Association between perceived weight discrimination and physical activity: a population-based study among English middle-aged and older adults

BMJ Open. 2017 Mar 7;7(3):e014592. doi: 10.1136/bmjopen-2016-014592.

Abstract

Objective: To examine the association between perceived weight discrimination and physical activity in a large population-based sample.

Design: Data were from 2423 men and 3057 women aged ≥50 years participating in Wave 5 (2010/11) of the English Longitudinal Study of Ageing. Participants reported experiences of weight discrimination in everyday life and frequency of light, moderate and vigorous physical activities. We used logistic regression to test associations between perceived weight discrimination and physical activity, controlling for age, sex, socioeconomic status and body mass index (BMI).

Results: Perceived weight discrimination was associated with almost 60% higher odds of being inactive (OR 1.59, 95% CI 1.05 to 2.40, p=.028) and 30% lower odds of engaging in moderate or vigorous activity at least once a week (OR 0.70, 95% CI 0.53 to 0.94, p=.017).

Conclusions: Independent of BMI, individuals who perceive unfair treatment on the basis of their weight are less physically active than those who do not perceive discrimination. This has important implications for the health and well-being of individuals who experience weight-based discrimination, and may also contribute to a cycle of weight gain and further mistreatment.

Keywords: physical activity; population studies; stigma; weight-related discrimination.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Aging / psychology
  • Attitude to Health*
  • Body Weight*
  • England
  • Exercise / psychology*
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Self Concept*
  • Social Class
  • Social Discrimination / psychology*
  • Social Discrimination / statistics & numerical data*