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Fighting Weight Bias and Obesity Stigma: a Call for Action

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Abstract

Obesity is a complex medical condition, influenced by several factors. Weight bias refers to pervasive negative weight-related attitudes or beliefs, expressed as stereotypes, prejudice, and even open discrimination toward individuals because they have obesity. Obesity increases the risk of acquiring a wide range of associated diseases, as diabetes, hypertension, cardiovascular disease, and cancer. This chronic disease can also impair a person’s well-being and quality of life. Nevertheless, the media, public, and even healthcare providers, including doctors, focus overwhelmingly on the contribution of individual choices and responsibility. The widely held assumptions are that individuals with obesity do not have self-control, don’t “eat wisely,” or do not want to be healthier. These assumptions are inherently linked to stereotypes and are likely to exacerbate stigmatizing attitudes towards people with obesity. Even with the growing incidence and prevalence of obesity worldwide, weight stigmatization did not recede.

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References

  1. Erikkson J, Forsen T, Osmond C, et al. Obesity from cradle to grave. Int J Obes. 2003;27:722–7.

    Article  Google Scholar 

  2. Hatzenbuehler ML, Phelan JC, Link BG. Stigma as a fundamental cause of population health inequalities. Am J Public Health. 2013;103:813–21.

    Article  Google Scholar 

  3. Apovian CM. Obesity: definition, comorbidities, causes, and burden. Am J Manag Care. 2016;22(7 Suppl):s176–85.

    Google Scholar 

  4. Puhl RM, Heuer CA. The stigma of obesity: a review and update. Obesity (Silver Spring). 2009;17:941–64.

    Article  Google Scholar 

  5. Hilbert A. The burden of the burden: current advances in weight stigma research. Obesity Facts. 2010;3(1):5–6.

    Article  Google Scholar 

  6. Major B, Hunger JM, Bunyan DP, et al. The ironic effects of weight stigma. J Exp Soc Psychol. 2014;51:74–80.

    Article  Google Scholar 

  7. Schvey NA, Puhl RM, Brownell KD. The impact of weight stigma on caloric consumption. Obesity. 2011;19(10):1957–62.

    Article  Google Scholar 

  8. Vartanian LR, Shaprow JG. Effects of weight stigma on exercise motivation and behavior: a preliminary investigation among college-aged females. J Health Psychol. 2008;13(1):131–8.

    Article  Google Scholar 

  9. Kahan S, Puhl RM. The damaging effects of weight bias internalization. Obesity. 2017;25:280–1.

    Article  Google Scholar 

  10. Tomiyama AJ, Carr D, Granberg EM, et al. How and why weight stigma drives the obesity ‘epidemic’ and harms health. BMC Med. 2018;16(1):123.

    Article  Google Scholar 

  11. Nolan LJ, Eshleman A. Paved with good intentions: paradoxical eating responses to weight stigma. Appetite. 2016;102:15–24.

    Article  Google Scholar 

  12. Bertakis KD, Azari R. The impact of obesity on primary care visits. Obes Res. 2005;13(9):1615–23.

    Article  Google Scholar 

  13. Flegal KM, Kit BK, Orpana H, et al. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013;309(1):71–82.

    Article  CAS  Google Scholar 

  14. Cummings DE, Cohen RV. Beyond BMI: the need for new guidelines governing the use of bariatric and metabolic surgery. Lancet Diabetes Endocrinol. 2014;2(2):175–81.

    Article  Google Scholar 

  15. Bell CG, Walley AJ, Froguel P. The genetics of human obesity. Nat Rev Genet. 2005;6(3):221–34.

    Article  CAS  Google Scholar 

  16. El Hayek S, Bitar L, Hamdar LH, et al. Poly cystic ovarian syndrome: an updated overview. Front Physiol. 2016;7:124–32.

    Article  Google Scholar 

  17. Executive summary, “Weight-bias and stigma of obesity: prevalence, causes, consequences and a call to action a joint consensus statement and pledge by International Scientific Organizations”. Obes Surg. Doi:

Download references

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Authors and Affiliations

  1. The Center for the treatment of Obesity and Diabetes – COD, Hospital Oswaldo Cruz, Sao Paulo, Brazil

    Ricardo Cohen

  2. Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Scott Shikora

Authors
  1. Ricardo Cohen
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  2. Scott Shikora
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Correspondence to Ricardo Cohen.

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Cohen, R., Shikora, S. Fighting Weight Bias and Obesity Stigma: a Call for Action. OBES SURG 30, 1623–1624 (2020). https://doi.org/10.1007/s11695-020-04525-0

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  • DOI: https://doi.org/10.1007/s11695-020-04525-0

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