Evaluating the Relationship Between Weight Stigma and Body Weight in a Short Term Weight Gain Prevention Program for Active Duty Military Service Members

Abstract

Rates of obesity and overweight in the United States are on the rise, which is reflected in the active duty (AD) military population. Americans struggle to meet weight and fitness standards required of AD service members for entry into the armed forces. While service members meet entry standards, many struggle with weight management following basic training. Although obesity is associated with negative health consequences, there has been increasing focus on weight stigma or anti-fat bias as a public health problem. Despite belief that anti-fat bias may result in increased health behaviors, it is commonly associated with avoidance behaviors, mood disturbance, body dissatisfaction and unhealthy changes in both eating behaviors and physical activity, which perpetuates anti-fat bias and discrimination. The purpose of the current investigation was to examine whether a six-week weight gain prevention program could mitigate weight gain among soldiers at risk for obesity. In addition, the relationship between weight stigma and program outcomes were examined. 121 soldiers (81 men; 40 women) participated in the study and were assigned to either Fit4Duty or a health education control program. Fit4Duty is a six-week weight gain prevention program adapted from a civilian program for the purposes of this study. At one year follow up, participants in the Fit4Duty prevention program, maintained body weight while those in the health education control evidenced weight gain. Participants in the Fit4Duty prevention program were more adherent than those in the health education control group, and men, overall, were more adherent than women. 26.4 of this active duty, help seeking population reported experiencing weight stigma, which was also associated with depressive symptoms, weight bias internalization, BMI and both depressive and anxious emotional eating.

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Document Details

Document Type
Technical Report
Publication Date
Jan 22, 2018
Accession Number
AD1128254

Entities

People

  • Kendra L. Ekundayo

Organizations

  • Uniformed Services University of the Health Sciences

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Anxiety Disorders
  • Body Weight
  • Chemistry
  • Data Storage Systems
  • Digestive System Processes
  • Endocrine Glands
  • Endocrinology
  • Families (Human)
  • Genetics
  • Hormones
  • Human Behavior
  • Medical Personnel
  • Psychiatry
  • Psychology
  • Social Psychology
  • Stress (Physiology)
  • Students

Fields of Study

  • Psychology

Readers

  • Exercise and Sports Science.
  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.