war on fat: Cornell University Press, 2015; 2015. Describes how cultural assumptions about body weight and health are often based on false, contested, or incomplete scientific ideas. Google Scholar
  9. 9.
    • Puhl RM, Phelan SM, Nadglowski J, Kyle TK. Overcoming weight bias in the management of patients with diabetes and obesity. Clin Diabetes. 2016;34(1):44–50. An excellent overview of the extent and the clinical impact of weight stigma. CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Schmalz DL. ‘I feel fat’: weight-related stigma, body esteem, and BMI as predictors of perceived competence in physical activity. Obes Facts. 2010;3(1):15–21.CrossRefPubMedGoogle Scholar
  11. 11.
    Jackson SE, Beeken RJ, Wardle J. Perceived weight discrimination and changes in weight, waist circumference, and weight status. Obesity (Silver Spring). 2014;22(12):2485–8.Google Scholar
  12. 12.
    Sutin AR, Terracciano A. Perceived weight discrimination and obesity. PLoS One. 2013;8(7):e70048.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Sutin AR, Stephan Y, Luchetti M, Terracciano A. Perceived weight discrimination and C-reactive protein. Obesity (Silver Spring). 2014;22(9):1959–61.CrossRefGoogle Scholar
  14. 14.
    Tomiyama AJ, Epel ES, McClatchey TM, Poelke G, Kemeny ME, McCoy SK, et al. Associations of weight stigma with cortisol and oxidative stress independent of adiposity. Health Psychol. 2014;33(8):862–7.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Spiel EC, Paxton SJ, Yager Z. Weight attitudes in 3- to 5-year-old children: age differences and cross-sectional predictors. Body Image. 2012;9(4):524–7.CrossRefPubMedGoogle Scholar
  16. 16.
    Sabin JA, Marini M, Nosek BA. Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender. PLoS One. 2012;7(11):e48448.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Teachman BA, Brownell KD. Implicit anti-fat bias among health professionals: is anyone immune? Int J Obes Relat Metab Disord. 2001;25(10):1525–31.CrossRefPubMedGoogle Scholar
  18. 18.
    Implicit P. Project Implicit: take a test 2011 [Available from:
  19. 19.
    Bocquier A, Verger P, Basdevant A, Andreotti G, Baretge J, Villani P, et al. Overweight and obesity: knowledge, attitudes, and practices of general practitioners in France. Obes Res. 2005;13(4):787–95.CrossRefPubMedGoogle Scholar
  20. 20.
    Glauser TA, Roepke N, Stevenin B, Dubois AM, Ahn SM. Physician knowledge about and perceptions of obesity management. Obes Res Clin Pract. 2015;9(6):573–83.CrossRefPubMedGoogle Scholar
  21. 21.
    Browne JL, Ventura A, Mosely K, Speight J. ‘I call it the blame and shame disease’: a qualitative study about perceptions of social stigma surrounding type 2 diabetes. BMJ Open. 2013;3(11):e003384.CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Gudzune KA, Beach MC, Roter DL, Cooper LA. Physicians build less rapport with obese patients. Obesity (Silver Spring). 2013;21(10):2146–52.CrossRefGoogle Scholar
  23. 23.
    Puhl RM, Suh Y, Li X. Legislating for weight-based equality: national trends in public support for laws to prohibit weight discrimination. Int J Obes. 2016;40(8):1320–4.CrossRefGoogle Scholar
  24. 24.
    Allison DB, Brown AW, George BJ, Kaiser KA. Reproducibility: a tragedy of errors. Nature. 2016;530(7588):27–9.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Scudellari M. ‘Strange. Very strange’: retracted nutrition study reappears in new journal.” The Center for Scientific Integrity; 2017 [Available from:
  26. 26.
