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Published on: March 7, 2019
Is weight stigma associated with physical activity? A systematic review
Rebecca L Pearl1,2, Thomas A Wadden2, John M Jakicic3
1Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida, USA.
Weight stigma, including teasing and discrimination, is linked to less physical activity (PA) in adults and youth. However, these effects are often indirect and inconsistent, requiring further research with objective PA measures.
Area of Science:
- Public Health
- Behavioral Science
- Health Psychology
Background:
- Weight stigma negatively impacts health, partly by reducing health-promoting behaviors.
- Understanding the link between weight stigma and physical activity (PA) is crucial for public health interventions.
Purpose of the Study:
- To review and analyze evidence on the association between weight stigma and physical activity in adults and youth.
- To synthesize findings on how weight stigma influences engagement in physical activity.
Main Methods:
- Searched three databases for studies on weight stigma and PA.
- Included studies reporting quantitative associations between weight stigma measures and PA behaviors.
- Analyzed 38 eligible studies, including those with adults and youth.
Main Results:
- Weight-based teasing, everyday discrimination, and internalized weight stigma were associated with reduced PA in most studies.
- Associations were mixed, with many studies showing indirect effects of stigma on PA.
- Most adult studies used cross-sectional designs; youth studies were predominantly observational.
Conclusions:
- Weight stigma is associated with decreased physical activity, particularly through weight teasing, discrimination, and internalization.
- The relationship between weight stigma and PA is complex, often indirect, and requires further investigation.
- Future research should prioritize objective PA measures, larger sample sizes, and longitudinal designs.
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