Alberga Angela S, Russell-Mayhew Shelly, von Ranson Kristin M, McLaren Lindsay
Werklund School of Education, University of Calgary, 2500 University Dr NW, T2N 1N4 Calgary, AB Canada.
Department of Psychology, University of Calgary, 2500 University Drive NW, T2N 1N4 Calgary, AB Canada.
J Eat Disord. 2016 Nov 7;4:34. doi: 10.1186/s40337-016-0112-4. eCollection 2016.
Weight-related issues (including excess weight, disordered eating and body concerns) are often considered as comprising distinct domains of 'obesity' and 'eating disorders'. In this commentary we argue that the concept of weight bias is an important variable when considering wellbeing across the spectrum of weight-related issues. We make the following six points in support of this argument: i) weight bias is common and has adverse health consequences, ii) shaming individuals for their body weight does not motivate positive behaviour change, iii) internalized weight bias is particularly problematic, iv) public health interventions, if not carefully thought out, can perpetuate weight bias, v) weight bias is a manifestation of social inequity, and vi) action on weight bias requires an upstream, population-level approach. To achieve sustainable reductions in weight bias at a population level, substantive modifications and collaborative efforts in multiple settings must be initiated. We provide several examples of population-level interventions to reduce weight bias.
与体重相关的问题（包括超重、饮食失调和身体相关问题）通常被认为包含“肥胖”和“饮食失调”这两个不同领域。在本评论中，我们认为体重偏见这一概念在考虑与体重相关问题的整个范围内的幸福感时是一个重要变量。我们提出以下六点来支持这一论点：i）体重偏见很常见且会对健康产生不良后果；ii）因个人体重而羞辱他们并不能促使积极的行为改变；iii）内化的体重偏见尤其成问题；iv）公共卫生干预措施如果没有经过深思熟虑，可能会使体重偏见长期存在；v）体重偏见是社会不平等的一种表现；vi）应对体重偏见需要采取上游的、针对人群层面的方法。为了在人群层面实现体重偏见的可持续减少，必须在多个环境中启动实质性的修改和协作努力。我们提供了几个减少体重偏见的人群层面干预措施的例子。
