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Exploring weight bias internalization in pregnancy.

Taniya S Nagpal1,2, Ximena Ramos Salas3, Michael Vallis4

  • 1Department of Kinesiology, Faculty of Applied Health Sciences, Brock University, St. Catharines, ON, Canada. tnagpal@ualberta.ca.

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|July 29, 2022
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Summary
This summary is machine-generated.

Pregnant individuals with higher body mass index (BMI), obesity diagnosis, or excessive gestational weight gain (GWG) reported greater weight bias internalization (WBI). Addressing weight stigma during pregnancy is crucial for maternal well-being.

Keywords:
Maternal healthObesityPregnancyStigmaWeight bias

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Area of Science:

  • Reproductive Health
  • Psychological Science
  • Public Health

Background:

  • Pregnant individuals frequently encounter weight stigma, including negative comments about gestational weight gain (GWG).
  • Weight bias internalization (WBI) stems from weight stigma exposure and negatively impacts biopsychological health.
  • Understanding WBI in pregnancy is vital for developing targeted support strategies.

Purpose of the Study:

  • To investigate weight bias internalization (WBI) during pregnancy.
  • To compare WBI scores based on pre-pregnancy body mass index (BMI), obesity diagnosis, and excessive GWG.

Main Methods:

  • 336 pregnant individuals in Canada and the USA completed a modified Adult Weight Bias Internalization Scale.
  • Pre-pregnancy BMI, GWG, and obesity diagnosis were collected via self-report.
  • Inferential analyses examined WBI differences across weight-related factors, with significance set at p < 0.05.

Main Results:

  • Average WBI score was 3.9 ± 1.2.
  • Higher WBI was observed in individuals with obese pre-pregnancy BMI versus normal weight (p=0.04).
  • Significantly higher WBI was found in those diagnosed with obesity (p<0.001) and with excessive GWG (p<0.001) compared to their counterparts.

Conclusions:

  • Elevated BMI, obesity diagnosis, and excessive GWG in pregnancy are associated with increased WBI.
  • Weight stigma is prevalent during pregnancy, necessitating effective, person-centered interventions.
  • Mitigating stigma and addressing WBI are critical for improving maternal health outcomes.