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Over Half of Americans Say How Much They Weigh Directly Impacts Their Mental Health, According to New Study

Craig Primack MD

Reviewed by Craig Primack, MD, FACP, FAAP, FOMA

Written by Lauren Ward

Updated 12/13/2024

If you’ve ever felt like your weight impacts your emotional wellbeing, you’re not alone. In fact, 58% of Americans report that how much they weigh directly affects their daily mental health, according to a 2024 Hims & Hers study, The Shape of America

Body image, scale numbers, food, and exercise can account for a huge amount of mental space for many people. So it’s no surprise that research has revealed a direct link between the obesity epidemic and issues like depression, anxiety, eating disorders, and substance abuse. 

When addressing weight and quality of life, mental health deserves just as much attention as physical health, especially with more than half of Americans reporting that it affects their day to day mental well-being. We’ve got the latest research on this important connection, plus tips on how to protect your own mental health when embarking upon a weight loss journey.

Overall, 58% of Americans reported that their weight impacts their mental health. But that number is even more staggering for younger generations, with 68% of Gen Z and Millennial women noting this link. And regardless of age, 75% survey respondents said they think about their weight on a daily basis.


When asked what impacted Americans’ mental health most, positively or negatively, “my weight” was the third highest answer. It came in just behind finances and physical activity. 

Food also weighs heavily on the minds of Americans—43% of Americans in the Hers study reported thinking about food (aka food noise) either often, regularly, or always. While 1 in 10 Americans report that there isn’t a time when food isn’t on their mind, respondents with obesity were 30% more likely to “always” have food on their mind.

The good news is that as more Americans are recognizing how weight can impact their mental health, they’re taking steps to feel better. 36% of the Hers survey respondents said mental health prompted their weight loss journey, and 85% said at least one major aspect of their life would improve if they lost weight. 

So, whether you’re thinking about starting a weight loss journey or are already on your way, how can you also support your mental health along the way? Here are five tips to guide you through the process. 

  1. Set realistic goals. The best way to balance your mental health and your weight loss goals is to manage your expectations with a plan for success. Feeling content and energized in your daily life is more important than reaching a specific number on the scale, especially to sustain long-term results. Consider working with a qualified healthcare professional to design a weight loss strategy you can stick with, and set goals that are simple to follow to stay encouraged throughout your journey.

  2. Reduce internal food noise. Food-related intrusive thoughts, or food noise, is when you constantly think about food, whether it’s planning your next meal (even when still eating) or compulsively checking food delivery apps. Making sure you’re eating enough to fuel your body and taking care of your mental health can help. And if you’re taking a weight loss drug like semaglutide to quiet food noise and lose weight, understand that food noise could come back if you stop taking the medication. Consider talking to your doctor for additional help. 

  3. Show yourself compassion: For many people, perfectionism is closely tied to anxiety. Research shows that setting impossibly high standards for yourself can lead to psychological distress, but that self-compassion can reduce those negative feelings. The study cites six areas of self-compassion: self-kindness, self-judgement, common humanity, isolation, mindfulness, and over-identification with negativity. Improving each of those areas could help you feel better about your weight right now, rather than attaching positive feelings to weight loss outcomes alone. 

  4. Try meditating: Mindfulness helps identify triggers like eating when you’re stressed or bored. Even just a short daily meditation practice has been shown to decrease anxiety and negative moods while also improving memory and attention. That extra focus can help you prioritize positive behaviors like mindful eating and movement. 

  5. Consider therapy: Incorporating therapy as part of a weight loss plan has been shown to improve long-term outcomes in young women. This can help you address any internal issues that may be hindering weight loss while potentially improving your day-to-day mood. Cognitive behavioral therapy (CBT) is a particularly effective approach for things like emotional eating. If you’ve never been to a therapy session before, the first meeting generally entails some introductory questions about why you decided to start therapy and what you expect from the experience. 

While many people feel a connection between their weight and mental health, do what you can to separate your overall mental health from how you perceive your body. It’s important to remember that we are so much more than our bodies or a number on the scale. Prioritize both your physical and mental health to feel good inside and out.

4 Sources

  1. Sarwer, D., et al. The Psychosocial Burden of Obesity. (September 2016). https://pmc.ncbi.nlm.nih.gov/articles/PMC6052856/#:~:text=Numerous%20studies%20have%20demonstrated%20a,discrimination%20because%20of%20their%20weight.
  2. Koutra, K., et al. The Influence of Positive and Negative Aspects of Perfectionism on Psychological Distress in Emerging Adulthood: Exploring the Mediating Role of Self-Compassion. (November 2023). https://pmc.ncbi.nlm.nih.gov/articles/PMC10669294/
  3. Basso, J., et al. Brief, daily medication enhances attention, memory, mood, and emotional regulation in non-experienced meditators. (January 2019). https://pubmed.ncbi.nlm.nih.gov/30153464/
  4. Juchacz, K. et al. The Effectiveness of Supportive Psychotherapy in Weight Loss in a Group of Young Overweight and Obese Women. (February 2021). https://pubmed.ncbi.nlm.nih.gov/33562001/
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