Self-Perception of Overweight and Obesity: A Review of Mental and Physical Health Outcomes
Open accessAbstract
The obesity crisis is one of the largest public health challenges of the 21st century. Population-level adiposity has increased dramatically in recent times, and people not recognizing that they have overweight or obesity is now common. It has been widely assumed that not recognizing oneself as having overweight is detrimental to weight management and long-term health. Here, diverse research is reviewed that converges on the counterintuitive conclusion that not recognizing oneself as having overweight is actually associated with more favourable physical and mental health outcomes than recognizing oneself as having overweight. Drawing on existing models in social psychology and weight stigma research, an explanatory model of the health effects of self-perception of overweight is outlined. This model proposes that self-perception of overweight triggers social rejection concerns and the internalization of weight stigma, which in turn induce psychological distress and negatively impact health-promoting lifestyle behaviours. How self-perception of overweight may in part explain progression from overweight to obesity, and the public health implications of self-perception of overweight and obesity are also discussed.
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Early internalization of negative attitudes toward weight can set the stage for lifelong struggles with self-esteem, body image, and mental health.
“The early internalization of negative attitudes toward weight can set the stage for lifelong struggles with self-esteem, body image, and mental health.”
From Body Perceptions and Psychological Well-Being: A Review of the Impact of Social Media and Physical Measurements on Self-Esteem and Mental Health with a Focus on Body Image Satisfaction and Its Relationship with Cultural and Gender Factors (2024) · cites this paper as [80]
The Developmental Considerations section (page unavailable) says adolescence may be when damaging effects of identifying as overweight begin, and proposes that internalized weight stigma can heighten distress and help maintain mental-health difficulties. Future Directions (page unavailable) discusses body dissatisfaction in young people. The paper does not establish lifelong struggles or specifically link early internalization to lasting self-esteem problems. (LLM, conf=0.85)
Experimental — accuracy not yet measuredAdolescents and young adults are particularly vulnerable to the effects of weight stigma and body dissatisfaction.
“Adolescents and young adults, who are navigating critical periods of identity formation and social comparison, are particularly vulnerable to the effects of weight stigma and body dissatisfaction [80].”
From Body Perceptions and Psychological Well-Being: A Review of the Impact of Social Media and Physical Measurements on Self-Esteem and Mental Health with a Focus on Body Image Satisfaction and Its Relationship with Cultural and Gender Factors (2024) · cites this paper as [80]
The Developmental Considerations section (page unavailable) identifies adolescence as a key period for developing self-image through social comparison and suggests that harmful effects of identifying as overweight may begin then. Future Directions (page unavailable) says body dissatisfaction is common among young people of heavier weight, but the paper does not establish that young adults are particularly vulnerable to the effects of both weight stigma and body dissatisfaction. (LLM, conf=0.84)
Experimental — accuracy not yet measured
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Percentages, sums and reported differences re-computed from the paper’s own numbers.
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Merino, M., Tornero-Aguilera, J. F., Rubio-Zarapuz, A., Villanueva-Tobaldo, C. V., Martín-Rodríguez, A., & Clemente-Suárez, V. J. (2024) · Healthcare · doi:10.3390/healthcare12141396 · Cited by 349 · see citing works
- Authors
- Robinson, E., Haynes, A., Sutin, A., & Daly, M.
- Affiliations
- University of Liverpool (GB)
- Cancer Council Victoria (AU)
- Florida State University (US)
- University College Dublin (IE)
- Corresponding author
- Robinson, Eric
- Venue
- Obesity Science & Practice
- Publisher
- Wiley
- Published
- 2020-06-08
- Volume
- 6
- Issue
- 5
- Pages
- 552-561
- ISSN
- 2055-2238 (ISSN-L)
- PMC
- PMC7556430
- OpenAlex
- W3025112412
- Cited by
- 116
- References
- 97
- Citations by year
- 2026: 14 · 2025: 26 · 2024: 28 · 2023: 17 · 2022: 22 · 2021: 8 · 2020: 1
- FWCI
- 3.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Obesity Science & Practice (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Maynooth University ePrints and eTheses Archive (Maynooth University) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Stirling Online Research Repository (University of Stirling) (submittedVersion, cc-by)
- Funders
- Medical Research Council (MR/N000218/1)
- Topics
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- obesity, weight stigma, social rejection, psychological distress, health-promoting behaviours, weight management, obesity progression, mental health outcomes, physical health outcomes
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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