The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.
Perceived weight discrimination and C‐reactive protein
Abstract
Objective: Perceived weight discrimination has been linked to health outcomes, including risk of obesity. Less is known about how discrimination is associated with intermediate physiological markers of health, such as systemic inflammation. This research examined the association between weight discrimination and C‐reactive protein (CRP) and whether it varied by participants' body mass index (BMI). Methods: Cross‐sectional design using data from the Health and Retirement Study. Among participants who were overweight or obese (N = 7,394), regression analysis was used to test for an association between weight discrimination and CRP and whether this association was moderated by BMI. Similar associations among seven other attributions for discrimination were tested. Results: The association between weight discrimination and CRP varied as a function of BMI: At BMI between the thresholds for overweight and obesity (BMI ∼25–30), weight discrimination was associated with higher circulating levels of CRP; there was no association between weight discrimination and CRP as BMI approached Class 3 obesity (BMI ∼40). A similar pattern emerged for discrimination based on a physical disability, but not for the other attributions for discrimination (e.g., race, age). Conclusions: Weight discrimination is associated with higher circulating CRP, an association that is moderated by BMI.
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Individuals with overweight and obesity who experience weight discrimination show higher levels of circulating C-reactive protein, cortisol, long-term cardio-metabolic risk, and increased mortality compared with those who do not experience weight discrimination.
“Individuals with overweight and obesity who experience weight discrimination show higher levels of circulating C-reactive protein36, cortisol37, long-term cardio-metabolic risk38, and increased mortality39 compared with those who do not experienced weight discrimination.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [36]
Citations
Cites
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Sedentary time and cardio-metabolic biomarkers in US adults: NHANES 2003–06
Healy, G. N., Matthews, C. E., Dunstan, D. W., Winkler, E. A. H., & Owen, N. (2011) · European Heart Journal · doi:10.1093/eurheartj/ehq451 · Cited by 1,368
Diet-quality scores and plasma concentrations of markers of inflammation and endothelial dysfunction
Fung, T. T., McCullough, M. L., Newby, P., Manson, J. E., Meigs, J. B., Rifai, N., Willett, W. C., & Hu, F. B. (2005) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/82.1.163 · Cited by 1,001
Internalized Societal Attitudes Moderate the Impact of Weight Stigma on Avoidance of Exercise
Vartanian, L. R., & Novak, S. A. (2011) · Obesity · doi:10.1038/oby.2010.234 · Cited by 381 · cited 1×
“Individuals who perceive discrimination based on their weight, for example, tend to overeat to cope with the stress and also avoid physical activity (14).”
BackgroundRacism, Segregation, and Risk of Obesity in the Black Women's Health Study
Cozier, Y. C., Yu, J., Coogan, P. F., Bethea, T. N., Rosenberg, L., & Palmer, J. R. (2014) · American Journal of Epidemiology · doi:10.1093/aje/kwu004 · Cited by 169 · cited 1×
“Given that previous research has found discrimination based on other characteristics to be associated with inflammation (7) and obesity (19), more research is needed before concluding that weight and physical disability are the only attributions for discrimination that are associated with higher inflammation.”
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Research works printed but not linked: 13
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Cited by
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Joint international consensus statement for ending stigma of obesity
Rubino, F., Puhl, R. M., Cummings, D. E., Eckel, R. H., Ryan, D. H., Mechanick, J. I., Nadglowski, J., Ramos Salas, X., Schauer, P. R., Twenefour, D., et al. (2020) · Nature Medicine · doi:10.1038/s41591-020-0803-x · Cited by 1,152
“Individuals with overweight and obesity who experience weight discrimination show higher levels of circulating C-reactive protein 36 , cortisol 37 , long-term cardio-metabolic risk 38 , and increased mortality 39 compared with those who do not experienced weight discrimination.”
BackgroundHow and why weight stigma drives the obesity ‘epidemic’ and harms health
Tomiyama, A. J., Carr, D., Granberg, E. M., Major, B., Robinson, E., Sutin, A. R., & Brewis, A. (2018) · BMC Medicine · doi:10.1186/s12916-018-1116-5 · Cited by 712
Self-citationWeight stigma as a psychosocial contributor to obesity.
Puhl, R. M., Himmelstein, M. S., & Pearl, R. L. (2020) · American Psychologist · doi:10.1037/amp0000538 · Cited by 452
Weight Discrimination and Risk of Mortality
Sutin, A. R., Stephan, Y., & Terracciano, A. (2015) · Psychological Science · doi:10.1177/0956797615601103 · Cited by 399
Self-citationPerceived Weight Discrimination and 10-Year Risk of Allostatic Load Among US Adults
Vadiveloo, M., & Mattei, J. (2017) · Annals of Behavioral Medicine · doi:10.1007/s12160-016-9831-7 · Cited by 124
“These medications included antihypertensive medications for high SBP; heart rate-reducing medications (e.g. beta-blockers and atrio-ventricular nodal blockers) for high resting heart rate; hypoglycemic agents for dysregulated fasting glucose and HbA1c; statins, cholesterol absorption inhibitors, niacin and/or bile aci…”
BackgroundInfluentialThe experience of weight stigma among gym members with overweight and obesity.
Schvey, N. A., Sbrocco, T., Bakalar, J. L., Ress, R., Barmine, M., Gorlick, J., Pine, A., Stephens, M., & Tanofsky-Kraff, M. (2017) · Stigma and Health · doi:10.1037/sah0000062 · Cited by 81
Knowledge gaps and weight stigma shape attitudes toward obesity
O'Keeffe, M., Flint, S. W., Watts, K., & Rubino, F. (2020) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(20)30073-5 · Cited by 80
Salvia, M. G., Ritholz, M. D., Craigen, K. L. E., & Quatromoni, P. A. (2023) · eClinicalMedicine · doi:10.1016/j.eclinm.2022.101811 · Cited by 44
Metadata
- Authors
- Sutin, A. R., Stephan, Y., Luchetti, M., & Terracciano, A.
- Affiliations
- Florida State University (US)
- Department of Sport Sciences Psychology and Medicine University of Montpellier Montpellier France
- University of Bologna (IT)
- Corresponding author
- Sutin, Angelina R.
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2014-05-14
- Volume
- 22
- Issue
- 9
- Pages
- 1959-1961
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- OpenAlex
- W1926941986
- Cited by
- 126
- References
- 5
- Citations by year
- 2026: 9 · 2025: 14 · 2024: 9 · 2023: 16 · 2022: 10 · 2021: 8 · 2020: 12 · 2019: 13 · 2018: 9 · 2017: 10 · 2016: 10 · 2015: 6
- FWCI
- 8.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
- Funders
- National Institute on Aging (U01AG009740)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- weight discrimination, C-reactive protein, systemic inflammation, body mass index, overweight, physical disability, health disparities, Health and Retirement Study
- MeSH terms
- Body Weight, C-Reactive Protein, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Obesity, Retrospective Studies, Weight Perception, Overweight
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