NHD STUDENT BLOG SERIES

Your role in eliminating weight stigma
By NHD blogger, Sian Cunningham, RD
World Obesity Day, held in March, is a day to raise awareness and recognise the existing systems that do not serve today's populations. By 2035, 1.9 billion people will be living with obesity.(1) This means that one in four of us will be living with obesity by 2035 and the number of adults living with overweight and obesity is set to double from 2010 to 2035.(1)
We know that the narrative often puts the blame on the individual living with overweight or obesity, failing to acknowledge and recognise the systems that are letting people down. Healthcare, government, food supply, media and the environments we work and live in all contribute significantly to increasing rates of obesity globally.(1)
Failure to recognise the significant role that systems play in the rising rates of obesity or that obesity is a chronic complex disease(2) can promote rates of weight stigma.
As future nutrition professionals, you will have an important role to play in working with people living with overweight and obesity and ensuring they receive support and guidance free from bias and stigma.

What is weight stigma?

World Obesity defines weight stigma as 'discriminatory acts and ideologies targeted towards individuals because of their weight and size. Weight stigma is a result of weight bias. Weight bias refers to the negative ideologies associated with obesity.'(3)
Negative ideologies can include old tropes that many of you may already be familiar with, and include laziness, lack of willpower, poor moral character, bad hygiene, low level of intelligence and unattractiveness.(3) Some have argued that these beliefs are installed in us from a young age via children’s books that often ascribe negative personality traits to those living with obesity and positive attributes to those not living with overweight and obesity.
What damage does weight stigma do?
Stigma and discrimination toward people living with obesity are pervasive in society and have numerous negative consequences for health.(4) Many people living with obesity will avoid healthcare, fearing that they will be discriminated against.
In 2018, an All-Party Parliamentary Group on Obesity report indicated that only '26% of people with obesity reported being treated with dignity and respect by healthcare professionals when seeking advice or treatment for their obesity', and '42% of people with obesity did not feel comfortable talking to their GP about their obesity'.(5) Weight stigma has many detrimental effects on an individual’s physical and mental health.
A recent study by Brown and Flint (2024) found that 'UK dietitians exhibit both explicit and implicit weight bias towards people living with obesity'. They also reported dietitians themselves experiencing weight stigma, highlighting there is work to be done within the profession.(6)
So, what can be done?
Well, firstly, being aware of and recognising our own biases, conscious and unconscious, is vital. We all have biases, and the sooner we acknowledge them the sooner we can start the work required to make sure that we address them. We must be conscious and careful not to allow bias to influence our practice.
Focusing on a commitment to person-centred care, recognising each person we work with as a unique individual, and avoiding generalising or making assumptions, are key to good care.
The British Dietetic Association has guidance on eliminating weight stigma which focuses on using appropriate language and imagery - all so important to avoid reinforcing negative stereotypes.(7)
As with any form of bias and stereotyping, we, as professionals, have a responsibility to continually educate ourselves on the experience and perspective of those who experience discrimination, leading with empathy and insight.


Siân works with the BDA as Professional Practice Manager. She previously worked as an Assistant Professor at the University of Nottingham. She has worked in a range of clinical areas, specialising in learning disabilities, palliative care and nutritional support. Twitter@: siancunningham2
Siân Cunningham, MSc, RD, AFHEA
Professional Practice Manager, BDA
References:
www.worldobesityday.org [Accessed 23rd March 2025]
www.who.int/news-room/fact-sheets/detail/obesity-and-overweight [Accessed 23rd March 2025]
https://www.worldobesity.org/what-we-do/our-policy-priorities/weight-stigma [Accessed 23rd March 2025]
Sutin AR, Stephan Y, Terracciano A. Weight Discrimination and Risk of Mortality. Psychol Sci. 2015 Nov 1;26(11):1803–11.
All-Party Parliamentary Group on Obesity. The current landscape of obesity services: a report from the All-Party Parliamentary Group on Obesity [Internet]. London; 2018 [cited 2021 Jun 22] p. 28.
Brown A, Flint SW. 'My words would have more weight': exploring weight stigma in UK dietetic practice and dietitian's lived experiences of weight stigma. J Hum Nutr Diet. 2024 Oct;37(5):1143-1158. doi: 10.1111/jhn.13337. Epub 2024 Aug 7. PMID: 39110154.
https://www.bda.uk.com/news-campaigns/campaigns/campaign-topics/managing-and-preventing-obesity/eliminating-weight-stigma-comms-guidelines.html [Accessed 23rd March)