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Cited by 61Obesity and Health PracticesObesity, Physical Activity, DietEating Disorders and Behaviors

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Avoiding exercise mediates the effects of internalized and experienced weight stigma on physical activity in the years following bariatric surgery

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Han, SeungYong, Agostini, Gina, Brewis, Alexandra A., Wutich, Amber·2018·BMC Obesity
DOI 10.1186/s40608-018-0195-3PMC PMC6027738
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Abstract

BACKGROUND: People living with severe obesity report high levels of weight-related stigma. Theoretically, this stigma undermines weight loss efforts. The objective of this study is to test one proposed mechanism to explain why weight loss is so difficult once an individual becomes obese: that weight-related stigma inhibits physical activity via demotivation to exercise. METHODS: = 298) and who report a post-surgical body mass index (BMI) ranging from 16 to 70. Exercise avoidance motivation (EAM) and physical activity (PA) were modeled as latent variables using structural equation modeling. Two measures of weight stigma, the Stigmatizing Situations Inventory (SSI) and the Weight Bias Internalization Scale (WBIS) were modified for people with a long history of extreme obesity for use as observed predictors. RESULTS: Exercise avoidance motivation (EAM) significantly mediated the association between both experienced (SSI) and internalized (WBIS) weight stigma and physical activity (PA) in this population. CONCLUSION: Exercise avoidance motivation, influenced by weight stigma, may be a significant factor explaining the positive relationship between higher body weights with lower levels of physical activity.

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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 [29]

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Metadata

Authors
Han, S., Agostini, G., Brewis, A. A., & Wutich, A.
Affiliations
  • Mayo Clinic in Arizona (US)
  • Arizona State University (US)
Corresponding author
Han, SeungYong
ORCID
Venue
BMC Obesity
Publisher
Springer Science and Business Media LLC
Published
2018-07-02
Volume
5
Issue
1
Pages
18-18
ISSN
2052-9538 (ISSN-L)
DOI
10.1186/s40608-018-0195-3
PMC
PMC6027738
OpenAlex
W2807063765
Cited by
61
References
8
Citations by year
2026: 4 · 2025: 8 · 2024: 3 · 2023: 6 · 2022: 9 · 2021: 18 · 2020: 8 · 2019: 5
FWCI
7.24
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Obesity (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • Mayo Clinic
  • Virginia G. Piper Charitable Trust
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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
weight stigma, internalized weight stigma, physical activity, bariatric surgery, morbid obesity, weight loss, mediation

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