The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.
Perceived weight discrimination and chronic biochemical stress: A population‐based study using cortisol in scalp hair
Open accessAbstract
Objective: There is increasing evidence for weight‐based discrimination against persons with obesity. This study aimed to examine the physiological impact of perceived weight discrimination on cortisol in hair, an indicator of chronic stress exposure. Methods: Data were from 563 nonsmoking individuals with obesity (body mass index, BMI ≥30 kg/m 2 ) participating in the English Longitudinal Study of Ageing. Experiences of discrimination were reported via questionnaire, and hair cortisol concentrations were determined from the scalp‐nearest 2‐cm hair segment. Height and weight were objectively measured. ANCOVAs tested associations between perceived weight discrimination and hair cortisol concentration overall and by degree of obesity. All analyses were adjusted for age, sex, ethnicity, socioeconomic status, and BMI. Results: Mean hair cortisol concentrations were 33% higher in those who had experienced weight discrimination than those who had not (mean log pg/mg 1.241 vs. 0.933, F = 12.01, P = 0.001). The association between weight discrimination and hair cortisol was particularly pronounced in individuals with severe (class II/III) obesity (1.402 vs. 0.972, F = 11.58, P = 0.001). Conclusions: Weight discrimination is associated with the experience of stress at a biological level. Chronic exposure to elevated levels of cortisol may play a role in generating a vicious circle of weight gain and discrimination and contribute to obesity‐associated health conditions.
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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 [37]
The Discussion reports higher hair cortisol in people with obesity who experienced weight discrimination than in those who did not. But the Methods (Study population) explicitly exclude people in the overweight range, so this source does not establish the cortisol finding for them. This citation is attached to cortisol, not to the separately cited CRP, cardiometabolic-risk, or mortality claims. (LLM, conf=0.88)
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“Participants were asked how often they encounter five discriminatory situations: “In your day-to-day life, how often have any of the following things happened to you: (1) you are treated with less respect or courtesy; (2) you receive poorer service than other people in restaurants and stores; (3) people act as if they…”
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“’s social identity threat model suggests that weight-based social identity threat increases physiological stress, inhibits self-regulation, reduces psychological well-being, and leads to avoidance of stigmatizing situations and engagement in unhealthy weight loss behaviors in an effort to escape the stigma (26).”
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Cited by
Sorted by citations
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
Weight 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
Stress and Obesity: Are There More Susceptible Individuals?
van der Valk, E. S., Savas, M., & van Rossum, E. F. C. (2018) · Current Obesity Reports · doi:10.1007/s13679-018-0306-y · Cited by 402
Obesity and cortisol: New perspectives on an old theme
van Rossum, E. F. C. (2017) · Obesity · doi:10.1002/oby.21774 · Cited by 76
The weight of fatherhood: Identifying mechanisms to explain paternal perinatal weight gain
Saxbe, D., Corner, G. W., Khaled, M., Horton, K., Wu, B., & Khoddam, H. L. (2018) · Health Psychology Review · doi:10.1080/17437199.2018.1463166 · Cited by 43
Metadata
- Authors
- Jackson, S. E., Kirschbaum, C., & Steptoe, A.
- Affiliations
- University College London (GB)
- Technische Universität Dresden (DE)
- Corresponding author
- Jackson, Sarah E.
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2016-10-14
- Volume
- 24
- Issue
- 12
- Pages
- 2515-2521
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- PMC
- PMC5132135
- OpenAlex
- W2533781433
- Cited by
- 83
- References
- 3
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 12 · 2023: 9 · 2022: 5 · 2021: 11 · 2020: 11 · 2019: 12 · 2018: 7 · 2017: 5
- FWCI
- 7.28
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Obesity (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Cancer Research UK (C1418/A14133)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- weight discrimination, hair cortisol, chronic stress, perceived discrimination, morbid obesity, physiological stress response, weight gain, English Longitudinal Study of Ageing
- MeSH terms
- Aged, Body Weight, Female, Hair, Humans, Hydrocortisone, Longitudinal Studies, Male, Middle Aged, Obesity, Surveys and Questionnaires, Scalp, Stress, Physiological, Weight Gain, Body Mass Index, Social Discrimination
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