Robinson Eric, Haynes Ashleigh, Sutin Angelina, Daly Michael
Psychological Sciences University of Liverpool Liverpool UK.
Centre for Behavioural Research in Cancer Cancer Council Victoria Melbourne VIC Australia.
Obes Sci Pract. 2020 Jun 8;6(5):552-561. doi: 10.1002/osp4.424. eCollection 2020 Oct.
The obesity crisis is one of the largest public health challenges of the 21st century. Population-level adiposity has increased dramatically in recent times, and people not recognizing that they have overweight or obesity is now common. It has been widely assumed that not recognizing oneself as having overweight is detrimental to weight management and long-term health. Here, diverse research is reviewed that converges on the counterintuitive conclusion that not recognizing oneself as having overweight is actually associated with more favourable physical and mental health outcomes than recognizing oneself as having overweight. Drawing on existing models in social psychology and weight stigma research, an explanatory model of the health effects of self-perception of overweight is outlined. This model proposes that self-perception of overweight triggers social rejection concerns and the internalization of weight stigma, which in turn induce psychological distress and negatively impact health-promoting lifestyle behaviours. How self-perception of overweight may in part explain progression from overweight to obesity, and the public health implications of self-perception of overweight and obesity are also discussed.
肥胖危机是21世纪最大的公共卫生挑战之一。近年来，总体人群的肥胖程度急剧上升，人们未意识到自己超重或肥胖的情况如今很常见。人们普遍认为，未意识到自己超重不利于体重管理和长期健康。在此，我们回顾了多项不同研究，这些研究得出了一个与直觉相悖的结论：与意识到自己超重相比，未意识到自己超重实际上与更有利的身心健康结果相关。借鉴社会心理学和体重污名研究中的现有模型，概述了超重自我认知对健康影响的解释模型。该模型提出，超重的自我认知引发了对社会排斥的担忧以及体重污名的内化，进而导致心理困扰并对促进健康的生活方式行为产生负面影响。超重的自我认知如何在一定程度上解释从超重到肥胖的进展，以及超重和肥胖自我认知对公共卫生的影响也将进行讨论。
