Aladel Alanoud, Dakhakhni Badeeah, Almuhtadi Yara, Alsheweir Azzah, Aljammaz Sadeem
Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11451, Saudi Arabia.
Healthcare (Basel). 2023 Jun 15;11(12):1754. doi: 10.3390/healthcare11121754.
Weight self-stigma (WSS) is a personal experience of negative self-evaluations, perceived discrimination, and shame about body weight. Studies suggested that WSS could negatively affect quality of life, eating behavior, and psychological outcomes. WSS has been linked with a number of obesogenic health outcomes that complicate weight loss interventions. Thus, this study aimed to examine the effect of WSS on the quality of life and dietary habits among adult students. A sample of 385 students from Riyadh universities participated in this cross-sectional study and completed three online questionnaires: the WSS questionnaire, the WHO quality of life questionnaire, and a dietary habit questionnaire. The average age of participants was 24 ± 6.74, and the majority were female (78.4%). Results demonstrated a negative association between all QOL domains and WSS ( < 0.001). Moreover, higher BMI is associated with increased self-devaluation and fear of enacted stigma ( < 0.001). There was also a negative link between both quality and quantity of food with WSS ( < 0.01). No significant difference was seen in study outcomes concerning gender. The findings of this study suggest the importance of increasing awareness about the negative impact of WSS and developing social policies to prevent or decrease it. Additionally, multidisciplinary teams, especially dietitians, should be more aware of WSS when dealing with overweight and obese individuals.
体重自我污名化(WSS)是一种对体重的负面自我评价、感知到的歧视以及羞耻的个人体验。研究表明,WSS会对生活质量、饮食行为和心理结果产生负面影响。WSS与许多导致肥胖的健康结果相关联,这使得减肥干预措施变得复杂。因此,本研究旨在探讨WSS对成年学生生活质量和饮食习惯的影响。来自利雅得各大学的385名学生参与了这项横断面研究,并完成了三份在线问卷:WSS问卷、世界卫生组织生活质量问卷和饮食习惯问卷。参与者的平均年龄为24±6.74岁,大多数为女性(78.4%)。结果表明,所有生活质量领域与WSS之间均存在负相关(<0.001)。此外,较高的体重指数与自我贬低和对实际污名化的恐惧增加相关(<0.001)。食物的质量和数量与WSS之间也存在负相关(<0.01)。在研究结果方面,未发现性别之间存在显著差异。本研究的结果表明,提高对WSS负面影响的认识以及制定预防或减少WSS的社会政策具有重要意义。此外,多学科团队,尤其是营养师,在处理超重和肥胖个体时应更加关注WSS。