Health Consequences of Weight Stigma: Implications for Obesity Prevention and Treatment

Health Consequences of Weight Stigma: Implications for Obesity Prevention and Treatment
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DOI:
10.1007/s13679-015-0153-z
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发表时间:
2015-06-01
影响因子:
8.8
通讯作者:
Suh, Young
Suh, Young
中科院分区:
医学2区
文献类型:
--
作者:
Puhl, Rebecca;Suh, Young

文献摘要

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尽管数十年的研究记录了对肥胖者持续的耻辱和歧视,但在肥胖预防和治疗工作中却很少考虑体重耻辱。近年来,有证据表明体重污名化是导致不良健康结果和行为的独特因素,从而促进和加剧肥胖。这篇综述总结了过去 4 年发表的研究结果,这些研究考察了体重耻辱与适应不良饮食行为(暴饮暴食和食物消耗增加)、体力活动、体重状况(体重增加和减少以及肥胖的发展)以及生理应激反应之间的关系。还强调了评估肥胖相关公共卫生运动中体重耻辱影响的研究。证据共同证明了耻辱感对体重相关健康相关性和行为的负面影响,并表明在肥胖预防和治疗中解决体重耻辱感是有必要的。总结了未来研究的关键问题,以进一步描述体重耻辱对健康的影响。
Despite decades of research documenting consistent stigma and discrimination against individuals with obesity, weight stigma is rarely considered in obesity prevention and treatment efforts. In recent years, evidence has examined weight stigmatization as a unique contributor to negative health outcomes and behaviors that can promote and exacerbate obesity. This review summarizes findings from published studies within the past 4 years examining the relationship between weight stigma and maladaptive eating behaviors (binge eating and increased food consumption), physical activity, weight status ( weight gain and loss and development of obesity), and physiological stress responses. Research evaluating the effects of weight stigma present in obesity-related public health campaigns is also highlighted. Evidence collectively demonstrates negative implications of stigmatization for weight-related health correlates and behaviors and suggests that addressing weight stigma in obesity prevention and treatment is warranted. Key questions for future research to further delineate the health effects of weight stigmatization are summarized.