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

Obesity Reviews, Journal Year: 2023, Volume and Issue: 25(1)

Published: Oct. 17, 2023

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

Language: Английский

---

Drivers and facilitators of weight stigma among preconception, pregnant, and postpartum women: A systematic review

Obesity Reviews, Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 12, 2024

Summary Women in the preconception, pregnant, or postpartum period are susceptible to weight stigma, particularly due risk of excess gain during reproductive life and negative effects stigma on health both mother child. Identifying drivers facilitators will help guide focused prevention interventions. This systematic review aimed identify among women. In May 2022, Medline, Embase, PsycINFO, Maternity Infant Care Database were searched for peer‐reviewed articles published since 2010 using search terms AND OR postpartum. Of 1724 identified, 34 fulfilled inclusion criteria included a narrative synthesis. reported facing insensitive language, misconceptions about obesity across all settings, inappropriate media representation. The unavailability appropriate equipment at facilities was by women professionals. Our findings indicate that rigorous effort stakeholders is necessary promote regulatory, legal, educational initiatives designed reduce discrimination against period.

Language: Английский

---

SWIPE: a conceptual, multi-perspective model for understanding and informing interventions for weight stigma in preconception, pregnancy, and postpartum

Health Psychology Review, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 17

Published: April 1, 2024

Weight stigma is salient across the preconception, pregnancy, and postpartum (PPP) periods because of prevailing prescriptive norms expectations about weight gain during reproductive period. associated with negative physical psychological health outcomes for mother child. A clearly defined, multi-level conceptual model interventions, research, policy critical to mitigating adverse effects in PPP populations. Conceptual models towards women have advanced our understanding this issue guided evidence accumulation but there remains a gap informing translation into action. Guided by evidence-based paradigms development, paper has two primary objectives. First, we review summarise theories, frameworks, from population general literature inform development perpetuation women. Second, propose novel comprehensive intervention-guiding that draws synthesises multiple disciplines - SWIPE (Stigma In Experience) model. This will help plan coordinated, multi-layered, effective strategies reduce ultimately eliminate

Language: Английский

---

The (un)controlled body: A grounded theory analysis to conceptualise stigma for women with gestational diabetes mellitus

Journal of Health Psychology, Journal Year: 2024, Volume and Issue: unknown

Published: April 16, 2024

Health-related stigma is associated with adverse outcomes including depression, stress and reduced engagement in health behaviours which are particularly harmful pregnancy the postpartum. Women gestational diabetes mellitus (GDM) report negative psychosocial experiences may be at risk of related to condition. We aimed understand women’s GDM-specific stigma. Individual interviews were conducted n = 53 women living UK a current or past (within 4 years) GDM. Grounded theory methodology was used analyse data. Four themes identified: (1) Preconceptions misconceptions; (2) Locating, regaining, negotiating agency; (3) Tension about resisting dominant discourse stigma; (4) Reclaiming control over body. diverse far reaching have broader implications for perinatal mental postnatal wellbeing. It pertinent investigate possible prospective associations between stigma, biomedical outcomes.

Language: Английский

---

Weight stigma in the preconception, pregnancy, and postpartum periods: A systematic review of women's perspectives

Obesity Reviews, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 3, 2025

Summary Weight stigma presents a significant challenge for women throughout the preconception, pregnancy, and postpartum (PPP) periods, manifesting in multiple areas of life, including interpersonal relationships, healthcare settings, broader social contexts. This systematic review investigates weight across their reproductive years, examining its impact, exploring socioecological factors that contribute to persistence. We searched Medline, PsycINFO, Embase, Maternity Infant Care (MIDIRS), Global Health peer‐reviewed articles published since 2010. Of 3486 records identified, 38 were included narrative synthesis. Inductive thematic analysis was used explore women's personal experiences stigma. then applied lens examine interrelationships between individual, interpersonal, organizational, societal contributing Five overarching themes identified: (1) impact on PPP women; (2) contexts; (3) coping strategies; (4) voices as call action; (5) Our findings provide critical insights into multifaceted nature stigma, highlighting need future research, development practical strategies prioritize perspectives, harmful norms positive change.

Language: Английский

---

Experiencing weight stigma during childbirth increases the odds of cesarean birth

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 21, 2025

Abstract Background Weight-biased clinical practices and institutional characteristics can have a wide impact on the quality of care provided to women with obesity. This may substantially increase their risks for poor birth outcomes. The current study assessed experienced weight stigma by during childbirth in maternity settings Switzerland. We aimed identify frequencies, sources, manifestations weight-related stigmatization, hypothesizing that such impacts outcomes, specifically cesarean (CB). Methods Data from nationwide cross-sectional online survey was used investigate childbirth. Binomial logistic regression applied predict CB stigma. Mediation analysis role association between body mass index (BMI) CB. Results In total 1352 who gave last five years, obesity (BMI ≥ 30 kg/m2) more often than peers healthy 18.5–24.9 kg/m2). Obstetricians were identified as major source stigma, accounting 77.8% stigmatization women, compared perceived nurses (21.7%) midwives (23.8%). Overall, mostly form dismissive or critical comments towards woman’s figure weight. Significantly indicated being blamed healthy-weighted (χ²(2) = 22.2, P < 0.001). An frequency related higher odds intrapartum ([aOR], 1.08; 95% CI, 1.02,1.15; 0.05), it partially mediated relationship increased pre-pregnancy BMI (b 0.07, SE 0.029; 0.05). Conclusion Women reported highest proportion childbirth, experiencing frequently without associated Raising awareness among healthcare providers reducing potential biases improve health outcomes

