Does Weight-Cycling Influence Illness Beliefs in Obesity? A Gender-Sensitive Approach

Abstract

Obesity is classified as a chronic disease. Women and men seem to face different obstacles in their attempts to overcome one of the most challenging tasks in the treatment of this disease, namely, weight reduction maintenance. The Common-Sense-Model (CSM) is mainly used to improve the understanding of self-regulation and health behaviour in chronic diseases but has yet to be explored for obesity. This paper applies the CSM to obesity, focussing on the construct of illness representations, which is the basis of health behaviour according to the CSM. A sample of n = 356 women and n = 77 men with obesity was investigated to assess the extent that illness representations in obesity are shaped by experiences of weight-cycling and the extent that gender influences their quality. Our results show that the representations of timeline and consequences as well as the emotional representation are particularly influenced by weight-cycling, especially in men. On average, women showed more maladaptive illness representations than men. These findings not only contribute to a better applicability of the CSM in obesity, but also emphasize the importance of gender in obesity research and interventions.

Figure 1

Expression of the SIR in weight- and non-weight-cyclers in the overall sample as well as female and male subsamples (for numerical values see Table 3). The error bars represent the standard deviation of measurements of the SIR for weight- and non-weight-cyclers. Note.p value (one-sided): ^†marginally significant, ^∗p < 0.05, ^∗∗p < 0.01, ^∗∗∗p < 0.001; weight-cyclers: 10 or more diet attempts (overall N = 212, women n = 196, men n = 16), non-weight-cyclers: fewer than 10 or no diet attempts (overall N = 221, women n = 160, men n = 61).