ArticleBMC public health2019
Selling health and happiness how influencers communicate on Instagram about dieting and exercise: mixed methods research.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.
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Who cites it
68 citing papers in PubMed, 2 syntheses or guidelines pooled it, 270 citations in OpenAlex.
- Improving Eating Habits at the Office: An Umbrella Review of Nutritional Interventions.Nutrients · 2023Pooled it
- [Impact of social network use on anorexia and bulimia in female adolescents: a systematic review].Anales del sistema sanitario de Navarra · 2022Pooled it
- Trial
- "Influencing the influencers:" a field experimental approach to promoting effective mental health communication on TikTok.Scientific reports · 2024Trial
- Experimental effects of fitspiration messaging on body satisfaction, exercise motivation, and exercise behavior among college women and men.Translational behavioral medicine · 2021Trial
- Article
- The Digital Information Environment of Lung Cancer and Lung Cancer Screening: Protocol for a Cross-Platform Social Media Content Analysis.JMIR research protocols · 2026Article
- Fatphobia among adolescents: how future health professionals perceive weight-related violence and the influence of social media.BMC medical education · 2026Article
- Exposure to restrictive diet content on social media and dietary behaviors among women aged 18-49 years in Poland.Frontiers in public health · 2026Article
- Exploring the influence of social media 'Mumfluencers' on postpartum body image.Journal of health psychology · 2025Article
- Analyzing Instagram Food and Nutrition Posts Through a Food Literacy Lens: Content Analysis of Instagram Posts.Journal of medical Internet research · 2025Article
- [Misinformation and disinformation about dietary supplements in social media: limiting the risks, seizing the opportunities, and shaping structures].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Article
- [Food supplements in the context of social media: results from a survey on use and perceptions in Germany].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Article
- Conveying Sport Nutrition Information in YouTube Videos: A Qualitative Content Analysis of Dietary Advice and Ways of Communication.Current developments in nutrition · 2025Article
- Physiotherapy students' trust in social-media physiotherapy influencers: implications for digital-literacy training in medical education.BMC medical education · 2025Article
- Characteristics and correlates of the use of social media for nutrition among young adults in the United Arab Emirates.BMC public health · 2025Article
- Disinformation on dietary supplements by German influencers on Instagram.Naunyn-Schmiedeberg's archives of pharmacology · 2025Article
- Correction approaches and hashtag framing in addressing Mpox misinformation on Instagram.Health education research · 2025Article
- Assessing Motivations and Channels for Nutritional Information Verification in Spanish University Communities.International journal of environmental research and public health · 2025Article
- Persuasive differences between human and virtual influencers in health supplement advertising: evidence from eye-tracking.Frontiers in psychology · 2025Article
8 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEating disorders among adolescents are an ongoing public health concern. Sustainable health promotion programmes require a thorough understanding of the social context in which minors engage. Initial studies show that young people make extensive use of social networks in order to exchange experiences and gather information. During this process their (buying) behaviour is significantly affected by so-called influencers.
methodsThe exploratory research studies non-campaign driven health communication on dieting and exercise by influencers in social networks with a focus on content, techniques and visible impact. In a mixed methods approach, we initially analysed 1000 posts from influencers on Instagram quantitatively. Subsequently we conducted an in-depth content analysis of 9 extreme and 27 typical communication threads.
resultsInfluencers gain the trust and friendship of their followers by designing body-shape focused visual content and targeted communication techniques. They identify and define diet and exercise as factors to be controlled for body perfection. By consuming dietary supplements and wearing tight-fitting branded sportswear, influencers promise a simplified way of optimizing one's appearance as the key to happiness. Direct and surreptitious advertising of industry-specific products constitutes the communicative focus. At the same time, minors identify with the roles and ideals demonstrated by influencers and their needs are satisfied on several different levels. This creates a relationship of dependency between influencers and their followers.
conclusionsThe dynamics in the field of health communication by influencers on social networks will become increasingly important in the coming years. This is largely due to the targeted demand on the part of (mainly) underage users and the high attractiveness of influencer marketing on the part of companies. Influencers suggest a dependence on happiness, well-being, health and beauty. Only those who create a body shaped through control and discipline are healthy and beautiful - and can be happy. The indirectly communicated conclusions, which can be considered as extremely critical, illustrate the need for action in order to protect and positively accompany young people in their psychological and physical development. The shift of authority figures within Generation Z, as well as identified communication techniques, can be considered and may be harnessed by targeted, group-oriented campaign designs.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.