Obesity effects On Mental Health

By Hira Waheed

17 May 2023

A recent study indicates that individuals who have successfully achieved a healthy weight after being obese still face a heightened risk of premature death, primarily due to mental health struggles. The research explores the concept of "weight scarring," which proposes that past obesity leaves a negative impact on a person's psychological well-being, leading to significant health consequences such as anxiety and depression.
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Weight Scarring Hypothesis

The study, presented at the European Congress on Obesity in Dublin, sheds light on the lasting effects of obesity on mental health, regardless of a person's current weight. The analysis reveals that a history of obesity increases the risk of early mortality by approximately one-third. Furthermore, it concludes that obesity can have enduring psychological consequences, including symptoms of depression such as hopelessness, anxiety, loneliness, and pessimism.

Examining the Relationship Between Past Obesity, Mental Health, and Mortality

The research team, led by Dr. I Gusti Ngurah Edi Putra from the University of Liverpool, conducted an extensive analysis utilizing data from two large datasets of individuals in the United States. The study incorporated information on past and current weight, height, indicators of depression, overall psychological well-being, and mortality rates.

The dataset included 29,047 individuals from the National Health and Nutrition Examination Survey (NHANES) and 11,998 individuals from the Health and Retirement Study (HRS). The results consistently revealed that a history of obesity increased the risk of premature death by approximately 30% across both datasets, independent of a person's current weight status.

Providing Ongoing Mental and Psychological Support

The study, funded by the UK Economic and Social Research Council, highlights the importance of continued mental and psychological support for individuals who have previously lived with obesity, even after experiencing weight loss. It challenges the assumption that weight loss alone would alleviate the psychological burdens associated with obesity.
Dr. Putra emphasizes the significance of ensuring individuals with obesity receive ongoing psychological support to reduce the risk of subsequent health issues. The preliminary findings, based on observational data, underscore the need for further research to confirm these associations and establish causation.
Weight Stigma and Healthcare Bias: Additional Factors Impacting Mental Wellbeing
Previous studies have demonstrated that individuals with obesity often experience weight-related shame and stigmatization, including biased treatment from healthcare professionals. This mistreatment can lead to heightened feelings of anxiety and depression. A study conducted by University College London revealed evidence of weight bias among health professionals, perpetuating stereotypes and attributing negative characteristics to patients with obesity.
Conclusion: Recognizing the Long-term Psychological Impact of Obesity
The study's findings serve as a reminder that obesity can leave lasting psychological "scars" that increase the risk of premature death. Providing ongoing mental and psychological support to individuals with a history of obesity, even after weight loss, can potentially mitigate subsequent health challenges. It is essential to acknowledge that these preliminary findings are based on observational data, requiring further research to establish causation and validate the study's conclusions.

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