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The perception of body size and thus weight-related stigmatization vary between cultures. Both are stronger in Western than in Polynesian societies. Negative emotional experiences alter one’s behavioral, psychological, and physiological reactions in social interactions. This study compared affective and autonomic nervous system responses to social interactions in Germany and American Samoa, two societies with different body-size related norms. German (n = 55) and Samoan (n = 56) volunteers with and without obesity participated in a virtual ball-tossing game that comprised episodes of social inclusion and social exclusion. During the experiment, heart rate was measured and parasympathetic activity (i.e., high-frequency heart rate variability) was analyzed. We found differences in both emotional experience and autonomic cardio-regulation between the two cultures: during social inclusion, Germans but not Samoans showed increased parasympathetic activity. In Germans with obesity, this increase was related to a more negative body image (comprising high rates of weight-related teasing). During social exclusion, Samoans showed parasympathetic withdrawal regardless of obesity status, while Germans with obesity showed a stronger increase in parasympathetic activity than lean Germans. Furthermore, we found fewer obesity-related differences in emotional arousal after social exclusion in Samoans as compared to Germans. Investigating the interplay of socio-cultural, psychological, and biological aspects, our results suggest influences of body size-related socio-cultural norms on parasympathetic cardio-regulation and negative emotions during social interactions.

Socio-cultural norms of body size in Westerners and Polynesians affect heart rate variability and emotion during social interactions