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These studies have also shown an increase in weight over time in those who perceived themselves as too fat. Half of the participants still had normal weights as adults. Distal effects on psychological distress were also mediated by proximal psychological distress. The stigma of childhood obesity has the potential to affect psychological development during the early life course, but few studies examine whether experiencing stigma in Very young looking teen girls fat and adolescence has lasting ramifications for mental health during the transition to adulthood.

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