Exploring the impact of physical activity-related weight stigma among women with self-identified obesity

Weight stigma contributes to negative health and health inequity. For women with obesity, weight stigma is prevalent in their everyday lives, including in the context of physical activity. Our current understanding of physical activity-related weight stigma is limited, and in-depth research is needed to promote inclusive and stigma-free physical activity. The purpose of this study was to understand how women with obesity experience, respond to, and perceive physical activity-related weight stigma. Sixteen women (aged 20-59 years) participated in semi-structured telephone interviews. Using Interpretive Description, a practice-based form of qualitative inquiry, we found that women's experiences of physical activity-related weight stigma reflected structural, public, and self-stigma. These experiences included stigmatising comments and treatment, lack of appropriate and affordable clothing options, inaccessible exercise equipment, and weight-centric physical activity messages. In response, the women recounted feeling negative emotions (e.g. shame, sadness, guilt, anger) and had a heightened anticipation of stigma. They used self-protection techniques, attempted to change their body, and occasionally acted in resistance to socially held weight-related beliefs. Weight stigma impacted the women's lives in a myriad of ways, which included viewing physical activity as a lose-lose situation and as a means to an end (i.e. for weight loss). For some women who reported resisting weight stigma, physical activity began to be uncoupled from body weight. The findings have implications for shifting physical activity promotion and practices to be more inclusive of women with obesity.