Weight Stigma Experiences and Physical (In)activity: A Biographical Analysis

Obes Facts. 2020;13(3):386-402. doi: 10.1159/000507936. Epub 2020 Jun 30.

Abstract

Introduction: People with obesity often report experiences of weight-related discrimination. In order to find out how such experiences throughout the life course are related to physical activity behavior, we exploratively studied activity-related biographies of people with obesity from a social constructivist perspective.

Methods: We collected biographical data of 30 adults (mean age 37.66 years; 14 males and 16 females) with obesity (average BMI 40.64, including a range from 33 to 58) using a biography visualization tool that allows participants to map developmental courses and critical life experiences over their life course.

Results: Participants remembered a continuous decrease of physical activity from childhood to mid-adulthood. Weight-related discrimination, both in sport and non-sport settings, was especially experienced in adolescence and mid-adulthood. Against the background of our findings, we assume that the degree of felt stigma rather than the stigmatizing behavior itself influences physical activity behavior over the life course.

Conclusion: The results of our exploratory study reiterate the detrimental effect weight stigma can have on health behaviors. Initiatives are needed to reduce weight stigma in exercise contexts; additionally, initiatives to promote physical activity should focus on helping individuals with obesity to establish coping strategies to reduce the experienced burden from weight stigma.

Keywords: Activity barriers; Biographical mapping; Discrimination; Obesity; Physical activity; Weight stigma.

MeSH terms

  • Adult
  • Body Weight*
  • Exercise*
  • Female
  • Health Behavior
  • Humans
  • Male
  • Middle Aged
  • Obesity
  • Social Stigma
  • Stereotyping