ABSTRACT:

This piece focuses on the Wellness and Health community online and the lack of regulations put in place to identify credible sources of nutrition and professional advice. It follows the fundamental role Influencers play in Social Networks with main focus on the Instagram platform, as they build trusting relationships with followers who are attracted to a perceived perfect lifestyle online. This strength of trust and loyalty they have generated raises issue as it can lead to endangerment of their follower’s based on the promotion of personal concepts of diets and non-transparent brand collaboration of wellness products such as Sugar Bear Hair. In order to grow followings and stay relevant the strategy of adopting social media trends is largely followed in the Influencer space which can create an influx of misinformed content to users producing an echo chamber effect which could trigger certain individuals eating and mental health issues.

 

DISCUSSION:

The boom of the Wellness and Health industry has transitioned the way in which users consume and view information from a local professional space to a global online platform with infinite profiles, backgrounds, and experiences. This newfound form of learning and education is promoted by female Influencers who project a perfect life to the public in which female consumers are immerse in, this then generates a guilt affect due to imperfections and lack of achievements in their lives compared to the fake reality of highlighted perfect moments from Influencers. This therefore puts ordinary people in the position to be in awe of Influencers and bring forth trust and loyalty to all aspects of their online presences. This in relation to social change of open online opinion and advice for Wellness and Health in focus the Fitness industry can result in dangerous advice due to the lack of professionalism, attractive brand collaboration and the wide range of education formalities that are now available online. This misguided information can affect dietary and eating requirements as well as misdiagnosis of critical illnesses and the type of correct treatment for individuals. Due to the openness and trust Influencers create with their audience it can lead to serious and dangerous health advice due to their inexperience and lack of professionalism in which they recommend and promote certain advice to their large loyal following.

 

Influencers play a fundamental role in the health space on online platforms such as Instagram. The term influencer is used to describe an individual who has accumulated a large following on a social media platform in which they share their personal lives and lifestyles and engage with their followers both physically and digitally (Enke, 2019). This therefore makes Social Media Influencers appealing to brands due to their ability to create “personal, authentic, credible, and down to earth sources of information, with the significant benefit of a large network and thus audience for the brand” (De Virman, 2017 as cited in Harrigan et al. 2021). This attractiveness is seen in the Health and Wellness space in the form of promoting health related products, such as Fit Teas, Sugar Bear Hair Vitamins and Flat Tummy Shakes, these products have swarmed the Instagram marketing feed and space as these brands focus on Influencer sales in order to gain revenue yet are not Food and Drug Administration (FDA) approved. This lack of insight towards the products are not promoted or mentioned by any Influencer and is extremely dangerous towards the health of their followers as wellness and herb supplements result in approximately 23,000 hospitalizations every year with over 2000 cases considered extremely dangerous in the United States (Belluz, 2015). This new transition to marketing through Influencer collaboration has generated a negative effect due to the lack of regulations put into place for brand endorsements on social media compared to traditional advertisements standards. This new form of Influencer collaboration marketing has socially changed the way in which individuals online are lured into purchase choice, exploiting the trust and relationships Influencers build with their audience in order to gain better analytics. This relates towards the transition of network individualism, the shift of connected physical groups of individuals towards an online form (Hampton and Wellman, 2018). As previously individuals would gain attraction to products through traditional marketing and gain trust of brands and products through recommendations from others in their life and community, such as friends, family and work colleagues. This however has changed the way in which consumers chose and trust brands with the digitalization of marketing and rise of Influencer culture as recommendations are now expressed through Influencers due to the trust they build with their followers. This effect of physical consumer groups to shift to online networks in consumer marketing and collaboration has decreased the transparency of brands due to the lack of regulation and awareness online through the digitalization of marketing tactics of Influencer advocation which in return leads to consumed being misguided and not informed of the true effects and ingredients in products such as Sugar Bear hair.

