Social stigma of obesity

Social stigma of obesity is bias or discriminatory behaviors targeted at overweight and obese individuals because of their weight and high body fat percentage.[1][2] Such social stigmas can span one's entire life as long as excess weight is present, starting from a young age and lasting into adulthood.[3] Studies also indicate overweight and obese individuals experience higher levels of stigma compared to other people[who?].[4] Stigmatization of obesity is usually associated with increased health risks (morbidity) of being overweight or obese and the possibility of a shorter lifespan (mortality).

Obese people marry less often, experience fewer educational and career opportunities, and on average earn a lesser income than normal weight individuals.[3] Although public support regarding disability services, civil rights, and anti-workplace discrimination laws for obese individuals have gained support across the years, overweight and obese individuals still experience discrimination, which may have detrimental implications in relation to both physiological[5] and psychological health. These issues are compounded by the significant negative physiological effects that are already associated with obesity,[6] which some have misleadingly proposed may be caused by stress from the social stigma of obesity, rather than from obesity per se.[5] This is refuted by Mendelian randomization studies,[7][8][9][10][11] MRI analyses,[12][13] and direct observation of inflammatory mediator synthesis and secretion from abdominal subcutaneous adipose tissue.[14][15][16]

Anti-fat bias refers to prejudicial assumptions that are based on an assessment of a person as being overweight or obese. It is also known as "fat shaming" or "fatphobia". Anti-fat bias can be found in many facets of society,[17] and fat activists commonly cite examples of mass media and popular culture that pervade this phenomenon.[18][19]

  1. ^ Puhl RM, Brownell KD (November 2003). "Psychosocial origins of obesity stigma: toward changing a powerful and pervasive bias". Obesity Reviews. 4 (4): 213–227. doi:10.1046/j.1467-789X.2003.00122.x. PMID 14649372. S2CID 31481832.
  2. ^ Puhl RM, Heuer CA (May 2009). "The stigma of obesity: a review and update". Obesity. 17 (5): 941–964. doi:10.1038/oby.2008.636. PMID 19165161. S2CID 152352.
  3. ^ a b "Dicke sind faul und dumm" (in German). Süddeutsche Zeitung. August 11, 2008. Retrieved March 8, 2011.
  4. ^ Puhl RM, Heuer CA (June 2010). "Obesity stigma: important considerations for public health". American Journal of Public Health. 100 (6): 1019–1028. doi:10.2105/AJPH.2009.159491. PMC 2866597. PMID 20075322.
  5. ^ a b Muennig P (April 2008). "The body politic: the relationship between stigma and obesity-associated disease". BMC Public Health. 8: 128. doi:10.1186/1471-2458-8-128. PMC 2386473. PMID 18426601.
  6. ^ "The Health Effects of Overweight and Obesity". Center for Disease Control. August 11, 2011. Retrieved January 17, 2017.
  7. ^ Kim MS, Kim WJ, Khera AV, Kim JY, Yon DK, Lee SW, et al. (2021-09-07). "Association between adiposity and cardiovascular outcomes: an umbrella review and meta-analysis of observational and Mendelian randomization studies". European Heart Journal. 42 (34): 3388–3403. doi:10.1093/eurheartj/ehab454. ISSN 1522-9645. PMC 8423481. PMID 34333589.
  8. ^ Schütten MT, Houben AJ, de Leeuw PW, Stehouwer CD (May 2017). "The Link Between Adipose Tissue Renin-Angiotensin-Aldosterone System Signaling and Obesity-Associated Hypertension". Physiology. 32 (3): 197–209. doi:10.1152/physiol.00037.2016. ISSN 1548-9213. PMID 28404736.
  9. ^ Ahmed M, Mulugeta A, Lee SH, Mäkinen VP, Boyle T, Hyppönen E (December 2021). "Adiposity and cancer: a Mendelian randomization analysis in the UK biobank". International Journal of Obesity. 45 (12): 2657–2665. doi:10.1038/s41366-021-00942-y. ISSN 1476-5497. PMID 34453097.
  10. ^ "Genetic analyses indicate that the effect of overweight and obesity on cancer risk is at least double what was previously thought". www.iarc.who.int. Retrieved 2024-10-22.
  11. ^ Venkatesh SS, Ferreira T, Benonisdottir S, Rahmioglu N, Becker CM, Granne I, et al. (2022-02-01). "Obesity and risk of female reproductive conditions: A Mendelian randomisation study". PLOS Medicine. 19 (2): e1003679. doi:10.1371/journal.pmed.1003679. ISSN 1549-1676. PMC 8806071. PMID 35104295.
  12. ^ "Fat Is the Cause of Type 2 Diabetes". NutritionFacts.org. 2016-11-17. Retrieved 2024-10-22.
  13. ^ von Frankenberg AD, Marina A, Song X, Callahan HS, Kratz M, Utzschneider KM (February 2017). "A high-fat, high-saturated fat diet decreases insulin sensitivity without changing intra-abdominal fat in weight-stable overweight and obese adults". European Journal of Nutrition. 56 (1): 431–443. doi:10.1007/s00394-015-1108-6. ISSN 1436-6215. PMC 5291812. PMID 26615402.
  14. ^ Schütten MT, Houben AJ, de Leeuw PW, Stehouwer CD (May 2017). "The Link Between Adipose Tissue Renin-Angiotensin-Aldosterone System Signaling and Obesity-Associated Hypertension". Physiology. 32 (3): 197–209. doi:10.1152/physiol.00037.2016. ISSN 1548-9213. PMID 28404736.
  15. ^ Ellulu MS, Patimah I, Khaza'ai H, Rahmat A, Abed Y (June 2017). "Obesity and inflammation: the linking mechanism and the complications". Archives of Medical Science: AMS. 13 (4): 851–863. doi:10.5114/aoms.2016.58928. ISSN 1734-1922. PMC 5507106. PMID 28721154.
  16. ^ Hildebrandt X, Ibrahim M, Peltzer N (February 2023). "Cell death and inflammation during obesity: "Know my methods, WAT(son)"". Cell Death & Differentiation. 30 (2): 279–292. doi:10.1038/s41418-022-01062-4. ISSN 1476-5403. PMC 9520110. PMID 36175539.
  17. ^ Cite error: The named reference PuhlBrownell was invoked but never defined (see the help page).
  18. ^ Ahern AL, Bennett KM, Hetherington MM (2008). "Internalization of the ultra-thin ideal: positive implicit associations with underweight fashion models are associated with drive for thinness in young women". Eating Disorders. 16 (4): 294–307. doi:10.1080/10640260802115852. PMID 18568920. S2CID 2473526.
  19. ^ Hawkins N, Richards PS, Granley HM, Stein DM (2004). "The impact of exposure to the thin-ideal media image on women". Eating Disorders. 12 (1): 35–50. doi:10.1080/10640260490267751. PMID 16864303. S2CID 28802161.