Beyond Willpower: Unpacking the Complex World of Obesity and Mental Health

The 4^th of March is World Obesity Day, and it is undeniable that we live in a country where obesity has become a public health crisis. An upcoming SAMJ editorial by leading South African scientists argue this point. 

In our society, obesity is however not just a medical condition it is also exacerbated by deep-seated stigma, impacting individuals both externally and internally. Externally, people with obesity face societal stigma manifested through bullying, discrimination in the workplace, and often, subtle yet hurtful biases in daily interactions. This public stigmatization not only affects their social life but also impairs access to quality healthcare, as biases can lead to dismissive attitudes from healthcare providers.

Internally, self-stigma among individuals with obesity can be particularly insidious. It often expresses itself through negative self-talk, a diminished sense of self-worth, and an internalization of societal prejudices. This self-stigma can lead to a reluctance to seek medical care for obesity-related issues, out of fear of judgment or because of past negative experiences. It can also result in avoidance of physical activity or social situations, further isolating individuals and exacerbating the condition.

Addressing this stigma is crucial for supporting people with obesity. Here are five tips on how we can all contribute to a more supportive environment:

• Educate Yourself and Others: Understand the complexities of obesity, including its biological, genetic, and environmental factors. Dispelling myths and sharing knowledge can help reduce prejudices. Common myths include:
  • Obesity is Simply a Result of Lack of Willpower, in reality: Obesity is influenced by many factors beyond individual control, including genetics, metabolism, and environmental factors. Reducing it to a lack of willpower ignores the complexity of the condition.
  • Diet and Exercise Alone Can Easily Solve Obesity: While diet and exercise are crucial for managing weight, for some, these alone may not be enough to achieve significant weight loss for many medical interventions may be necessary.
• Use respectful language: Words matter. Use person-first language such as "person with obesity" instead of "obese person." Avoid derogatory terms that can perpetuate stigma.
• Promote inclusivity: Advocate for spaces and opportunities that are accessible and welcoming to people of all sizes, from healthcare settings to fitness centres.
• Encourage positive health behaviours: Focus on healthy behaviours for everyone, regardless of size. Promoting physical activity and nutritious eating for joy and health, rather than weight loss, can create a supportive atmosphere.
• Offer compassionate support: Listen without judgment, offer support for health goals that are important to the individual, and recognize the person's value beyond their weight.

By fostering empathy and understanding, we can challenge our biases and support individuals with obesity in meaningful ways. It's about creating a community where everyone feels respected, included, and valued, facilitating a healthier and happier society for all.

Staff Writer