An Examination of How People Who Have Lost Weight Communicatively Negotiate Interpersonal Challenges to Weight Management

Health Commun. 2018 Apr;33(4):469-477. doi: 10.1080/10410236.2016.1278497. Epub 2017 Feb 2.

Abstract

The vast majority of Americans are overweight, and those who are able to lose weight typically regain at least the amount they lost. Some people are confronted with sabotage, criticism, and declines in social support during and following weight loss. However, how individuals negotiate these interpersonal barriers is not very well understood. Such an understanding could help individuals maintain their weight loss while minimizing the risk of adverse health or relational consequences. Thus, through a thematic analysis of 40 interviews of people who were identified as previously overweight or obese and a facework lens (Cupach & Metts, 1994; Goffman, 1967), this study examined how people were communicatively able to sustain their weight loss in the face of challenges from friends, family, and colleagues. The investigation found that altered weight management behaviors (particularly healthy eating) can threaten others' face and uncovered several communication strategies people used to prevent and mitigate face threat. To avoid face threat, participants proactively issued cognitive disclaimers about weight management or designated cheat days, accepted but did not consume food, avoided social situations involving food, or ate unhealthy food in smaller portions to assimilate with the in-group. To remediate face threat, participants provided personal choice and health excuses to save face and accomplish their dual goals of maintaining their weight management practices without compromising their relationships.

MeSH terms

  • Adult
  • Body Weight Maintenance / physiology*
  • Communication*
  • Female
  • Friends
  • Healthy Lifestyle
  • Humans
  • Interpersonal Relations*
  • Interviews as Topic
  • Male
  • Obesity / prevention & control
  • Social Stigma*
  • Surveys and Questionnaires
  • Weight Loss / physiology*