POLOKWANE – A recent video on social media has reignited debate around obesity and stigma after a woman refused to share an elevator with a young man because of his weight. What followed was just as troubling, with many commenters blaming him for his size and questioning his self-discipline.

Is weight really about willpower?

Speaking to Polokwane Observer, general practitioner and diabetes specialist Dr Mabowa Makhomisane posed a direct question: ‘Is your weight really your fault?’

He argues that science, history and biology suggest the answer is far more complicated.

“Our relationship with body weight is complex. Historically, larger bodies symbolised fertility, prosperity and beauty. In many African cultures, being ‘big’ is still associated with wealth and good health. But societal attitudes have shifted, and obesity is now heavily stigmatised.”

Makhomisane stressed that the idea that weight is simply about willpower is outdated.

“Obesity is a chronic biological condition influenced by genetics, hormones and environment. Shaming people is not only ineffective, it’s cruel. Obesity should be treated as a medical condition, not a moral failure.”

He added that modern medical treatments, including GLP-1 agonists, are showing promising results. “We need to separate the person from the condition. Reducing stigma starts with accepting obesity as a health issue.”

A personal story of stigma

For Esther van Staden (38) from Bendor, the stigma is deeply personal. She told Polokwane Observer that she grew up being bullied and excluded because of her weight.

“My high school years were ruined by comments and laughter. People didn’t understand that my body type runs in the family,” she said.

Despite trying to ignore the insults, the emotional toll was heavy. “A year before university, I was extremely depressed. I even thought about ending my life, but my family kept me going.”

Determined to change, Van Staden began with small steps – short walks, push-ups – while maintaining a healthy diet. But as the weight dropped, something unexpected happened.

“I thought losing weight would make me happier, but I became more depressed. I realised I was doing it for other people, not for myself.”

That realisation changed everything.

Finding purpose beyond the scale

She joined a university club, discovered a love for running and later started competing in marathons. “Running gave me joy. It gave me purpose.”

Her message is simple: “Don’t live to impress others. Find something that makes you happy and focus on that.”

Makhomisane believes Van Staden’s story reflects a bigger truth.

“Her journey shows resilience. With support, understanding and the right mindset, people can rise above stigma and reclaim their lives.”