Report Normalisation of 'plus-size' risks hidden danger of obesity, study finds

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New research warns that the normalisation of 'plus-size' body shapes may be leading to an increasing number of people underestimating their weight - undermining efforts to tackle England's ever-growing obesity problem.

While attempts to reduce stigmatisation of larger body sizes - for example with the launch of plus-size clothing ranges - help promote body positivity, the study highlights an unintentional negative consequence that may prevent recognition of the health risks of being overweight.

The study by Dr Raya Muttarak, from the University of East Anglia (UEA) and the International Institute for Applied Systems Analysis (IIASA), in Austria, examined the demographic and socioeconomic characteristics associated with underestimation of weight status to reveal social inequalities in patterns of weight misperception.

Analysis of data from almost 23,460 people who are overweight or obese revealed that weight misperception has increased in England. Men and individuals with lower levels of education and income are more likely to underestimate their weight status and consequently less likely to try to lose weight.

Members of minority ethnic groups are also more likely to underestimate their weight than the white population, however they are more likely to try to lose weight. Overall, those underestimating their weight are 85% less likely to try to lose weight compared with people who accurately identified their weight status.

The results, published today in the journal Obesity, show that the number of overweight individuals who are misperceiving their weight has increased over time, from 48.4% to 57.9% in men and 24.5% to 30.6% in women between 1997 and 2015. Similarly, among individuals classified as obese, the proportion of men misperceiving their weight in 2015 was almost double that of 1997 (12% vs 6.6%).

 
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