The worldwide prevalence of obesity and overweight has risen over the last decades. The growing group of people with overweight and obesity is facing weight stigma and discrimination in almost all areas of life. Weight stigma and discrimination lead to negative physical and mental health consequences. The ‘health at every size®’ approach promotes fat acceptance and tries to eliminate stig- ma. Interventions based on this approach target healthy behavior instead of weight loss and have shown some beneficial physical and psychological outcomes. However, the evidence is still mixed and critics argue that the health at every size® approach might not be very appropriate to tackle the obesity problem. Nevertheless, the obesity epidemic certainly will not be tackled by stigmatizing obese individuals. Shifting the focus of interventions from weight-loss to physical fitness may not be such a bad idea.

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Terwijl een steeds groter deel van de bevolking overgewicht of zelfs obesitas heeft, lijkt deze groep niet minder te worden gestigmatiseerd. Maar uitgemaakt worden voor varken (of erger) motiveert geenszins om af te vallen. Een tegenbeweging, ‘health at every size®’ genaamd, probeert de acceptatie van zwaarlijvigheid te bewerkstelligen en de focus te verleggen van lichaamsgewicht naar gezond gedrag. Is dat beter, vragen Anouk Hendriks en Remco Havermans zich af.

Steeds meer mensen in Nederland hebben obesitas. Vergeleken met de jaren tachtig hebben ruim 2,5 keer zo veel mensen van 20 jaar of ouder deze vorm van ernstig overgewicht’, zo schreef de Nederlandse Omroepstichting (NOS) vorig jaar op basis van nieuwe cijfers van het Centraal Bureau voor de Statistiek (CBS) en het Rijksinstituut voor Veiligheid en Milieu (RIVM; ANP, 2018). In april 2019 was overgewicht bij jongeren in het nieuws (‘Steeds meer jongeren met overgewicht’; ANP, 2019) en in november 2019 kopte de NOS: ‘Nederlanders groeien vooral nog in de breedte’ (NOS & van Eijndhoven, 2019). De laatste cijfers over volwassenen van de Wereldgezondheidsorganisatie (WHO) laten zien dat er in 2016 wereldwijd 39% van de mannen en 39% van de vrouwen overgewicht had (WHO, 2017). Overgewicht is wereldwijd een belangrijk en groeiend probleem.

De wereldwijde toename van het aantal mensen met overgewicht gaat gepaard met stigmatisering en discriminatie van mensen met overgewicht en obesitas. Uit een onderzoek in de Verenigde Staten waarin de prevalentie van gewichtsdiscriminatie werd vergeleken

Titel is geïnspireerd op het krantenartikel ‘Gatverdamme, je zou er maar zo uitzien’ https://www.parool.nl/nieuws/mayra-louise-de-wilde-over-fat- shaming-de-maat-is-vol~b92f031a/


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