Weight Bias in Reproductive Medicine: A Curiously Unexplored Frontier.
Adam T EvansWendy S VitekPublished in: Seminars in reproductive medicine (2023)
Obesity has been associated with a multitude of medical comorbidities, infertility, and adverse obstetric outcomes. Weight stigma and weight bias pervade not only the medical field but also education, employment, and activities of daily living. The experience of weight stigma has been shown to adversely impact not only the mental health of individuals with overweight or obesity but also worsen obesogenic behaviors, and medical comorbidities. This review frames the rise of weight stigma and weight bias within the context of the "obesity epidemic" and explores its associations with infertility and decreased access to health care and its subsequent impact on the lives of individuals. Furthermore, it explores the concepts of intrinsic and extrinsic weight stigma/bias and highlights the need for further examination and research into the impact of these factors on access to reproductive medicine and subsequent outcomes.
Keyphrases
- weight loss
- weight gain
- mental health
- healthcare
- body mass index
- physical activity
- mental illness
- metabolic syndrome
- hiv aids
- insulin resistance
- social support
- body weight
- glycemic control
- high fat diet induced
- pregnant women
- emergency department
- hepatitis c virus
- depressive symptoms
- health insurance
- hiv infected
- affordable care act