Desinformación sanitaria cotidiana y persuasión visual en Instagram: legitimación de suplementos para bajar de peso en cuentas chilenas

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Antonia Morán Carreño
Dania Peredo Lumbrera
Paz Crisóstomo Flores

Abstract

Este artículo analiza cómo cuentas chilenas de Instagram que comercializan suplementos para bajar de peso construyen desinformación sanitaria cotidiana mediante recursos discursivos, visuales y corporales orientados a persuadir a potenciales consumidoras. El objetivo fue identificar las principales estrategias de legitimación del producto, describir los recursos de credibilidad movilizados por las publicaciones y examinar la relación entre representación corporal, bienestar y consumo. Para ello se realizó un análisis de contenido mixto, de carácter exploratorio-descriptivo, sobre 100 publicaciones pertenecientes a 15 cuentas activas entre septiembre de 2024 y 2025. La matriz de codificación incluyó variables relativas a promesas sin respaldo, omisión de información sanitaria, testimonios, tipos de imagen, formatos de publicación y representación corporal. La confiabilidad intercodificadora alcanzó un coeficiente Kappa de Cohen de 0,80. Los resultados muestran un predominio de promesas de pérdida de peso rápida y sin esfuerzo, un uso intensivo de testimonios y señales de credibilidad visual para compensar la ausencia de evidencia, y una asociación sistemática entre delgadez, bienestar y consumo con escasa advertencia sobre riesgos. Se concluye que estas publicaciones operan como una forma ordinaria de desinformación sanitaria en plataformas y plantean desafíos regulatorios, éticos y de alfabetización mediática en salud.

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MON. Health Communication: Challenges and Opportunities

How to Cite

Morán Carreño, A., Peredo Lumbrera, D., & Crisóstomo Flores, P. (2026). Desinformación sanitaria cotidiana y persuasión visual en Instagram: legitimación de suplementos para bajar de peso en cuentas chilenas. Miguel Hernandez Communication Journal, 17, 479-499. https://doi.org/10.21134/d4maey70

References

Abidin, C. (2015). Communicative intimacies: Influencers and perceived interconnectedness. Ada: A Journal of Gender, New Media, and Technology, 8. https://adanewmedia.org/2015/11/issue8-abidin/

Abidin, C. (2016). “Aren’t these just young, rich women doing vain things online?” Influencer selfies as subversive frivolity. Social Media + Society, 2(2). https://doi.org/10.1177/2056305116641342

Adeane, E., & Stasiak, K. (2025). Relatability versus responsibility: Social media influencers on their roles in youth mental health. Digital Health, 11, 20552076251382026. https://doi.org/10.1177/20552076251382026

Allem, J.-P. (2024). The need for research on the wellness industry’s impact on health decisions. American Journal of Preventive Medicine, 67(4), 627–630. https://doi.org/10.1016/j.amepre.2024.05.010

Bandura, A. (2001). Social cognitive theory of mass communication. Media Psychology, 3(3), 265–299. https://doi.org/10.1207/S1532785XMEP0303_03

Bazi, S., Alghizzawi, M., Alshurideh, M., Obeidat, Z. M., & Kurdi, B. (2025). Cognitive and social pathways of influence in dietary behavior on social media. Journal of Business Research. Advance online publication.

Biblioteca del Congreso Nacional de Chile. (2021). Decreto con fuerza de ley N.° 3, de 2021, del Ministerio de Economía, Fomento y Turismo, que fija texto refundido, coordinado y sistematizado de la Ley N.° 19.496, que establece normas sobre protección de los derechos de los consumidores. https://www.bcn.cl/leychile/navegar?idNorma=1160403

Boerman, S. C. (2020). The effects of the standardized Instagram disclosure for micro- and meso-influencers. Computers in Human Behavior, 103, 199–207. https://doi.org/10.1016/j.chb.2019.09.015

Bonfanti, R. C., Melchiori, F., Teti, A., Albano, G., Raffard, S., Rodgers, R., & Lo Coco, G. (2025). The association between social comparison in social media, body image concerns and eating disorder symptoms: A systematic review and meta-analysis. Body Image, 52, 101841. https://doi.org/10.1016/j.bodyim.2024.101841

Broda, E., & Strömbäck, J. (2024). Misinformation, disinformation, and fake news: Lessons from an interdisciplinary, systematic literature review. Annals of the International Communication Association, 48(2), 139–166. https://doi.org/10.1080/23808985.2024.2323736

Calac, A. J., & Southwell, B. G. (2022). How misinformation research can mask relationship gaps that undermine public health response. American Journal of Health Promotion, 36(3), 561–563. https://doi.org/10.1177/08901171211070951

Chinn, S., Hasell, A., & Hiaeshutter-Rice, D. (2023). Mapping digital wellness content: Implications for health, science, and political communication research. Journal of Quantitative Description: Digital Media, 3, 1–56. https://doi.org/10.51685/jqd.2023.009

Consejo de Autorregulación y Ética Publicitaria. (2024). Código chileno de ética publicitaria (7.ª ed.). https://www.conar.cl/codigo-etica/

Czubaj, N., Szymańska, M., Nowak, B., & Grajek, M. (2025). The impact of social media on body image perception in young people. Nutrients, 17(9), 1455. https://doi.org/10.3390/nu17091455

Dane, A., & Bhatia, K. (2023). The social media diet: A scoping review to investigate the association between social media, body image and eating disorders amongst young people. PLOS Global Public Health, 3(3), e0001091. https://doi.org/10.1371/journal.pgph.0001091

Engel, E., Gell, S., Karsay, K., & Heiss, R. (2026). Engagement with influencers as sources of health information and product promotions: A cross-sectional survey of Austrian youth aged 15–25 years. Journal of Adolescent Health, 78(1), 157–165. https://doi.org/10.1016/j.jadohealth.2025.09.007

Evans, A., Riley, S., & Robson, M. (2020). Postfeminist healthism: Pregnant with anxiety in the time of contradiction. Jura Gentium, 17(1), 95–118.

