ArticleHealthcare (Basel, Switzerland)2024
Emotion in Motion: Weight Bias Internalization, Exercise Avoidance, and Fitness-Related Self-Conscious Emotions.
Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors associated with eating behaviors of young and middle-aged adults with overweight and obesity: a systematic review.Frontiers in public health · 2026Pooled it
- Exercise-based obesity simulation reduces weight bias and improves clinical decision-making in health professions students: a randomized controlled trial.BMC medical education · 2026Trial
- Understanding Internalized Weight Bias and Its Psychological Consequences: Implications for Improving Quality of Life.Scandinavian journal of psychology · 2026Article
- How Does Weight Stigma Impact Healthcare Settings? Evidence From Chilean Patients Seeking Healthcare.Journal of obesity · 2026Article
- Body image disturbance, compensatory exercise, and exercise avoidance: cross-sectional conditional process associations in university students.Frontiers in psychology · 2026Article
- The Psychological Effects of Strength Exercises in People who are Overweight or Obese: an Updated Literature Review and Meta-analysis.Sports medicine - open · 2025Review
- Relationship between Weight Bias Internalization, Diabetes Stigma, and Perceptions of Healthcare Interactions among People with Type 2 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025Article
- Associations between weight stigma and exercise avoidance motivation among college students: exploring the roles of internalized weight stigma and social anxiety.Frontiers in psychology · 2025Article
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Authors and funding
4 authors.
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Abstract
Weight bias internalization (WBI), the process of internalizing negative attitudes and stereotypes towards overweight individuals, significantly impacts self-worth and health behaviors, such as exercise avoidance. In the current study, we focused on the mediating role of fitness-related self-conscious emotions, particularly shame and guilt. A cross-sectional study involving 150 self-described overweight Dutch women (age M = 49.63 ± 10.72) was conducted online. Participants completed measures assessing weight bias internalization, exercise avoidance, and body/fitness-related self-conscious emotions. Data were analyzed using linear regression and mediation analysis, controlling for age, BMI, and exercise frequency. The results show that weight bias internalization, guilt-free shame, and shame-free guilt uniquely predict exercise avoidance. Guilt-free shame partially mediated the relationship between weight bias internalization and exercise avoidance, indicating that increased internalized weight bias led to higher levels of guilt-free shame, which in turn contributed to exercise avoidance. Shame-free guilt did not act as a unique mediator. These findings underscore the importance of addressing weight bias internalization and fitness-related self-conscious emotions, particularly guilt-free shame, in interventions targeting exercise avoidance among overweight individuals. Strategies promoting self-compassion and reducing shame may prove beneficial in improving exercise behaviors and overall well-being.
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