Background <p>Many researchers have expressed concerns that weight stigma may cause adverse health effects and worsen weight issues in a vicious cycle. However, empirical evidence evaluating this cycle is scarce, especially among Eastern Asians. The present study investigated the temporal associations among perceived weight stigma, weight-related self-stigma, psychological distress, perceived behavioral control, physical activity, eating behaviors, and body mass index (BMI) changes.</p> Methods <p>A one-year longitudinal survey was carried out to explore if the weight cycle exists among young adults in Hong Kong. The study comprised 345 participants at Time 1 (T<sub>1</sub>), 253 participants at T<sub>2</sub>, 233 participants at T<sub>3</sub>, and 235 participants at T<sub>4</sub>. Participants completed self-reported psychometric instruments in an online survey. The analysis employed parallel process latent growth curve modeling and a random intercept cross-lagged panel model.</p> Results <p>Temporal relationships existed in the connections between perceived stigma and self-stigma, and self-stigma and perceived behavioral control. A negative relationship between self-stigma and future BMI was found, whereas future self-stigma showed no significant association with previous BMI.</p> Conclusion <p>The growth trajectories of the studied variables did not correlate with changes in BMI. However, self-stigma showed a negative association with subsequent BMI in a different model. Further research is needed to clarify whether weight stigma is impacted by changes in BMI.</p>

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Exploring how weight stigma relates to psychological distress, physical activity, and eating behaviors over time: a longitudinal study among young adults in Hong Kong

  • Xavier C. C. Fung,
  • Andrew M. H. Siu,
  • Jiajia Ye,
  • Jian-Han Chen,
  • Jung-Sheng Chen,
  • Nadia Bevan,
  • Mark D. Griffiths,
  • Chung-Ying Lin,
  • Benson W. M. Lau

摘要

Background

Many researchers have expressed concerns that weight stigma may cause adverse health effects and worsen weight issues in a vicious cycle. However, empirical evidence evaluating this cycle is scarce, especially among Eastern Asians. The present study investigated the temporal associations among perceived weight stigma, weight-related self-stigma, psychological distress, perceived behavioral control, physical activity, eating behaviors, and body mass index (BMI) changes.

Methods

A one-year longitudinal survey was carried out to explore if the weight cycle exists among young adults in Hong Kong. The study comprised 345 participants at Time 1 (T1), 253 participants at T2, 233 participants at T3, and 235 participants at T4. Participants completed self-reported psychometric instruments in an online survey. The analysis employed parallel process latent growth curve modeling and a random intercept cross-lagged panel model.

Results

Temporal relationships existed in the connections between perceived stigma and self-stigma, and self-stigma and perceived behavioral control. A negative relationship between self-stigma and future BMI was found, whereas future self-stigma showed no significant association with previous BMI.

Conclusion

The growth trajectories of the studied variables did not correlate with changes in BMI. However, self-stigma showed a negative association with subsequent BMI in a different model. Further research is needed to clarify whether weight stigma is impacted by changes in BMI.