 

Although many health and wellness influencers intend to send out positive attitudes and advice towards their audience, many fail to reach the requirements of a registered or qualified nutritionist, advocating gluten free, dairy free and other specific dietary requirements. This can form the concept that if followers eat the same foods and replicate the same lifestyle as these Influencers, they can achieve this sought-after body putting Influencers in the position to become “trusting experts with authority because of their aesthetic alone” (Lofft 2020). This tactic of promoting a particular diet regime can fall under negative health advice as cutting out wholefood groups unless told by a professional can lead to nutrient deficiency in many followers (Byrne et al. 2017). This arises the problem of professional achievements and abilities, unlike a formal medical setting in which correct and appropriate education is enforced and compulsory the internet and in focus Instagram, an extremely large network that houses users from all forms of age, background, education, and purposes, therefore creates the incredibility of advice due to the lack of knowledge and experience gradable. In the case of Wellness and Health Influencers the term nutritionist is versatile as “all registered dietitians are nutritionist, but not all nutritionists are registered dietitians” (Jortberg and Fleming, 2014). This confusion of the term nutritionist can easily be misunderstood on online networks, and misleading for users to identify what forms of information is credible. Professional and qualified dietitians with following are on the network, yet their content may not be received by followers due to lack of visually appealing and aesthetic content and easily digestible content for followers (Lofft 2020). Which therefore leads to fitness Influencers dominating the nutrition circle based on aesthetics and related content. This therefore leads to the endangerment of users who follow through on advice promoted by Influencers.

 

Wellness and health Influencers produce content with the intent of positive effects on their followers to creating a health and wellness community creating network individualism aforementioned transitioning connected individuals towards online connection and communities. This however grows concern for negative triggers and eating disorders such as orthorexia nervosa, the obsession with eating healthy (Turner and Lefevre, 2017). This trigger and obsession can be related to network affordances as social networking sites are embedded in everyday lives of individuals (Hampton and Wellman, 2018), the constant connection to technology and social media content can create echo chambers of the health and wellness content in fluxing followers through trends with the aid of feed algorithms as this social media connection is part of everyday life. One of the most popular trends circulating the Instagram space is the keto diet which highlights many concerns to dietitians as the original creation of the diet was constructed to help epilepsy but has now been “hijacked by diet culture” as a form of weight loss (McPherson 2021). This is due to social media trends having large public and documented participation online which creates the perception that certain trends such as the Keto diet is a reliable and credible health regime to follow due to echo chamber of positive results and achievements from the diet and with occurring exposure it strengthens its credibility (Lofft 2020). This effect of echo chambers can result in triggers for individuals sensitive to health and eating disorders, this is due to the abundance of related content shared and received on their feed due to the Instagram algorithm. The way in which the algorithm works its tracks data usage of what users’ shop, browse, play, like and how they interact online, making decisions on their behalf and is displayed across their feed (Cotter 2019). Within this successful Influencers have learned to understand the algorithm in order to gain larger followings, a strategy of this is to produce trending content to stay within user’s feeds. This relates towards diet trends as multiple Influencers produce content of high trending topics such the keto diet it creates an influx to followers feeds therefore forming an echo chamber effect. With the lack of nutrition credibility and title as aforementioned it creates large misinformation such as the origins of the keto diet. This form of echo chambers and high trending content produced by Influences can trigger individuals eating habits and disordered due to all their content available is one particular form of eating. Turner and Lefevre (2017), study displayed the results that higher Instagram usage produced increased symptoms of orthorexia from the health and wellness community content on Instagram which was higher than other social media platforms.

 

Online networking sites have drastically changed the way in which individuals gain and receive information in the digital age. Traditionally individuals sought after health and nutrition advice from professional and medical institutes yet now with shift towards digitalization it has caused network individualism of gaining medical advice from physical professionals to transition to social networking sites and has caused information on medical topics to be spoken and discussed by anyone with and without satisfactory education degrees. This therefore is dangerous as Influencers have free range to advocate their own personal beliefs, which can result in the serious endangerment towards dedicated followers as all health advice and treatment is specific to individuals. This shift is due to the barrier between Influencer and follower is more connected and intimate, as Influencers provide a sense of trust with their audience by giving them an insight to their lives compared to traditional medical professionals such as doctors who do not open and discuss their personal life. This has caused the nature of the relationship to be more open and trusting than traditional medical professionals as Influencers breaking the barrier of professionalism and create trust through their relatability of their content. The growth and popularity of health and wellness influencers has advanced towards publicly promoting certain health advice and regimes in which their audience trust and believe due to this strong one sided relationship formed online. This has changed the way in which individuals view credible sources and they put forth trust over professional achievements.

