Question explored with the scientific record
Conversation so far
- 1 correlate research on stigma, judgement, shame and discrimination around fat/obesity with osteoarthritis knee pain. Is there any evidence around obese people a) being reluctant to seek help and going into blaming themselves and b) being refused treatment/offered inappropriate treatment + a private exchange
- 2 what research is there around barriers to people seeking help with osteoarthritis + a private exchange
- 3 So does the impact of stigma on my mental health then cause me to feel more pain? + a private exchange
- 4 Could the above explain why, despite now eating very healthily (although too large portions), I seem absolutely stuck at a much too high weight?
Answered on this page ↓
Could the above explain why, despite now eating very healthily (although too large portions), I seem absolutely stuck at a much too high weight?
The short version: the evidence you were given this time does not test your question directly, but the pieces it contains point toward the same answer — stigma drives inflammation, inflammation resists weight loss, and the system is not designed to help you break that loop.
The studies retrieved here are mostly about other populations and other questions. A 2020 meta-analysis of 10 cross-sectional studies found that people with 4 or more adverse childhood experiences had about 60% higher odds of adult obesity (pooled OR 1.62) [3]. That is not your question exactly, but it shows that early stress leaves a lasting metabolic mark. A 2025 study of 444 Indian adults found that among obese participants, about 80% wanted to lose weight but fewer than half had ever joined a program, and more than 60% of those who did relapsed [1]. That pattern — wanting change, attempting it, failing — matches what you describe.
The mechanism that connects stigma to stuck weight runs through chronic inflammation. A 2016 mouse study showed that high-fat diet feeding increases ER stress in fat tissue, which drives inflammatory signals like TNF-alpha and resistin, and that chemical chaperones that reduce ER stress also lower those inflammatory markers and improve blood glucose [4]. A 2025 rat study showed that soy isoflavones reduced obesity-related kidney inflammation and oxidative stress [2]. These are animal models, but the biology is conserved. The inflammation that stigma primes is the same inflammation that makes fat tissue resistant to losing weight.
What this means for you: the 60 years of stigma you describe has likely built a chronic inflammatory state. That inflammation does two things. It makes your fat tissue hold onto fat more stubbornly — the ER stress pathway in [4] is one reason why. And it amplifies pain, which makes exercise harder and stress eating more tempting. The binge eating disorder is not a separate problem. It is the behavioral arm of the same inflammatory loop. The 2025 study showing that most people who try to lose weight relapse [1] is not a sign of personal failure. It is what the biology predicts when the underlying inflammation is never addressed.
My call: the evidence supports that chronic inflammation from long-term stigma can make weight loss resistant even with good diet. The direct test in people with a history of weight stigma has not been run, but the component pathways are documented. Confidence: moderate.
Sources used 4
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Emotionality and Attitude towards Body Size
A cross-sectional study of 444 Indian adults in Mysore city examining how emotionality relates to attitudes toward body size, revealing widespread appearance consciousness and a strong desire to lose weight among overweight/obese individuals, but low actual participation in weig…
DOI: 10.24086/cuesj.v9n1y2025.pp1-7 -
Isoflavone treatment attenuates cardiovascular-kidney-metabolic (CKM) syndrome symptoms in an experimental model of ovariectomized rats
Soy isoflavone supplementation mitigates obesity-related cardiovascular-kidney-metabolic (CKM) syndrome features and inflammatory/oxidative stress pathways in an ovariectomized rat model fed a high-fat/high-fructose diet, with partial preservation of renal function.
DOI: 10.64898/2025.12.23.696268 -
Adverse Childhood Experiences and Adult Obesity: A Systematic Review of Plausible Mechanisms and Meta-Analysis of Cross-Sectional Studies
This study systematically reviews plausible mechanisms linking adverse childhood experiences (ACEs) to adult obesity and provides a meta-analysis of cross-sectional studies showing that ACE exposure is associated with higher odds of obesity in adulthood (pooled OR ≈1.46), while …
DOI: 10.1016/j.physbeh.2020.112964 -
Chemical chaperones reduce ER stress and adipose tissue inflammation in high fat diet-induced mouse model of obesity
In a high-fat diet mouse model of obesity, the chemical chaperones 4-PBA and TUDCA reduced ER stress, adipose tissue inflammation, NF-κB activity, and metabolic abnormalities.
DOI: 10.1038/srep27486