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The Impact of Weight Stigma on Caloric Consumption
Open accessAbstract
The present study assessed the influence of exposure to weight stigma on energy intake in both overweight and normal‐weight adult women. Seventy‐three women (mean age: 31.71 ± 12.72 years), both overweight (n = 34) and normal weight (n = 39), were randomly assigned to view one of two videos depicting either weight stigmatizing material or neutral material, after which they consumed snacks ad libitum. Pre‐ and post‐video measures included blood pressure, attitudes toward overweight individuals, and positive and negative affect. Participants' body weight was measured, as was the number of kilocalories consumed following video exposure. Overweight women who watched the stigmatizing video ate more than three times as many kilocalories as overweight women who watched the neutral video (302.82 vs. 89.00 kcal), and significantly more calories than the normal‐weight individuals who watched either the stigmatizing or the neutral video. A two‐by‐two analysis of covariance revealed that even after adjusting for relevant covariates, there was a significant interaction between video type and weight status in that when overweight, individuals consumed significantly more calories if they were in the stigmatizing condition vs. the neutral condition (F(1,65) = 4.37, P = 0.04, η 2 = 0.03). These findings suggest that among overweight women, exposure to weight stigmatizing material may lead to increased caloric consumption. This directly challenges the notion that pressure to lose weight in the form of weight stigma will have a positive, motivating effect on overweight individuals.
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Experimental studies show that exposing individuals to weight stigma can lead to increased food intake, regardless of BMI.
“Experimental studies also show, paradoxically, that exposing individuals to weight stigma can lead to increased food intake, regardless of BMI3,28.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [3]
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 [3]
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 [3]
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 [3]
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“Paired samples t-tests revealed that all groups except for the Overweight/Stigma group experienced decreased negative affect following the video, though only the change observed in the Overweight/Neutral group reached significance (t(16) = 2.”
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Cited by
Sorted by citations
Stigma as a fundamental cause of population health inequalities
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“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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Metadata
- Authors
- Schvey, N. A., Puhl, R. M., & Brownell, K. D.
- Affiliations
- Yale University (US)
- Corresponding author
- Schvey, Natasha A.
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2011-10
- Volume
- 19
- Issue
- 10
- Pages
- 1957-1962
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- OpenAlex
- W2027618288
- Cited by
- 312
- References
- 4
- Citations by year
- 2026: 11 · 2025: 19 · 2024: 18 · 2023: 16 · 2022: 21 · 2021: 26 · 2020: 28 · 2019: 20 · 2018: 29 · 2017: 26 · 2016: 32 · 2015: 24 · 2014: 22 · 2013: 13 · 2012: 7
- FWCI
- 13.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Yale University
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- weight stigma, energy intake, overweight women, normal-weight women, positive and negative affect, blood pressure, snacking
- MeSH terms
- Adolescent, Adult, Analysis of Variance, Energy Intake, Female, Humans, Middle Aged, Motivation, Prejudice, Reference Values, Stereotyping, Videotape Recording, Overweight, Young Adult
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