The characteristics of modern society contribute to a condition we call Cultural Stress Anxiety Syndrome (CSAS), which is a response to the constant, pervasive, ever-increasing stress of modern living. Cultural Stress often leads to an isolated, sedentary lifestyle and a state of constant anxiety that triggers the body’s inflammation response, including the release of stress hormones linked to weight gain. Because Cultural Stress aggravates all other causes of obesity, it must be included in any effective weight management program.

We present a review of the factors implicated in the obesity epidemic, as well as the implications of chronic stress on a variety of health issues. We then outline the evidence for Cultural Stress as a phenomenon that compounds other stressors, as well as the societal factors most responsible for Cultural Stress. We report on an initial pilot study that focuses on Cultural Stress-reduction as part of an inclusive health management program.

We conclude that Cultural Stress is a factor in virtually all of the conditions that contribute to obesity: higher stress hormones, disrupted sleep, sedentary lifestyle, isolation, and reduced self-esteem. Supporting patients in managing Cultural Stress empowers them to effectively reduce their weight and maintain that weight loss over time.