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The role of weight stigma in weight regain in bariatric surgery. | LitMetric

The role of weight stigma in weight regain in bariatric surgery.

Front Endocrinol (Lausanne)

Division of Health Care Delivery Research, Robert D. & Patricia E. Kern Center for the Science of Healthcare Delivery, & Mayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, United States.

Published: December 2022

AI Article Synopsis

  • - Obesity carries significant stigma, affecting individuals who undergo bariatric surgery not only for their weight but also for the surgery itself, leading to feelings of shame and social isolation.
  • - Many patients struggle with dietary adherence post-surgery and often avoid follow-up appointments due to fears of weight regain, complicating the ability to track long-term outcomes.
  • - The chapter explores how weight bias, internalization of weight stigma, and negative perceptions surrounding the surgery contribute to disordered eating, lower motivation for physical activity, and ultimately hinder successful weight maintenance.

Article Abstract

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.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9763922PMC
http://dx.doi.org/10.3389/fendo.2022.1076696DOI Listing

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