The role of social support in obesity online health communities A literature review

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Lara Martin-Vicario
Lorena Gómez-Puertas


Social support is closely linked to the treatment of obesity as one of the key points for a successful weight-loss and change of behaviour. Additionally, online health communities have been proved useful in increasing obesity treatment effectiveness as a complementary tool for physicians in the treatment of obesity. This study aims to review the latest literature regarding how social support affects users of an online health community for the treatment of obesity. It identifies the different effects of social support in the users such as promoting behavioural change and increasing self-efficacy. This study also showcases how recent literature has shown that there is both a direct and indirect relationship between social support in online health communities for the treatment of obesity and actual weight-loss

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How to Cite
Martin-Vicario, L., & Gómez-Puertas, L. (2022). The role of social support in obesity online health communities: A literature review. Review of Communication Research, 10. Retrieved from
Health Communication


Albrecht, T. L., & Adelman, M. B. (1987). Communicating social support. Newbury Park, CA: Sage.

Ballantine, P. W., & Stephenson, R. J. (2011). Help me, I’m fat! Social support in online weight loss networks. Journal of Consumer Behaviour, 10(6), 332–337.

Bandura, A. (1997). Self-efficacy: The exercise of control. New York, NY, US: W H Freeman/Times Books/ Henry Holt & Co.

Bandura, A. (2004). Health Promotion by Social Cognitive Means. Health Education & Behavior, 31(2), 143–164.

Castro, A., Gomez-Arbelaez, D., Crujeiras, A., Granero, R., Aguera, Z., Jimenez-Murcia, S., Sajoux, I., Lopez-Jaramillo, P., Fernandez-Aranda, F. & Casanueva, FF. (2018). Effect of A Very Low-Calorie Ketogenic Diet on Food and Alcohol Cravings, Physical and Sexual Activity, Sleep Disturbances, and Quality of Life in Obese Patients. Nutrients, 10(10), 1348.

Centola, D., & van de Rijt, A. (2015). Choosing your network: Social preferences in an online health community. Social Science and Medicine, 125, 19–31.

Chancellor, S., Hu, A., & De Choudhury, M. (2018). Norms matter: Contrasting social support around behavior change in online weight loss communities. Conference on Human Factors in Computing Systems - Proceedings, 2018-April, 1–14.

Chung, J. E. (2014). Social networking in online support groups for health: How online social networking benefits patients. Journal of Health Communication, 19(6), 639–659.

Cunha, T., Weber, I., & Pappa, G. (2017). A Warm Welcome Matters! The Link Between Social Feedback and Weight Loss in /r/loseit. In Proceedings of the 26th International Conference on World Wide Web Companion - WWW ’17 Companion (pp. 1063–1072). New York, New York, USA: ACM Press.

Fernández Ramírez, B., & Baleriola Escudero, E. (2012). Estigma e identidad de las personas obesas en la semántica del discurso público. Discurso & Sociedad, 6(2), 314–359. Retrieved from

Fullwood, C., Chadwick, D., Keep, M., Attrill-Smith, A., Asbury, T., & Kirwan, G. (2019). Lurking towards empowerment: Explaining propensity to engage with online health support groups and its association with positive outcomes. Computers in Human Behavior, 90, 131–140.

Funk, K. L., Stevens, V. J., Appel, L. J., Bauck, A., Brantley, P. J., Champagne, C. M., … Vollmer, W. M. (2010). Associations of internet website use with weight change in a long-term weight loss maintenance program. Journal of Medical Internet Research, 12(3), e29.

Herrero, N., Mas-Manchón, L., & Guerrero-Solé, F. (2019). Do online support groups influence the well-being of patients with diabetes? El Profesional de La Información, 28(2), 1–10.

Hether, H. J., Murphy, S. T., & Valente, T. W. (2014). It’s Better to Give Than to Receive: The Role of Social Support, Trust, and Participation on Health-Related Social Networking Sites. Journal of Health Communication, 19(12), 1424–1439.

Hwang, K. O., Etchegaray, J. M., Sciamanna, C. N., Bernstam, E. V., & Thomas, E. J. (2014). Structural social support predicts functional social support in an online weight loss programme. Health Expectations, 17(3), 345–352.

Hwang, K. O., Ottenbacher, A. J., Green, A. P., Cannon-Diehl, R., Richardson, O., Bernstam, E. V, & Thomas, E. J. (2009). Social support in an Internet weight loss community.

Jane, M., Foster, J., Hagger, M., Ho, S., Kane, R., & Pal, S. (2018). Psychological effects of belonging to a Facebook weight management group in overweight and obese adults: Results of a randomised controlled trial. Health and Social Care in the Community, 26(5), 714–724.

Kamalpour, M., Watson, J., & Buys, L. (2020). How Can Online Communities Support Resilience Factors among Older Adults. International Journal of Human-Computer Interaction, 36(14), 1342–1353.

Kim, H., Faw, M., & Michaelides, A. (2017). Mobile But Connected: Harnessing the Power of Self-Efficacy and Group Support for Weight Loss Success through mHealth Intervention. Journal of Health Communication, 22(5), 395–402.