 

 

Overall, the way in which individuals receive and gain information has shifted over the years in regard to health and nutrition, now transitioning towards online networks such as Instagram and exclusively through social media Influencers. This has arisen the problem of misinformation and credibility, this is seen through the lack of transparency of online brands such as Sugar bear hair which used Influencer marketing in means of gaining greater revenue yet failed to disclose and notify consumers of the non-approved FDA regulation the company received, both in which the company and Influencer advocates did not highlight to targeted consumers. Therefore, putting individuals at potential harm, this continues as the lack of regulation of information and advice promoted by influencers can lead to lack of dietary nutrition through popular fad diets such as keto made popular through online trends and algorithm feed organization. This strategy of promoting trending diets can lead to individuals falling into echo chamber effects and build confident in the misinformed advice promoted due to large participation by multiple influencers due to the trendiness of certain diet and fitness popularity and wanted follower growth. This therefore demonstrates how online networks and social change has digitalized the health and wellness space to produce negative effects and potential endangerment of loyal followers through the direct connection of social media influencers.

 

 

                                        

 

 

 

 

 

 

 

 

 

 

 

 

REFERENCES:

Belluz, J. (2015, October 15). Dietary Supplements and other herbals send 23,000 people to the emergency room every year. Vox.

 

Byrne, E., Kearney, J., & MacEvilly, C. (2017). The role of influencer marketing and social influencers in public health. Proceedings of the Nutrition Society76(OCE3).

 

Cotter, K. (2019). Playing the visibility game: How digital influencers and algorithms negotiate influence on Instagram. New Media & Society21(4), 895-913.

 

Enke, N., & Borchers, N. S. (2019). Social media influencers in strategic communication: A conceptual framework for strategic social media influencer communication. International Journal of Strategic Communication13(4), 261-277.

 

Hampton, K. N., & Wellman, B. (2018). Lost and saved… again: The moral panic about the loss of community takes hold of social media. Contemporary Sociology47(6), 643-651.

 

Harrigan, P., Daly, T. M., Coussement, K., Lee, J. A., Soutar, G. N., & Evers, U. (2021). Identifying influencers on social media. International Journal of Information Management56, 102246.

 

Jortberg, B. T., & Fleming, M. O. (2014). Registered dietitian nutritionists bring value to emerging health care delivery models. Journal of the Academy of Nutrition and Dietetics114(12), 2017-2022.

 

Lofft, Z. (2020). When social media met nutrition: How influencers spread misinformation, and why we believe them. Health Science Inquiry11(1), 56-61.

McPherson, V. (2021). Capitalizing on Social Media: The Cost of Seeking Health Practices Online (Doctoral dissertation, University of West Georgia).

 

Rijo, V. G. (2019). Sipping the (detox) tea: The rise in advertisements for non-FDA approved supplements on social media & regulations (or lack thereof) that govern. Admin. L. Rev. Accord5, 153.

 

Turner, P. G., & Lefevre, C. E. (2017). Instagram use is linked to increased symptoms of orthorexia nervosa. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity22(2), 277-284.

 

17 thoughts on “Wellness and Health Influencers advocating misinformation

  1. Raymond Louey says:

    Hi Lorena, interesting and also quite concerning read. I have a friend who who has fallen victim to this kind of ‘celebrity cult’ and they often bring up their products whenever we catch up. Fortunately nothing dangerous, it’s mostly mystical jewelry. Two questions spring to mind:
    You mention poor government oversight, do you think platforms have a responsibility to step in instead?
    What do you think motivates these people? Is there big money involved, do they have big egos or are they just delusional?

    • Genevieve Dobson says:

      Hi Lorena & Raymond

      I’ve read a few articles now written on this topic and I’m naturally drawn to it as a result of my Health Promotion studies. There are so many ethical factors that need to be considered before a health promotion program is implemented, not to mention evidence based, and yet here we are with people posting and promoting products that they know little about and have no concept or concern of the damage they could cause. Some of the statistics in your paper are absolutely horrifying!

      The hopefully good news is that under new TGA rules, from July 1 2022, social media influencers will be banned from promoting health products if they are being paid or incentivized, which includes receiving the products for free. Some relevant links below.

      https://www.smartcompany.com.au/marketing/social-media/tga-rules-influencers/
      https://www.tga.gov.au/tga-social-media-advertising-guide

      What are your thoughts? Are the new rules going to be strong enough to impact the dietary culture too? Do you think it will make a difference?

