The role of weight stigma in weight regain in bariatric surgery

被引：11

作者：

Himmelstein, Mary S. ^{[1
]}

Knepp, Kristen A. ^{[2
]}

Phelan, Sean M. ^{[3
,4
]}

机构：

[1] Kent State Univ, Dept Psychol Sci, Kent, OH USA

[2] Northeast Ohio Med Univ, Dept Family & Commun Med, Rootstown, OH USA

[3] Robert D & Patricia E Kern Ctr Sci Healthcare Deli, Div Hlth Care Delivery Res, Rochester, MN 55905 USA

[4] Mayo Clin, Mayo Clin Alix Sch Med, Rochester, MN 55905 USA

来源：

FRONTIERS IN ENDOCRINOLOGY | 2022年 / 13卷

关键词：

bariatric surgery; weight regain; weight stigma; weight bias internalization; psychological distress; TERM-FOLLOW-UP; BIAS INTERNALIZATION; EATING BEHAVIORS; OBESITY; CORTISOL; OUTCOMES; QUALITY; IMPACT; LIFE; COMMUNICATION;

D O I：

10.3389/fendo.2022.1076696

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Obesity is highly stigmatized, and individuals who undergo bariatric surgery are subject not only to weight stigma, but also to stigma related to the procedure itself. Patients lost to follow-up after surgery make estimating the amount of regain occurring after surgery difficult, and often patients fail to follow up due the shame of weight regain. Patients report difficulty following the diet necessary to maintain weight loss. Additionally, when they seek support after surgery, they often encounter stigmatizing messaging related to weight. Weight bias internalization, weight stigma, and stigma about having the surgery all contribute to feelings of social isolation, disordered eating, and reduced motivation to engage in physical activity. In this chapter, we present evidence for the impact of stigma on bariatric surgery outcomes and discuss the behavioral, physiological, and emotional processes that contribute to weight regain.

引用

页数：6

共 71 条

[1]

Alberga AS, 2016, J EAT DISORD, V4, DOI 10.1186/s40337-016-0112-4

[2] Obesity as a disease: A white paper on evidence and arguments commissioned by the Council of the Obesity Society [J].