Paved with good intentions: Paradoxical eating responses to weight stigma

Appetite
Laurence J Nolan, Amy Eshleman

Abstract

Because body weight is largely seen as controllable, weight stigma-the social devaluation of those who are overweight-is not subject to the social norms that condemn open expression of racism and sexism. Indeed, rejection of peers based on perceptions of excess weight is normative. Since weight stigma is internalized, popular views (and often the views of physicians) have suggested that increasing the salience of weight stigma might produce a reduction in overeating and/or an increase in physical activity. However, that perspective is not rooted in scientific evidence. Recent randomized controlled designs demonstrate that stigma may promote overeating. Correlational evidence suggests that self-reported stigma experience is associated with risk for binge eating and decreased interest in physical exercise and dieting, for children and adults. In addition to reviewing these research studies, this paper examines the potential for intersectionality of stigma across multiple social identities and considers alternatives to stigmatizing weight loss interventions.

Citations

Jul 18, 2020·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Ariel L BecciaJudson A Brewer
Sep 7, 2019·Nutrients·Helen K RuddockCharlotte A Hardman
Mar 21, 2020·Obesity Surgery·Ricardo Cohen, Scott Shikora
Aug 25, 2016·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Maya Vadiveloo, Josiemer Mattei
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Jun 21, 2020·International Journal of Environmental Research and Public Health·Ya-Ke WuTodd A Schwartz
Nov 16, 2021·The European Journal of General Practice·Zeliha Yelda ÖzerHatice Kurdak

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