Language: Английский

---

Associations between maternal body composition in the second trimester and premature rupture of membranes: a retrospective study using hospital information system data

BMC Pregnancy and Childbirth, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 6, 2025

Maternal nutrition is associated with premature rupture of membranes (PROM), which affects 6.7-10.0% term pregnancies and poses significant health challenges for both mothers children. However, the relationship between body composition, a detailed reflection maternal nutrition, PROM remains under-explored. We conducted retrospective correlational study using data from 38,610 obstetric cases (PROM = 9,857; non-PROM 28,753) in hospital information system West China Second University Hospital. Multi-variable binary logistic regression was performed to investigate relationships key composition indicators PROM. Advanced age (OR:1.026, P < 0.001) nulliparity (OR:1.402, were an increased risk PROM, while longer gestational (OR:0.864, linked lower risk. A higher waist-to-hip ratio identified as factor (OR:2.818, 0.001), whereas protein levels (OR:0.934, mineral content (OR:0.760, 0.045) potential protective factors. Key indicators, including ratio, levels, content, are Additionally, advanced age, shorter incidence These findings provide valuable insights early screening contribute child promotion. Future prospective, longitudinal, causal studies necessary validate further support these findings.

Language: Английский

---

Newspaper media framing of obesity during pregnancy in the UK: A review and framework synthesis

Obesity Reviews, Journal Year: 2022, Volume and Issue: 23(12)

Published: Oct. 21, 2022

Summary Two thirds of women report experiencing weight stigma during pregnancy. Newspaper media is powerful in framing health issues. This review synthesized UK newspaper portrayal maternal obesity. NexisUni was searched to identify articles, published January 2010 May 2021, reporting content on obesity Framework synthesis integrated quantitative and qualitative analysis the articles. There were 442 articles included (59% tabloids 41% broadsheets). Three overarching themes with interacting sub‐themes as follows: (1) Women blamed for their weight, risks, NHS impact. (2) solely responsible solving obesity, gendered from school age. (3) a burden individuals (e.g., themselves, children, professionals), society, NHS. Catastrophizing language framed “problem,” “scale,” “public concern” emphasizing risk, danger alarmist, aggressive, violent elicit fear or devalue women. Articles platformed ‘expert’ voices rather than women's lived experiences. identified that negatively frames oversimplifies topic Exposure blaming alarmist messaging could increase guilt, stigma, internalized bias. The should be harnessed de‐stigmatize promote well‐being.

Language: Английский

---

Weight development from childhood to motherhood—embodied experiences in women with pre-pregnancy obesity: a qualitative study

Reproductive Health, Journal Year: 2024, Volume and Issue: 21(1)

Published: Jan. 30, 2024

Abstract Background Pre-pregnancy obesity increases the risk of perinatal complications. Post-pregnancy is a time preparation for next pregnancy and lifestyle advice in antenatal care postpartum follow-up therefore recommended. However, behavioral changes are difficult to achieve, better understanding pregnant women’s perspectives experiences pre-pregnancy weight development crucial. Methods We used qualitative design conducted semi-structured interviews with 14 women Norway 3–12 months postpartum. Data were analyzed using thematic analysis. Results Four themes addressing their generated: (1) Unmet essential needs, (2) Genetic predisposition obesity, challenging life course transitions turning points, (3) Under critical eye: an ever-present negative bodily awareness, (4) Wrestling food. Parents’ inability meet children’s needs caused gain through unbalanced diet, increased stress, emotional eating patterns. Body criticism feeling not belonging led body awareness that influenced patterns relationships. Participants reporting having had good childhood more often described as result genetic predisposition, such illness injuries. Nevertheless, these participants also how by stress emotions. Conclusions Healthcare providers should pay attention insider development. An open shared root causes can form basis successful guidance.

Language: Английский

---

The Challenge of Weight Stigma for Women in the Preconception Period: Workshop Recommendations for Action from the 5th European Conference on Preconception Health and Care

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(22), P. 7034 - 7034

Published: Nov. 8, 2023

Weight stigma is a well-recognised public health issue affecting many members of society including women during the preconception period. The impacts weight on are significant and may result in decreased access to uptake healthcare, mental concerns. consequences this translate negative maternal outcomes even intergenerational effects child. Eliminating therefore imperative. aim paper report recommendations reduce for produced at workshop with clinical academic experts 5th European Conference Preconception Health Care. related two key areas: general societal prompting all people acknowledge adjust our attitudes towards larger-bodied people; healthcare-specific imploring clinicians upskill themselves practice. We call urgent approaches address weight-stigmatising norms both population women, while providing professional development opportunities healthcare professionals relating stigma. have positive mothers children pregnancy beyond.

Language: Английский

---