Kim, H., Ray, C. D., & Veluscek, A. M. (2017). Complementary Support from Facilitators and Peers for Promoting mHealth Engagement and Weight Loss. Journal of Health Communication, 22(11), 905–912.

Kingod, N., Cleal, B., Wahlberg, A., & Husted, G. R. (2017). Online Peer-to-Peer Communities in the Daily Lives of People with Chronic Illness: A Qualitative Systematic Review. Qualitative Health Research, 27(1), 89–99.

Koteyko, N., & Hunt, D. (2016). Performing health identities on social media: An online observation of Facebook profiles. Discourse, Context & Media, 12, 59–67.

Li, V., McDonald, D. W., Eikey, E. V., Sweeney, J., Escajeda, J., Dubey, G., Riley, K., Poole, E. & Hekler, E. B. (2014). Losing It Online. In Proceedings of the 18th International Conference on Supporting Group Work - GROUP ’14 (pp. 35–45). New York, New York, USA: ACM Press.

Lleras de Frutos, M., Casellas-Grau, A., Sumalla, E. C., de Gracia, M., Borràs, J. M., & Ochoa Arnedo, C. (2020). A systematic and comprehensive review of internet use in cancer patients: Psychological factors. Psycho-Oncology, 29(1), 6–16.

Major, B., Hunger, J. M., Bunyan, D. P., & Miller, C. T. (2014). The ironic effects of weight stigma. Journal of Experimental Social Psychology, 51, 74–80.

Newman, K., Wang, A. H., Wang, A. Z. Y., & Hanna, D. (2019). The role of internet-based digital tools in reducing social isolation and addressing support needs among informal caregivers: A scoping review. BMC Public Health, 19(1), 1–12.

Nosek, M. A., Robinson-Whelen, S., Ledoux, T. A., Hughes, R. B., O’Connor, D. P., Lee, R. E., … Nosek, T. M. (2019). A pilot test of the GoWoman weight management intervention for women with mobility impairments in the online virtual world of Second Life®. Disability and Rehabilitation, 41(22), 2718–2729.

Pappa, G. L., Cunha, T. O., Bicalho, P. V., Ribeiro, A., Couto Silva, A. P., Meira Jr, W., & Beleigoli, A. M. R. (2017). Factors Associated With Weight Change in Online Weight Management Communities: A Case Study in the LoseIt Reddit Community. Journal of Medical Internet Research, 19(1), e17.

Puhl, R. M., & Heuer, C. A. (2010). Obesity stigma: Important considerations for public health. American Journal of Public Health, 100(6), 1019–1028.

Reading, J. M., Buhr, K. J., & Stuckey, H. L. (2019). Social Experiences of Adults Using Online Support Forums to Lose Weight: A Qualitative Content Analysis. Health Education and Behavior, 46(2_suppl), 129–133.

Reifegerste, D., Wasgien, K., & Hagen, L. M. (2017). Online social support for obese adults: Exploring the role of forum activity. International Journal of Medical Informatics, 101, 1–8.

Saguy, A. C., Frederick, D., & Gruys, K. (2014). Reporting risk, producing prejudice: How news reporting on obesity shapes attitudes about health risk, policy, and prejudice. Social Science and Medicine, 111, 125–133.

Setoyama, Y., Yamazaki, Y., & Namayama, K. (2011). Benefits of peer support in online Japanese breast cancer communities: differences between lurkers and posters. Journal of Medical Internet Research, 13(4), e122.

Ufholz, K. (2020). Peer Support Groups for Weight Loss. Current Cardiovascular Risk Reports, 14(10).

Wang, Y., & Willis, E. (2018). Supporting self-efficacy through interactive discussion in online communities of weight loss. Journal of Health Psychology, 23(10), 1309–1320.

Waring, M. E., Jake-Schoffman, D. E., Holovatska, M. M., Mejia, C., Williams, J. C., & Pagoto, S. L. (2018). Social Media and Obesity in Adults: a Review of Recent Research and Future Directions. Current Diabetes Reports, 18(6).

Welch, V., Petkovic, J., Pardo Pardo, J., Rader, T., & Tugwell, P. (2016). Interactive social media interventions to promote health equity: An overview of reviews. Health Promotion and Chronic Disease Prevention in Canada, 36(4), 63–75.

Yan, L. (2017). Good Intentions, Bad Outcomes: The Effects of Mismatches between Social Support and Health Outcomes in an Online Weight Loss Community.

Yan, L. (2020). The Kindness of Commenters: An Empirical Study of the Effectiveness of Perceived and Received Support for Weight-Loss Outcomes. Production and Operations Management, 29(6), 1448–1466.

Yuqing Ren, Y., Kraut, R., & Kiesler, S. (2007). Applying Common Identity and Bond Theory to Design of Online Communities. Organization Studies, 28(3), 377–408.

Zhang, X., & Huang, R. (2021). The role of social media in public crisis governance. E3S Web of Conferences, 253, 1–4.

Zhang, Y., He, D., & Sang, Y. (2013). Facebook as a Platform for Health Information and Communication: A Case Study of a Diabetes Group. Journal of Medical Systems, 37(3), 9942.