Weight Stigma and Its Association With Nutritional Status in Students of Health Careers in a Private University in the Region of Ñuble, Chile
Estigma de peso y su asociación con el estado nutricional en estudiantes de carreras de salud en una universidad privada en la región de Ñuble, Chile | 体重污名及其与智利Ñuble地区一所私立大学健康专业学生营养状况的关联
DOI:
https://doi.org/10.25176/RFMH.v24i3.6457Keywords:
nutritional status, weight prejudice, students, health occupationsAbstract
Introduction: Obesity and overweight constitute global public health challenges, negatively impacting more than one billion people. They are accompanied by significant psychological and social consequences, including the stigma associated with weight, with severe repercussions on mental and physical well-being. Health professionals are directly involved with this problem; however, few studies address weight stigma in Chile. Objective: To relate nutritional status (BMI) and the level of weight stigma in university students of health careers in the region of Ñuble, Chile. Methodology: Observational design of correlational and cross-sectional scope. The GAMS-27 scale was applied to assess weight stigma and BMI to evaluate the nutritional status of 156 students of health careers. Chi2 tests of independence and binary logistic regression were applied to evaluate the association between the variables, with the R statistical package version 4.3.0. Results: A statistically significant association was found between weight stigma and nutritional status (p=0.0145). Presenting normal BMI (p=0.0163) and being female (p=0.0156) were associated with a higher probability of presenting weight bias. Conclusions: The present study identified a statistically significant association between weight stigma and nutritional status in college students. It is vital to promote education regarding weight stigma in college students to avoid bias and improve respect for future users.
Downloads
References
Aguilera C, Labbé T, Busquets J, Venegas P, Neira C, Valenzuela Á, et al. Obesidad: ¿Factor de riesgo o enfermedad? Rev Med Chil [Internet]. 2019 [cited 2024 Jun 14];147(4):470–4. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000400470&lng=es&nrm=iso&tlng=es
Obesidad y sobrepeso [Internet]. [cited 2024 Jun 14]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Sánchez-Carracedo D. El estigma de la obesidad y su impacto en la salud: una revisión narrativa. Endocrinol Diabetes Nutr. 2022 Dec 1;69(10):868–77.
Kim SR, Kim HN, Song SW. Associations Between Mental Health, Quality of Life, and Obesity/Metabolic Risk Phenotypes. Metab Syndr Relat Disord [Internet]. 2020 Sep 1 [cited 2024 Jun 14];18(7):347–52. Available from: https://pubmed.ncbi.nlm.nih.gov/32429802/
Tomiyama AJ, Carr D, Granberg EM, Major B, Robinson E, Sutin AR, et al. How and why weight stigma drives the obesity “epidemic” and harms health. BMC Med [Internet]. 2018 Aug 15 [cited 2024 Jun 14];16(1). Available from: https://pubmed.ncbi.nlm.nih.gov/30107800/
Hatzenbuehler ML, Keyes KM, Hasin DS. Associations between perceived weight discrimination and the prevalence of psychiatric disorders in the general population. Obesity (Silver Spring) [Internet]. 2009 Nov [cited 2024 Jun 14];17(11):2033–9. Available from: https://pubmed.ncbi.nlm.nih.gov/19390520/
Kamolthip R, Saffari M, Fung XCC, O’Brien KS, Chang YL, Lin YC, et al. The mediation effect of perceived weight stigma in association between weight status and eating disturbances among university students: is there any gender difference? J Eat Disord [Internet]. 2022 Dec 1 [cited 2024 Jun 14];10(1). Available from: https://pubmed.ncbi.nlm.nih.gov/35193673/
Tapking C, Benner L, Hackbusch M, Schüler S, Tran D, Ottawa GB, et al. Influence of Body Mass Index and Gender on Stigmatization of Obesity. Obes Surg [Internet]. 2020 Dec 1 [cited 2024 Jun 14];30(12):4926–34. Available from: https://pubmed.ncbi.nlm.nih.gov/32772227/
George TP, Decristofaro C, Murphy PF. Unconscious Weight Bias Among Nursing Students: A Descriptive Study. Healthcare [Internet]. 2019 Sep 1 [cited 2024 Jun 14];7(3). Available from: /pmc/articles/PMC6787661/
Bastias-González F, Jorquera C, Matamala C, Aguirre P, Escandon-Nagel N, Marileo L, et al. El estigma de peso de los estudiantes de nutrición y dietética hacia las personas con obesidad. Revista chilena de nutrición [Internet]. 2022 Jun 1 [cited 2024 Jun 14];49(3):378–83. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75182022000300378&lng=es&nrm=iso&tlng=en
Obara AA, Vivolo SRGF, Alvarenga MDS. Preconceito relacionado ao peso na conduta nutricional: um estudo com estudantes de nutrição. Cad Saude Publica [Internet]. 2018 Aug 20 [cited 2024 Jun 14];34(8):e00088017. Available from: https://www.scielo.br/j/csp/a/YkFF7RGTnDP8kQmCHzk5sBS/abstract/?lang=pt
