Changing the global obesity narrative to recognize and reduce weight stigma: A position statement from the World Obesity Federation

Author:

Nutter Sarah1ORCID,Eggerichs Laura A.2ORCID,Nagpal Taniya S.3,Ramos Salas Ximena456ORCID,Chin Chea Christine7,Saiful Shubo8,Ralston Johanna8,Barata‐Cavalcanti Olivia8,Batz Claudia9,Baur Louise A.10,Birney Susie11,Bryant Sheree6,Buse Kent12,Cardel Michelle I.13,Chugh Aastha14,Cuevas Ada15,Farmer Mychelle16,Ibrahim Allison17,Kataria Ishu18,Kotz Catherine19,Kyle Ted20,le Brocq Sara21,Mooney Vicki22,Mullen Clare23,Nadglowski Joe24,Neveux Margot8,Papapietro Karin25,Powis Jaynaide8,Puhl Rebecca M.26ORCID,Rea Ruanova Bernardo27ORCID,Saunders Jessica F.28,Stanford Fatima Cody29ORCID,Stephen Ogweno30ORCID,Tham Kwang Wei31,Urudinachi Agbo32,Vejar‐Renteria Lesly33ORCID,Walwyn Danielle34,Wilding John835ORCID,Yusop Saifullah36

Affiliation:

1. Educational Psychology and Leadership Studies University of Victoria Victoria British Columbia Canada

2. Department of Public Health and Community Medicine Sahlgrenska Academy at Gothenburg University Gothenburg Sweden

3. Department of Kinesiology, Sport, and Recreation University of Alberta Edmonton Canada

4. Replica Communications Kristianstad Sweden

5. Obesity Canada Edmonton Canada

6. European Association for the Study of Obesity Teddington UK

7. Internal and Obesity Medicine University of the West Indies School of Clinical Medicine and Research Nassau Bahamas

8. World Obesity Federation London UK

9. George Institute for Global Health Sydney Australia

10. Children's Hospital Westmead Clinical School University of Sydney Sydney Australia

11. Irish Coalition for People Living with Obesity Dublin Ireland

12. George Institute for Global Health Imperial College London London UK

13. WW International, Inc., Department of Health Outcomes and Biomedical Informatics University of Florida College of Medicine Gainesville Florida USA

14. Hriday New Delhi India

15. Advanced Center for Metabolic Medicine and Nutrition (CAMMYN) Santiago Chile

16. Advancing Synergy Baltimore Maryland USA

17. Educational Consultant and Patient Advocate Kuwait City Kuwait

18. Center for Global Noncommunicable Diseases RTI International Research Triangle Park North Carolina USA

19. Department of Integrative Biology and Physiology University of Minnesota, and the Minneapolis VA Health Care System, Geriatric Research, Education and Clinical Care Minneapolis Minnesota USA

20. ConscienHealth Pittsburgh Pennsylvania USA

21. National Institute for Health and Care Excellence London UK

22. European Coalition for People Living with Obesity Dublin Ireland

23. Health Consumers' Council WA Mount Lawley Australia

24. Obesity Action Coalition Tampa Florida USA

25. Nutrition Unit Hospital Clínico de La Universidad de Chile Santiago Chile

26. Rudd Center for Food Policy and Obesity University of Connecticut Storrs Connecticut USA

27. Gastrobariatrica Santa Fe Santa Fe New Mexico USA

28. Psychology Convening Group Ramapo College of New Jersey Mahwah New Jersey USA

29. Neuroendocrine Unit, Pediatric Endocrinology, Nutrition Obesity Research Center at Harvard Massachusetts General Hospital/Harvard Medical School Boston Massachusetts USA

30. Global Health Medicine And Health, Faculty of Biology University Of Manchester Manchester UK

31. Singapore Association for the Study of Obesity Singapore

32. Obesity Society of Nigeria Abuja Nigeria

33. Nutrition and Health Research Center National Institute of Public Health Mexico Cuernavaca Mexico

34. Healthy Caribbean Coalition Bridgetown Barbados

35. University of Liverpool Liverpool UK

36. Andrea Bariatric Surgery Subang Jaya Malaysia

Abstract

SummaryWeight stigma, defined as pervasive misconceptions and stereotypes associated with higher body weight, is both a social determinant of health and a human rights issue. It is imperative to consider how weight stigma may be impeding health promotion efforts on a global scale. The World Obesity Federation (WOF) convened a global working group of practitioners, researchers, policymakers, youth advocates, and individuals with lived experience of obesity to consider the ways that global obesity narratives may contribute to weight stigma. Specifically, the working group focused on how overall obesity narratives, food and physical activity narratives, and scientific and public‐facing language may contribute to weight stigma. The impact of weight stigma across the lifespan was also considered. Taking a global perspective, nine recommendations resulted from this work for global health research and health promotion efforts that can help to reduce harmful obesity narratives, both inside and outside health contexts.

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,Endocrinology, Diabetes and Metabolism

Reference92 articles.

1. Public Health Agency of Canada.Addressing stigma: towards a more inclusive health system2019Available from:https://www.canada.ca/en/public-health/corporate/publications/chief-public-health-officer-reports-state-public-health-canada/addressing-stigma-toward-more-inclusive-health-system.html

2. Weight Bias and Stigma: Public Health Implications and Structural Solutions

3. The association between weight stigma and mental health: A meta‐analysis

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