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
DOI:
https://doi.org/10.25176/RFMH.v24i3.6457Keywords:
nutritional status, university students, health careers, weight prejudiceAbstract
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.
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Alza de obesidad en Chile: Advierten la urgencia de medidas frente a este problema de salud pública [Internet]. Uchile.cl. 2022 [citado el 22 de noviembre de 2023]. Disponible en: https://uchile.cl/noticias/193095/especialistas-abordan-preocupantes-cifras-de-obesidad-en-chile
World Health Organization. (2020). Obesity and overweight. [ citado el 4 de mayo, 2023] [disponible en internet] https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Puhl RM, Heuer CA. The stigma of obesity: A review and update. Obesity (Silver Spring) [Internet]. 2009;17(5):941–64. disponible en: http://dx.doi.org/10.1038/oby.2008.636
Kim S-R, Kim H-N, Song S-W. Associations between mental health, quality of life, and obesity/metabolic risk phenotypes. Metab Syndr Relat Disord [Internet]. 2020;18(7):347–52. Available from: http://dx.doi.org/10.1089/met.2020.0028
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;16(1). Disponible en: http://dx.doi.org/10.1186/s12916-018-1116-5
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;17(11):2033–9. Disponible en: http://dx.doi.org/10.1038/oby.2009.131
Ruckwongpatr K, Saffari M, Fung XCC, O’Brien KS, Chang Y-L, Lin Y-C, 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;10(1). Disponible en: http://dx.doi.org/10.1186/s40337-022-00552-7.
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;30(12):4926–34. Disponible en: http://dx.doi.org/10.1007/s11695-020-04895-5
George TP, DeCristofaro C, Murphy PF. Unconscious weight bias among nursing students: A descriptive study. Healthcare (Basel) [Internet]. 2019;7(3):106. Disponible en: http://dx.doi.org/10.3390/healthcare7030106
Bastias-González F, Jorquera C, Matamala C, Aguirre P, Escandon-Nagel N, Marileo L, et al. Weight stigma of nutrition and dietetics students towards people with obesity. Rev Chil Nutr [Internet]. 2022;49(3):378–83. Disponible en: http://dx.doi.org/10.4067/s0717-75182022000300378
Obara AA, Vivolo SRGF, Alvarenga M dos S. Preconceito relacionado ao peso na conduta nutricional: um estudo com estudantes de nutrição. Cad Saude Pública [Internet]. 2018;34(8). Disponible en: http://dx.doi.org/10.1590/0102-311x00088017
Cuschieri S. The STROBE guidelines. Saudi J Anaesth [Internet]. 2019;13(5):31. Disponible en: http://dx.doi.org/10.4103/sja.sja_543_18
Gómez Pérez D, Bastías González F, Ortiz Parada M. Weight stigma, Mediterranean diet and obesity. Nutr Hosp [Internet]. 2022; Disponible en: http://dx.doi.org/10.20960/nh.03908
Ercan A, Ok MA, Altun S. The impact of occupational education on obesity prejudice of university students. Prog Nutr [Internet]. 2021 [cited 2023 Nov 16];23(1):e2021017–e2021017. Available from: https://doi.org/10.23751/pn.v23i1.8921
Hagen SJ, Henningfield MF. Health at Every Size principles: Clinician perspectives to limit weight stigma in medical care. WMJ [Internet]. 2023 [cited 2023 Nov 16];122(4):277–9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37768769/
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;16(6):e0251566. Disponible en: http://dx.doi.org/10.1371/journal.pone.0251566
Lawrence BJ, Kerr D, Pollard CM, Theophilus M, Alexander E, Haywood D, O'Connor M. Weight bias among health care professionals: A systematic review and meta-analysis. Obesity (Silver Spring). 2021 Nov;29(11):1802-1812. doi: 10.1002/oby.23266. Epub 2021 Sep 6. PMID: 34490738.
Cardel MI, Newsome FA, Pearl RL, Ross KM, Dillard JR, Miller DR, Hayes JF, Wilfley D, Keel PK, Dhurandhar EJ, Balantekin KN. Patient-Centered Care for Obesity: How Health Care Providers Can Treat Obesity While Actively Addressing Weight Stigma and Eating Disorder Risk. J Acad Nutr Diet. 2022 Jun;122(6):1089-1098. doi: 10.1016/j.jand.2022.01.004. Epub 2022 Jan 13. PMID: 35033698; PMCID: PMC10056599.
Jackson SE, Steptoe A. Obesity, perceived weight discrimination, and hair cortisol: a population-based study. Psychoneuroendocrinology [Internet]. 2018;98:67–73. Disponible en: http://dx.doi.org/10.1016/j.psyneuen.2018.08.018
Cheng MY, Wang S-M, Lam YY, Luk HT, Man YC, Lin C-Y. 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 [cited 2023 Nov 16];206(9):705–10. Disponible en
Vilugrón Aravena 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 [cited 2023 Nov 16];40(3). Disponible en: https://pubmed.ncbi.nlm.nih.gov/37073745/
Sattler KM, Deane FP, Tapsell L, Kelly PJ. Gender differences in the relationship of weight-based stigmatization with motivation to exercise and physical activity in overweight individuals. Health Psychol Open [Internet]. 2018 [cited 2023 Nov 16];5(1):205510291875969. Disponible en: http://dx.doi.org/10.1177/2055102918759691
Gómez-Pérez D, Ortiz MS. Estigma de obesidad, cortisol e ingesta alimentaria: un estudio experimental con mujeres. Rev Med Chil [Internet]. 2019;147(3):314–21. Disponible en: http://dx.doi.org/10.4067/s0034-98872019000300314
Lin C-Y, Strong C, Latner JD, Lin Y-C, Tsai M-C, Cheung P. Mediated effects of eating disturbances in the association of perceived weight stigma and emotional distress. Eat Weight Disord [Internet]. 2020 [cited 2023 Nov 16];25(2):509–18. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30697663/
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