Cuschieri S. The STROBE guidelines. Saudi J Anaesth [Internet]. 2019 Apr 1 [cited 2024 Jun 14];13(Suppl 1):S31–4. Available from: https://pubmed.ncbi.nlm.nih.gov/30930717/
Bastías-González F, Gómez-Pérez D, Ortiz-Parada M, Bastías-González F, Gómez-Pérez D, Ortiz-Parada M. Estigma de peso, dieta mediterránea y obesidad. Nutr Hosp [Internet]. 2022 May 1 [cited 2024 Jun 14];39(3):554–61. Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112022000400010&lng=es&nrm=iso&tlng=es
Ercan A, Altun S, OK MA. The Impact of Occupational Education on Obesity Prejudice of University Students. Progress in Nutrition [Internet]. 2021 Mar 31 [cited 2024 Jun 14];23(1):e2021017–e2021017. Available from: https://www.mattioli1885journals.com/index.php/progressinnutrition/article/view/8921
Puhl RM, Lessard LM, Himmelstein MS, Foster GD. The roles of experienced and internalized weight stigma in healthcare experiences: Perspectives of adults engaged in weight management across six countries. PLoS One [Internet]. 2021 Jun 1 [cited 2024 Jun 14];16(6). Available from: https://pubmed.ncbi.nlm.nih.gov/34061867/
Principios de salud en todos los tamaños: perspectivas de los médicos para limitar el estigma del peso en la atención médica - PubMed [Internet]. [cited 2024 Jun 14]. Available from: https://pubmed.ncbi.nlm.nih.gov/37768769/
Puhl RM, Moss-Racusin CA, Schwartz MB. Internalization of weight bias: Implications for binge eating and emotional well-being. Obesity (Silver Spring) [Internet]. 2007 Jan [cited 2024 Jun 14];15(1):19–23. Available from: https://pubmed.ncbi.nlm.nih.gov/17228027/
Kamolthip R, Saffari M, Fung XCC, O’Brien KS, Chang YL, Lin YC, et al. The mediation effect of perceived weight stigma in association between weight status and eating disturbances among university students: is there any gender difference? J Eat Disord [Internet]. 2022 Dec 1 [cited 2024 Jun 14];10(1):28. Available from: /pmc/articles/PMC8864835/
Vartanian LR, Novak SA. Internalized societal attitudes moderate the impact of weight stigma on avoidance of exercise. Obesity (Silver Spring) [Internet]. 2011 Apr [cited 2024 Jun 14];19(4):757–62. Available from: https://pubmed.ncbi.nlm.nih.gov/20948515/
Durso LE, Latner JD. Understanding Self-directed Stigma: Development of the Weight Bias Internalization Scale. Obesity [Internet]. 2008 Nov 1 [cited 2024 Jun 14];16(S2):S80–6. Available from: https://onlinelibrary.wiley.com/doi/full/10.1038/oby.2008.448
Lawrence BJ, Kerr D, Pollard CM, Theophilus M, Alexander E, Haywood D, et al. Weight bias among health care professionals: A systematic review and meta-analysis. Obes Res [Internet]. 2021 Nov 1 [cited 2024 Jun 14];29(11):1802–12. Available from: https://research-repository.uwa.edu.au/en/publications/weight-bias-among-health-care-professionals-a-systematic-review-a
Puhl R, Suh Y. Stigma and eating and weight disorders. Curr Psychiatry Rep [Internet]. 2015 Mar 1 [cited 2024 Jun 14];17(3). Available from: https://pubmed.ncbi.nlm.nih.gov/25652251/
Alimoradi Z, Golboni F, Griffiths MD, Broström A, Lin CY, Pakpour AH. Weight-related stigma and psychological distress: A systematic review and meta-analysis. Clin Nutr [Internet]. 2020 Jul 1 [cited 2024 Jun 14];39(7):2001–13. Available from: https://pubmed.ncbi.nlm.nih.gov/31732288/
Jackson SE, Steptoe A. Obesity, perceived weight discrimination, and hair cortisol: a population-based study. Psychoneuroendocrinology [Internet]. 2018 Dec 1 [cited 2024 Jun 14];98:67–73. Available from: https://pubmed.ncbi.nlm.nih.gov/30118922/
Cheng MY, Wang SM, Lam YY, Luk HT, Man YC, Lin CY. The Relationships Between Weight Bias, Perceived Weight Stigma, Eating Behavior, and Psychological Distress Among Undergraduate Students in Hong Kong. J Nerv Ment Dis [Internet]. 2018 Sep 1 [cited 2024 Jun 14];206(9):705–10. Available from: https://pubmed.ncbi.nlm.nih.gov/30124569/
Vilugrón F, Cortés M, Valenzuela J, Rojas C, Gutiérrez P. [Obesity, weight-related stigma and its association with the perception of quality of life in Chilean university students]. Nutr Hosp [Internet]. 2023 May 1 [cited 2024 Jun 14];40(3):543–50. Available from: https://pubmed.ncbi.nlm.nih.gov/37073745/
Sattler KM, Deane FP, Tapsell L, Kelly PJ. Gender differences in the relationship of weight-based stigmatisation with motivation to exercise and physical activity in overweight individuals. Health Psychol Open [Internet]. 2018 Jan 1 [cited 2024 Jun 14];5(1). Available from: https://pubmed.ncbi.nlm.nih.gov/29552349/
Gómez-Pérez D, Ortiz MS, Gómez-Pérez D, Ortiz MS. Estigma de obesidad, cortisol e ingesta alimentaria: un estudio experimental con mujeres. Rev Med Chil [Internet]. 2019 Mar 1 [cited 2024 Jun 14];147(3):314–21. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000300314&lng=es&nrm=iso&tlng=es
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista de la Facultad de Medicina Humana
This work is licensed under a Creative Commons Attribution 4.0 International License.
