Starvation diets and too much exercise for ratings have a number of physiological effects on participants but studies have also shown an impact on viewers; people expressed increased disdain for overweight people, even after watching just one episode of The Biggest Loser. Other studies found that viewers who think that is what weight loss encompasses (starvation, getting yelled at, over-exercising) were less inclined to want to exercise at all.
The Biggest Loser Season 14 Finale: Show Promotes Bad Science, Stereotypes by Cameron English, PolicyMic.com
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