    Casazza K, Fontaine KR, Astrup A, Birch LL, Brown AW, Bohan Brown MM, et al. Myths, presumptions, and facts about obesity. N Engl J Med. 2013;368(5):446–54.CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Brown AW, Ioannidis JP, Cope MB, Bier DM, Allison DB. Unscientific beliefs about scientific topics in nutrition. Adv Nutr. 2014;5(5):563–5.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    • Frederick DA, Saguy AC, Sandhu G, Mann T. Effects of competing news media frames of weight on antifat stigma, beliefs about weight and support for obesity-related public policies. Int J Obes (Lond). 2016;40(3):543–9. Documents the importantance of media for influencing beliefs about obesity and attitudes about policies to address it. Google Scholar
  29. 29.
    Saguy AC, Frederick D, Gruys K. Reporting risk, producing prejudice: how news reporting on obesity shapes attitudes about health risk, policy, and prejudice. Soc Sci Med. 2014;111:125–33.CrossRefPubMedGoogle Scholar
  30. 30.
    Stanford FC, Kyle TK. Why food policy and obesity policy are not synonymous: the need to establish clear obesity policy in the United States. Int J Obes. 2015;39(12):1667–8.CrossRefGoogle Scholar
  31. 31.
    Monaghan LF, Colls R, Evans B. Obesity discourse and fat politics: research, critique and interventions. Crit Public Health. 2013;23(3):249–62.CrossRefGoogle Scholar
  32. 32.
    Brochu PM, Pearl RL, Puhl RM, Brownell KD. Do media portrayals of obesity influence support for weight-related medical policy? Health Psychol. 2014;33(2):197–200.CrossRefPubMedGoogle Scholar
  33. 33.
    Puhl R, Peterson JL, Luedicke J. Fighting obesity or obese persons? Public perceptions of obesity-related health messages. Int J Obes. 2013;37(6):774–82.CrossRefGoogle Scholar
  34. 34.
    • Sun Y, Krakow M, John KK, Liu M, Weaver J. Framing obesity:how news frames shape attributions and behavioral responses. J. Health Commun. 2016;21(2):139–47. Important evidence for the contribution of media to bias, stigma, and misunderstandings about obesity. CrossRefPubMedGoogle Scholar
  35. 35.
    Gollust SE, Niederdeppe J, Barry CL. Framing the consequences of childhood obesity to increase public support for obesity prevention policy. Am J Public Health. 2013;103(11):e96–102.CrossRefPubMedPubMedCentralGoogle Scholar
  36. 36.
    Lee JS, Sheer JL, Lopez N, Rosenbaum S. Coverage of obesity treatment: a state-by-state analysis of Medicaid and state insurance laws. Public Health Rep. 2010;125(4):596–604.CrossRefPubMedPubMedCentralGoogle Scholar
  37. 37.
    Moyer VA, Force USPST. Screening for and management of obesity in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2012;157(5):373–8.PubMedGoogle Scholar
  38. 38.
    Gomez G, Stanford FC. US health policy and prescription drug coverage of FDA-approved medications for the treatment of obesity. Int J Obes 2017.Google Scholar
  39. 39.
    • Leathers S. Obesity uncovered: diagnosis without treatment in plans offered on the 2015 health insurance marketplace. Institutional Repository at the University of Pittsburgh: University of Pittsburgh; 2016. Documents the result of misperceptions of obesity—severely limited access to evidence-based obesity care. Google Scholar
  40. 40.
    Bradley DD, WH. Provider competencies for the prevention and management of obesity 2017 [Available from:
  41. 41.
    Collaborators GBDO, Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, et al. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017;377(1):13–27.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Fatima Cody Stanford
    • 1
    • 2
    • 3
  • Zujaja Tauqeer
    • 1
  • Theodore K. Kyle
    • 4
  1. 1.Harvard Medical School (HMS)BostonUSA
  2. 2.Massachusetts General Hospital (MGH) Weight CenterBostonUSA
  3. 3.MGH Internal Medicine-Gastroenterology and Pediatrics EndocrinologyBostonUSA
  4. 4.ConscienHealthPittsburghUSA

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