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Randomized Controlled Trial
. 2017 Nov;31(6):484-490.
doi: 10.1177/0890117116661982. Epub 2016 Aug 23.

The Impact of Weight Labels on Body Image, Internalized Weight Stigma, Affect, Perceived Health, and Intended Weight Loss Behaviors in Normal-Weight and Overweight College Women

Affiliations
Randomized Controlled Trial

The Impact of Weight Labels on Body Image, Internalized Weight Stigma, Affect, Perceived Health, and Intended Weight Loss Behaviors in Normal-Weight and Overweight College Women

Jamal H Essayli et al. Am J Health Promot. 2017 Nov.

Abstract

Purpose: To explore the psychological impact of weight labels.

Design: A double-blind experiment that randomly informed participants that they were "normal weight" or "overweight."

Setting: Public university in Honolulu, Hawai'i.

Participants: Normal-weight and overweight female undergraduates (N = 113).

Measures: The Body Image States Scale, Stunkard Rating Scale, Weight Bias Internalization Scale, Positive and Negative Affect Schedule, General Health question from the 12-item Short Form Health Survey, modified version of the Weight Loss Methods Scale, and a manipulation check.

Analysis: A 2 × 2 between-subjects analysis of variance explored the main effects of the assigned weight label and actual weight and interactions between assigned weight label and actual weight.

Results: Significant main effects of the assigned weight label emerged on measures of body dissatisfaction, F(1, 109) = 12.40, p = .001, [Formula: see text] = 0.10, internalized weight stigma, F(1, 108) = 4.35, p = .039, [Formula: see text] = .04, and negative affect, F(1, 108) = 9.22, p = .003, [Formula: see text] = .08. Significant assigned weight label × actual weight interactions were found on measures of perceived body image, F(1, 109) = 6.29, p = .014, [Formula: see text] = .06, and perceived health, F(1, 109) = 4.18, p = .043, [Formula: see text] = .04.

Conclusion: A weight label of "overweight" may have negative psychological consequences, particularly for overweight women.

Keywords: body image; body mass index; overweight; weight labels; weight stigma.

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