      Ps: Raymond – in answer to your question – In my opinion there must be a narcissistic element to their personality, surely? But I also believe financially it can be very rewarding for some…

      If you’d like to have a read of my paper about Health Promotion and tackling health misinformation found online, here’s a link: https://networkconference.netstudies.org/2022/csm/325/social-media-and-online-communities-provide-opportunities-for-health-promotion-practice-to-increase-its-effectiveness-and-dispel-health-misinformation/

      • Lorena Neira says:

        Hi Genevieve,
        Thank you for providing links to that article and information of new TGA regulations. I do think that these regulations to be taking place are definitely a step in the right direction. I agree with the statements and informations made in the article in regards to regulations over therapeutic and medical device supplements and goods as I discuss in my paper, most Influencers do not have proper training and credentials to be giving health advice on products. This culture of Wellness Influencer marketing can create great harm as all medical related issues and conditions are so widely different and these products being promoted to target certain issues can have a different effect on each individual. With these new regulations I do believe it will create a positive and safe impact towards the market of wellness and therapeutic goods to consumers. Yet, I do not think it will be strong enough to impact dietary culture. Diet culture has been prevalent online for a number of years and is a strong culture that has multiple different perspectives, opinions and levels of extreme which creates it’s strength on online networks and communities.

      • Raymond Louey says:

        Hi Genevieve,
        Thanks for bringing the new rules to my attention, very interesting. Yes, these do seem to be a step in the right direction, I am actually surprised this wasn’t already the case.
        However, I can’t help but remain cynical for a few reasons:
        These laws target specifically therapeutic goods which appear to have fairly. “Fit Teas and Flat Tummy Shakes” could likely be argued to be food instead. I suspect many of these products deliberately ride the line of ambiguity to avoid TGA oversite and I wouldn’t be surprised if they do not fall under the therapeutic goods umbrella. The gummy vitamins mentioned probably get hit by these, but I should stress I’m not a legal expert.
        Marketing has always had this disconnect where words have technical meanings and “common” meanings. I am worried that changing the wording of any claims allows them to avoid prosecution while retaining the overall message being conveyed.
        As Lorena points out, it may be to late. Many of these influencers have built communities that will likely parrot claims made even if the inflluencers can not; have we made martyrs of them?
        But maybe that is me being overly cynical, laws are iterative process, a step in the right direction will hopefully be followed by more

        • Genevieve Dobson says:

          Hi again Lorena and Raymond

          I understand the cynicism completely! And I agree that influencers themselves should take more personal responsibility, as well as the social media platforms that they post on. Governments will always have a role to play though, when it comes to protecting the health of the populations and I’m more inclined to think of this latest development as “a step in the right direction” rather than “too little, too late”.

          Hopefully as we see more medically trained health professional come through the ranks, having grown up on social media and more comfortable in the space, we’ll see a little more balancing out of the misinformation found online. Dr Preeya Alexander is a General Practitioner and Medical Educator who is using social media platforms for good by sharing evidence informed health information and disputing health misinformation. She’s also a bit of a foodie. Her Instagram page is called “The Wholesome Doctor” – I highly recommend a follow!

          ps: I live in hope Raymond! 😉

    • Lorena Neira says:

      Hi Raymond,
      Thank you for taking time to read my paper. I do think platforms to some extend need to regulate the content that is upload to their site as they do with other elements that involve features of nudity and users are able to report certain posts and content. Yet, I do believe there should be more focus from the government over the health and safety regulations and approvals of wellness products such as supplements as there is with common regular food products. In regards to your second question I do believe majority of micro Influencers user brand collaboration as a means of income more than other more influential and larger following Influencers and both can gain large rewards, both income and following from the promotion and work of brand collaboration. I do think Influencers are responsible for the content they post and should research and understand the products that they are promoting to a wide audience, as it may bring them rewards financially it could also have the potential to create large health risk in combination with poor government regulation of products.

      • Raymond Louey says:

        Hi Lorena,
        Thanks for addressing my questions.
        My concern with the regulatory approach is that social media is a global community and there is no world government to control it. If an influencer works out of America what are Australian authorities supposed to do? Genevieve indicates progress is being made but it seems we both agree that its slow and if we want to make an impact we have to look elsewhere.
        I agree that influencers need to take a greater responsibility, but I also think they have a duty to monitor other influencers in their communities.
        I found this story where influencers collaborated to fight against a product based on pseudo-science.
        https://www.washingtonpost.com/video-games/2021/10/22/valkyrae-youtube-rflct-blue-light-skin-controversy/

  2. Eleanor Forte says:

    Hi Lorena, this was such an interesting read! I had no idea that sugar bear hair and similar products weren’t FDA approved! I myself have seen so many of these diet ads and its really concerning to think that the products being promoted are leading to health issues. I was also unclear on the difference between a nutritionist and dietician before reading your paper and found your clarification really useful and interesting.

