<scp>Weight‐based</scp> teasing in youth: Associations with metabolic and inflammatory markers

Schvey, Natasha A.; Shank, Lisa M.; Tanofsky‐Kraff, Marian; Ramirez, Sophie; Altman, Deborah R.; Swanson, Taylor N.; Rubin, Sarah G.; Kelly, Nichole R.; LeMay‐Russell, Sarah; Byrne, Meghan E.; Parker, Megan N.; Broadney, Miranda M.; Brady, Sheila M.; Yanovski, Susan Z.; Yanovski, Jack A.

doi:10.1111/ijpo.12729

Cited by 3 publications

(1 citation statement)

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“…The second objective was to assess whether perceived fat stigma predicted allostatic load among late adolescents and young adults in Indiana. Two previous studies have found positive associations between fat stigma and allostatic load in adults and older adults, but it remains to be seen whether this is the case among adolescents or young adults (though see Schvey et al’ (2021) findings on weight teasing and metabolic/inflammatory markers in youth). Adolescence is a time of self‐identity formation, which is a phase in life that has great potential to be negatively impacted by experiences with fat stigma via identity threat (Hand et al, 2017).…”

Section: Introductionmentioning

confidence: 93%

Biological normalcy and body fat: Obesity prevalence, fat stigma, and allostatic load among late adolescents and young adults

Cullin

2023

American Journal of Biological Anthropology

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Objectives: Biological normalcy provides a framework to assess tensions between clinical definitions of "normal," statistical norms, and normative beliefs. A prevailing cultural belief is obesity directly causes poor health, but research has demonstrated consequences of fat stigma. Previous research linked fat stigma and allostatic load (AL) in adults, but this has not been demonstrated in youth, and the role of obesity prevalence is unknown. This study assesses the relationship between fat stigma and AL among youth from counties varying by obesity prevalence.Materials and methods: Undergraduates from 38 counties across the US state of Indiana (n = 175) were recruited. Fat stigma was measured using the brief stigmatizing situations inventory (SSI). AL was calculated using eight biomarkers representing cardiovascular, metabolic, and immune function. Poisson regression assessed relationships of interest and adjusted for potential confounding. An interaction term and stratified analyses were used to assess moderation.Results: SSI was not statistically associated with obesity prevalence (RR = 0.96, p = 0.173) but did statistically significantly predict AL (RR = 1.019, p = 0.045) when adjusting for confounders. Obesity prevalence moderated the relationship between SSI and AL (RR = 0.993, p = 0.001).Discussion: Results suggest that fat stigma, regardless of body fat percentage, is associated with physiologic wear and tear on the late adolescent body, and that exposure to obesity during earlier adolescence moderates this relationship. Those most at risk for high AL reported high fat stigma and lived in counties with relatively low obesity prevalence during earlier adolescence, suggesting vulnerability to fat stigma may be heightened where obesity is less common.

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Section: Introductionmentioning

confidence: 93%

Biological normalcy and body fat: Obesity prevalence, fat stigma, and allostatic load among late adolescents and young adults

Cullin

2023

American Journal of Biological Anthropology

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Multiple marginalization, discrimination, and disordered eating among youth aged 10–11

Boswell,

Launius,

Lydecker

2024

Intl J Eating Disorders

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ObjectiveAlthough rates of weight discrimination are on‐par with racial, ethnic, and gender discrimination, comparatively less work has examined impacts of weight‐based discrimination in youth, including on disordered eating. Knowing whether experiences of weight‐based discrimination, including in youth with multiply‐marginalized identities, are associated with disordered eating could identify vulnerable youth and inform intervention efforts.MethodYouth (N = 11,875) ages 10–11 were recruited through the Adolescent Brain Cognitive Development (ABCD) study. Logistic regressions using cross‐sectional data examined discrimination experiences (weight, perceived sexual orientation, race/ethnicity, national origin) and disordered eating (binge‐eating, vomiting, weight‐gain fear, weight self‐worth). Models included race/ethnicity, age, sex, parental income, and degree of elevated weight. Raked poststratification weights were used.ResultsRates of weight‐based discrimination (6.2%) were similar to rates of race/ethnicity (4.4%) and sexual orientation discrimination (4.5%). Weight‐based discrimination was associated with more disordered eating. Youth reporting multiple experiences of discrimination had significantly increased disordered eating compared to youth who did not report discrimination.DiscussionWeight‐based discrimination is common in youth and associated with disordered eating. Youth with elevated weight are more likely to be multiply marginalized and experience disordered eating. These findings suggest discrimination, including weight‐based discrimination, is a critical intervention target to prevent and treat eating disorders.Public SignificanceExperiences of discrimination contribute to poorer health; however, weight‐based discrimination is relatively understudied. Data from a large sample of youth ages 10–11 showed that youth with elevated weight reported experiencing multiple types of discrimination, and multiply‐marginalized youth had increased odds of disordered eating with each additional type of discrimination. Together, this suggests that weight‐based discrimination is a critical target to prevent and treat eating disorders, especially in multiply‐marginalized youth.

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Weight-Based Teasing and Metabolic Syndrome Components among Adolescent Military Dependents at Risk for Adult Obesity

et al. 2021

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Weight‐based teasing in youth: Associations with metabolic and inflammatory markers

Cited by 3 publications

References 48 publications

Biological normalcy and body fat: Obesity prevalence, fat stigma, and allostatic load among late adolescents and young adults

Biological normalcy and body fat: Obesity prevalence, fat stigma, and allostatic load among late adolescents and young adults

Multiple marginalization, discrimination, and disordered eating among youth aged 10–11

Weight-Based Teasing and Metabolic Syndrome Components among Adolescent Military Dependents at Risk for Adult Obesity

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