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Prevalence, Characteristics, and Correlates of Teasing Experiences among Overweight Children vs. Non‐overweight Peers
Abstract
Objective: Information regarding the prevalence, nature, sources, and psychosocial correlates of teasing was obtained for overweight (OV) children (10 to 14 years of age) vs. non‐overweight (non‐OV) peers. It was hypothesized that weight‐related teasing would be negatively correlated with self‐esteem in specific domains and with enjoyment of physical/social activities and positively correlated with loneliness, bulimic behaviors, body dissatisfaction, and enjoyment of sedentary/isolative activities. Research Methods and Procedures: Teasing experiences and psychosocial correlates were assessed among OV children from a fitness camp and a demographically similar school sample of non‐OV children. Results: Among the OV children, appearance‐related teasing was more prevalent, frequent, and upsetting, involved disparaging nicknames focusing more on weight rather than less stigmatized aspects of appearance, and more often perpetrated by peers in general rather than a specific peer. Degree of teasing within the full sample was significantly associated with higher weight concerns, more loneliness, poorer self‐perception of one's physical appearance, higher preference for sedentary/isolative activities, and lower preference for active/social activities, all but the latter association holding up above and beyond actual weight status and demographics. Among OV children, teasing was associated with bulimic behaviors. Associations with type of teasing showed specificity, with weight‐related teasing predicting weight and appearance variables and competency‐related teasing related to social domain factors. Discussion: When frequency, intensity, emotional impact, and stigmatized content are examined, findings indicate that teasing is more severe for OV children. Effective interventions are needed to help victims cope with and prevent further weight‐related teasing, which may improve peer functioning, enhance weight control efforts, and reduce risk for future eating disturbance.
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Correlative and randomized-controlled studies show that experience of weight stigma is linked with lower physical activity, higher exercise avoidance, unhealthy diets, sedentary behaviors, increased obesity and weight gain over time, and increased risk of transitioning from overweight to obesity in adults and adolescents.
“Correlative and randomized-controlled studies also show that experience of weight stigma is linked with lower levels of physical activity, higher exercise avoidance29–31, consumption of unhealthy diets, and increased sedentary behaviors1–3, as well as increased obesity and weight gain over time32, and increased risk of transitioning from overweight to obesity in both adults and adolescents33–35.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [2]
The prevailing view that obesity is a choice and can be entirely reversed by voluntary decisions to eat less and exercise more can exert negative influences on public health policies, access to treatments, and research.
“The prevailing view that obesity is a choice and that it can be entirely reversed by voluntary decisions to eat less and exercise more can exert negative influences on public health policies, access to treatments, and research1–3.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [2]
Both observational and randomized-controlled studies show that public health strategies that embrace stigmatization can result in the opposite effect, and may instead induce exercise avoidance, consumption of unhealthy diets, increased sedentary behaviors, leading to poor metabolic health, increased weight gain, and reduced quality of life.
“Both observational and randomized-controlled studies show that these strategies can result in the opposite effect, and may instead induce exercise avoidance, consumption of unhealthy diets, and increased sedentary behaviors1–3, leading to poor metabolic health, increased weight gain56,57, and reduced quality of life57.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [2]
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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
“The prevailing view that obesity is a choice and that it can be entirely reversed by voluntary decisions to eat less and exercise more can exert negative influences on public health policies, access to treatments, and research [1] [2] [3] .”
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Psychological consequences of childhood obesity: psychiatric comorbidity and prevention
Rankin, J., Matthews, L., Cobley, S., Han, A., Sanders, R., Wiltshire, H. D., & Baker, J. S. (2016) · Adolescent Health, Medicine and Therapeutics · doi:10.2147/ahmt.s101631 · Cited by 720
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Sentenac, M., Arnaud, C., Gavin, A., Molcho, M., Gabhainn, S. N., & Godeau, E. (2012) · Epidemiologic Reviews · doi:10.1093/epirev/mxr024 · Cited by 134
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Metadata
- Authors
- Hayden‐Wade, H. A., Stein, R. I., Ghaderi, A., Saelens, B. E., Zabinski, M. F., & Wilfley, D. E.
- Affiliations
- Washington University in St. Louis (US)
- Uppsala University (SE)
- Cincinnati Children's Hospital Medical Center (US)
- University of California San Diego (US)
- Corresponding author
- Wilfley, Denise E.
- Venue
- Obesity Research
- Publisher
- Wiley
- Published
- 2005-08
- Volume
- 13
- Issue
- 8
- Pages
- 1381-1392
- ISSN
- 1071-7323 (ISSN-L)
- 1550-8528
- OpenAlex
- W2041820650
- Cited by
- 426
- References
- 1
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 12 · 2021: 22 · 2020: 19 · 2019: 27 · 2018: 9 · 2017: 29 · 2016: 32 · 2015: 22 · 2014: 37 · 2013: 26 · 2012: 32
- FWCI
- 17.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (K24MH070446)
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD036904)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Social Sciences › Psychology › Social Psychology › Bullying, Victimization, and Aggression
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- weight-related teasing, childhood obesity, overweight children, self-esteem, loneliness, body dissatisfaction, bulimic behavior, peer victimization, weight concern
- MeSH terms
- Adolescent, Feeding and Eating Disorders, Body Image, Child, Child Behavior, Female, Humans, Interpersonal Relations, Loneliness, Male, Psychology, Self Concept, Social Perception, Verbal Behavior, Exercise, Case-Control Studies, Overweight
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