    I am curious to hear more of your thoughts on if the influencers are also being mislead by the companies who sell these products or if they know the potential consequences and continue to work with the brands anyway? Also do you believe the public has some power to step in and ‘cancel’ these companies if knowledge of this situation was more commonly known or is it a bigger problem that needs government oversight?

    • Lorena Neira says:

      Hi Eleanor,
      I do believe that these companies do not highlight the specifics of their products to Influencers and could be misleading them. Yet I think Influencers have the responsibility to research and look into the products in which they promote to their audience. This is especially the case when Influencers exploit the authenticity that their followers put trust in, as many products promoted like the Sugar Bear hair was marketed through Influencers in their advocation of the amazing results that it has provided for them. This advocation strategy along with the trust followers have is a powerful marketing tool which is why it should be the responsibility of the Influencer todo their own research of products that are recommending and wanting their followers to purchase.

      I do think the public is a strong force that has the ability to make awareness and “cancel” companies, yet I do think they lack the ability and status to change the nature of these companies. It is therefore the governments responsibility to provided proper regulations to oversee that companies are producing goods that are safe for their consumers.

  3. Jordan Kendall says:

    Hi Lorena,
    That was very informative and super interesting. I have looked at all of these products on social media over the years and thought how do they get approval to post things that aren’t true. I remember watching the news and someone getting sick from one of these online losing weight products.

    • Lorena Neira says:

      Hi Jordan,

      Thank you for taking time to read my paper. Yes, it is a major problem circling the online space and can cause so many risk to those who are persuaded by these well advertised products. Definitely something to look out for when consuming social media and product recommendations.

      Cheers,
      Lorena

  4. Stacey Voyka says:

    Hi Lorena,
    Great paper so far. Interesting how influencers recommend non FDA approved products to their audiences as a way to gain their own profit. This could be said similarly to most Multi-Level-Marketing schemes (MLMs) sadly and those influencers that fall for it either being naïve about the contract or the former mentioned. It even get’s worse when so called ‘health experts’ ride on the influencer train to sell their product/s, and it does not restrict to Instagram. Platforms like TikTok are rampant of this phenomenon, though Instagram attracts more of the MLM market. Even when the platforms in question take action to reduce misinformation there will always be grey areas/workarounds sadly.

    • Lorena Neira says:

      Hi Stacey,
      Thank you for taking the time to read my paper. Yes I do agree that these marketing schemes don’t just fall under the Instagram platform and are apart of all social networking sights. Tiktok being an emerging player to this as it’s popularity continues to grow.
      Platform action and government oversight and regulation is needed to make impactful change, but yes as you mention grey areas can emerge and it is hard to get to this ideal stage of regulation due to the wide spread networking sights have in user population globally therefore making content harder to regulate.

  5. Kyla Geneff says:

    Hi Lorena,

    I really enjoyed reading your paper as I also feel that this is a serious issue on social media and within the world of influencers and influencing. The following quote that you used “trusting experts with authority because of their aesthetic alone” (Lofft 2020) was extremely powerful and I feel really st into your motion your discussion and argument.
    Your perspective was really clear throughout your paper and it’s really obvious to the reader what you are arguing for and against so great work!

    I would be really interested to know if within your research you came across any statistics surrounding the potential link between eating disorders such as orthorexia nervosa (as you mention) and social media/influencer wellness culture.

    Really great paper once again!!
    – Kyla

    • Lorena Neira says:

      Hi Kyla,

      Thank you for taking time to read my paper. While conducting my research I came across this study which analyses the link between social media (focusing on Instagram and twitter) and orthorexia nervosa increase through a physical study of young adults. I reference this study by Turner and Legevre once in my paper also.

      Great study to read as it really puts into perspective the dangers social media can cause to eating disorders, especially orthorexia nervosa as it can be perceived as someone just wanting a healthier lifestyle and not a danger to their health if taken too far.

      Cheers,
      Lorena

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