Weight stigma — or any of its synonyms: weight bias, weight discrimination, fat phobia, fat shaming, sizeism — are all the same thing.
Weight stigma impacts us all, but impacts people in larger bodies the most.
Weight stigma is so pervasive that it can almost feel invisible.
And for those in smaller bodies, it IS invisible. But for people in fat bodies, weight stigma is something they have to face every single day.
We are a culture that equates “fat” with ill health, and judge a person’s character, personality, work ethic and lifestyle based on size alone.
How often do we hear fat people described as unintelligent, lazy or sloppy?
This perception actively harms a person’s health. This is why we need to be taking weight stigma seriously, and why those of us within the medical community need to be making changes about how we treat fat patients.
Weight Stigma Awareness Week, sponsored by the National Alliance for Eating Disorders (“The Alliance”) is a time to talk more about weight stigma and weight bias.
Did you know that:
- Individuals who experience weight bias are at increased risk of eating disorder symptoms and engage more frequently in extreme weight control behaviors and subsequent binge eating.
- Victims of weight bias often report family members and physicians as the worst offenders.
- Studies show that health care professionals often provide individuals in large bodies with less health information and spend LESS time with them.
- Individuals in higher weight bodies often have eating disorders go unrecognized due to commonly held misperceptions of what an eating disorder “looks like.”
In summary, weight stigma causes those in larger bodies to avoid routine preventative care and when they do seek health services, they may receive compromised care.
Here is an article I wrote earlier this year about one of my clients’ experiences and it speaks to some of these assumptions. You can click here to read the article, A Story about the Fear of Fat for One Family on my website.
I want to take a moment and share some powerful words about weight stigma from real people who have experienced weight stigma themselves.
According to Ragen Chastain, a large-bodied athlete (she identifies ‘fat’ as a neutral descriptor of her body size):
“In the eating disorders community, we often hear the phrase “Not every diet leads to an eating disorder, but every eating disorder starts with a diet.” That’s true, but if we really want to prevent eating disorders and allow for full recovery, we can’t stop there. We have to ask ourselves the next logical question: Where do the diets come from?
And the answer to that question is clear—it’s weight stigma. Diets happen because people believe that a thinner body will be, in some way, a better body—more attractive, more desirable, healthier… better. Those beliefs aren’t just in people’s heads. They are created by a society that is rife with weight stigma.” (1)
Similarly, weight stigma influences those in small bodies too.
Weight gain is essential for individuals recovering from anorexia nervosa and restrictive eating disorders. Fear of this weight gain can prevent full recovery. Many patients, families, health care practitioners and even eating disorder treatment centers set weight gain goals that are insufficient for full recovery.
In the words of Harriet Brown, a mother helping her daughter recover from anorexia nervosa:
“My daughter’s recovery work required us to not just question the cultural norms around weight but to flip them. Sometimes the results were funny, like the looks we got one night in a grocery store as we searched for the highest-calorie ice cream when everyone else was looking for the low-cal brands. Sometimes they were not so funny, like the day I was clothes shopping with my daughter in tow. As I stood in front of a mirror considering an outfit, the salesclerk said to my daughter, “You’re lucky—you got the thin genes in the family!” I severed friendships with people who couldn’t or wouldn’t stop commenting snidely on weight in my presence. Even after I asked them not to, reminding them that the pursuit of thinness had nearly killed my daughter.” (3)
Weight stigma can be seen in the total lack of accommodations for people in large bodies.
Have you noticed that there are none or very few chairs without arms in waiting rooms of doctor’s offices, emergency rooms, schools, restaurants?
How about having medical equipment that can accommodate all sizes with blood pressure cuffs that fit properly, gowns that are roomy enough for all bodies, medical devices that can accommodate ALL size bodies?
One of the best ways to manage weight bias is to first acknowledge that it exists. The next step is to examine your own internalized weight bias.
The Health at Every Size ® movement encourages acceptance of the natural diversity of bodies. If we accept that all bodies are deserving of kind and compassionate care, the world would indeed be a better place.
Are you ready to make peace with food and your body image and get off the diet roller coaster for good?
Download and read our Intuitive Eating Guide, the 3 Steps to Making Peace with Food and Your Body Image.
This guide is for you if you are…
- Not in the mood to count calories constantly.
- Always thinking about food as either “Good” or “Bad”.
- Feeling ashamed for doing everything “perfectly,” only to “blow it” by overeating.
- Struggling with anorexia, bulimia, or other eating problems.
- Wanting to avoid passing on your eating struggles and issues to your children.
Click here to get your copy today.
Erica Leon Nutrition & Associates is a group practice of Registered Dietitian Nutritionists specializing in Eating Disorders, Intuitive Eating, Sports Nutrition, Teen Nutrition, Family Feeding Concerns, and Weight Inclusive Medical Nutrition Therapy.
If you are looking for help with ditching diets and learning to make, feel free to reach out to me and book a free 15-minute call so we can talk about your most pressing issue with food and your body image, and I will offer the best ways to move forward and make the changes you need so you can peace with food and your body image.
Erica Leon is a Registered Dietitian and practices from a Health at Every Size (HAES®) lens. She and her team of eating disorder specialists and Anti-Diet Dietitians provide insurance-based care for eating disorders, disordered eating, chronic dieting, or other health conditions in a safe and non-judgmental space for healing.
We work virtually with our clients from our offices in Westchester County in New York as well as the tri-state areas of New York, New Jersey, and Connecticut, along with Alabama, California, the District of Columbia, Florida, Illinois, Iowa, Maryland, Minnesota, Oregon, Texas, Vermont, and Wisconsin. We are in-network with the following insurance companies: Aetna, Blue Cross Blue Shield, Cigna, Emblem Health and United Healthcare; including Oxford, UMR, and The Empire Plan (NYSHIP).
We take the time to learn where you or your family are in the pursuit of health. Respectful of your individual needs and lifestyle, Erica will provide an honest assessment of whether or not you are a good fit to work together. Click here to schedule a 15-minute Discovery Call with Erica to let us know about your needs, and to see which of our Dietitians is the best fit for you!
