Weight stigma is rooted in a fundamental misunderstanding of the origins of obesity, wherein the interplay of behavioral, environmental, genetic, and metabolic factors is deemphasized. Instead, the widespread societal and cultural presence of weight stigma fosters misconceptions of obesity being solely a result of unhealthy personal choices. Weight stigma is pervasive in childhood and adolescence and can affect individuals throughout their life. Although the prevalence of pediatric obesity remains high throughout the world, it becomes increasingly important to understand how weight stigma affects weight and health outcomes in children and adolescents with overweight or obesity, including in those with rare genetic diseases of obesity. We identified and reviewed recent literature (primarily published since 2000) on weight stigma in the pediatric setting. Articles were identified with search terms including pediatric obesity, weight bias, weight stigma, weight-based teasing and bullying, and weight bias in health care. In this narrative review, we discuss the stigma of pediatric obesity as it relates to the complex etiology of obesity as well as describe best practices for avoiding bias and perpetuating stigma in the health care setting.

中文翻译：

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小儿肥胖症的复杂性和耻辱

体重污名源于对肥胖起源的根本误解，其中行为、环境、遗传和代谢因素的相互作用被忽视。相反，体重耻辱感在社会和文化中的广泛存在助长了肥胖仅仅是不健康个人选择的结果的误解。体重污名在童年和青春期普遍存在，并且会影响个人的一生。尽管儿童肥胖在世界范围内的流行率仍然很高，但了解体重污名如何影响超重或肥胖儿童和青少年的体重和健康结果变得越来越重要，包括患有罕见的肥胖遗传病的儿童和青少年。我们确定并回顾了最近关于儿科环境中体重耻辱的文献（主要自 2000 年以来发表）。文章使用搜索词进行识别，包括儿科肥胖、体重偏差、体重污名、基于体重的取笑和欺凌，以及医疗保健中的体重偏差。在这篇叙述性评论中，我们讨论了儿科肥胖的耻辱，因为它与肥胖的复杂病因有关，并描述了在医疗保健环境中避免偏见和使耻辱长期存在的最佳做法。