The experience of weight stigma among gym members with overweight and obesity.

TLDR: Experiences of weight stigma at the gym are associated with poor emotional and physical health among individuals with overweight and obesity, and provision of a shame-free environment is an important consideration when selecting a gym.

Abstract: Persons with obesity face frequent instances of weight-related victimization and discrimination. To date, however, no research has assessed weight stigma within fitness facilities among a sample of gym members with overweight and obesity. Given the role of exercise in mitigating the health risks of obesity, it is vital to assess the presence of weight stigma within exercise facilities. We therefore assessed weight stigma within fitness facilities, factors affecting motivation to exercise, and factors that are important when selecting a gym. U.S. adult gym members with overweight and obesity completed online self-report measures of gym use, experiences of stigma within fitness settings, barriers to exercise, and gym preferences. Participants also completed measures of health and psychological functioning. Three hundred eighty-nine individuals (75% female, 53% White, 74% with obesity) participated. Adjusting for covariates, stigma at the gym was associated with negative attitudes toward the gym, maladaptive behaviors to cope with stigma, weight bias internalization, unhealthy weight control practices, and poorer self-reported physical and emotional health (ps < .05). Stigma at the gym was unrelated to self-reported frequency of gym use (p > .05). Experiences of weight stigma at the gym are associated with poor emotional and physical health among individuals with overweight and obesity. Respondents also indicated that provision of a shame-free environment is an important consideration when selecting a gym. Results may help to determine whether new gym policies to promote exercise among individuals with overweight and obesity are warranted.