Evans, N. J., Phua, J., Lim, J., & Jun, H. (2017). Disclosing Instagram influencer advertising: The effects of disclosure language on advertising recognition, attitudes, and behavioral intent. Journal of Interactive Advertising, 17(2), 138–149. https://doi.org/10.1080/15252019.2017.1366885

Faerber, A. E., & Kreling, D. H. (2014). Content analysis of false and misleading claims in television advertising for prescription and nonprescription drugs. Journal of General Internal Medicine, 29(1), 110–118. https://doi.org/10.1007/s11606-013-2604-0

Feijoo, B., & Sádaba, C. (2021). The relationship of Chilean minors with brands and influencers on social networks. Sustainability, 13(5), 2822. https://doi.org/10.3390/su13052822

Friedman, V. J., Wright, C. J. C., Molenaar, A., McCaffrey, T., Brennan, L., & Lim, M. S. C. (2022). The use of social media as a persuasive platform to facilitate nutrition and health behavior change in young adults: Web-based conversation study. Journal of Medical Internet Research, 24(5), e28063. https://doi.org/10.2196/28063

Gaysynsky, A., Senft Everson, N., Heley, K., & Chou, W. Y. S. (2024). Perceptions of health misinformation on social media: Cross-sectional survey study. JMIR Infodemiology, 4, e51127. https://doi.org/10.2196/51127

Geers, M., Swire-Thompson, B., Lorenz-Spreen, P., Herzog, S. M., Kozyreva, A., & Hertwig, R. (2024). The online misinformation engagement framework. Current Opinion in Psychology, 55, 101739. https://doi.org/10.1016/j.copsyc.2023.101739

Gulec, H. (2026). From scroll to sale: Online media engagement predicts adolescents’ online supplement purchases in a nationally representative cross-sectional study. Frontiers in Psychology, 17, 1722369. https://doi.org/10.3389/fpsyg.2026.1722369

Hall, N.-A., Chadwick, A., & Vaccari, C. (2024). Online misinformation and everyday ontological narratives of social distinction. Media, Culture & Society, 46(3), 572–590. https://doi.org/10.1177/01634437231211678

Hourigan, A., Thomson, T. J., Notley, T., Park, S., & Dezuanni, M. (2026). Everyday encounters with misinformation online: Examining sources, topics and modes. Information, Communication & Society. Advance online publication. https://doi.org/10.1080/1369118X.2026.2636132

Hübner, M., Thalmann, J., & Henseler, J. (2025). Blending in or standing out? The disclosure dilemma of ad cues of social media native advertising. Frontiers in Psychology, 16, 1636910. https://doi.org/10.3389/fpsyg.2025.1636910

Hussain, B., et al. (2025). How AI and social media are redefining aesthetic norms in the digital age. Technological Forecasting and Social Change.

Jerónimo, F., & Carraça, E. V. (2022). Effects of fitspiration content on body image: A systematic review. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 27(8), 3017–3035. https://doi.org/10.1007/s40519-022-01505-4

Kaňková, J., Binder, A., & Matthes, J. (2025). Health-related communication of social media influencers: A scoping review. Health Communication, 40(7), 1300–1313. https://doi.org/10.1080/10410236.2024.2397268

Kemp, S. (2024). Digital 2024: Chile. DataReportal. https://datareportal.com/reports/digital-2024-chile

Krishna, A., & Thompson, T. L. (2021). Misinformation about health: A review of health communication and misinformation scholarship. American Behavioral Scientist, 65(2), 316 332. https://doi.org/10.1177/0002764219878223

Ladwig, G., Tanck, J. A., Quittkat, H. L., & Vocks, S. (2024). Risks and benefits of social media trends: The influence of fitspiration, body positivity, and text-based body neutrality on body dissatisfaction and affect in women with and without eating disorders. Body Image, 50, 101749.

Lafontaine, J., Hanson, I., & Wild, C. (2025). The impact of the social media industry as a commercial determinant of health on the digital food environment for children and adolescents: A scoping review. BMJ Global Health, 10(2), e014667. https://doi.org/10.1136/bmjgh-2023-014667

Lee, Y.-I., Mu, D., Hsu, Y.-C., Wojdynski, B. W., & Binford, M. (2024). Misinformation or hard to tell? An eye-tracking study to investigate the effects of food crisis misinformation on social media engagement. Public Relations Review, 50(4), 102483.

Lissens, M., Harff, D., & Schmuck, D. (2025). Responses to (un)healthy advice: Processing and acceptance of health content creators’ nutrition misinformation by youth. Appetite, 206, 107812.

Lupton, D. (2016). Digitized health promotion: Risk and personal responsibility for health and illness in the Web 2.0 era. In J. E. Davis & A. M. Gonzalez (Eds.), To fix or to heal: Patient care, public health, and the limits of biomedicine (pp. 152–176). New York University Press. https://doi.org/10.18574/nyu/9781479878246.003.0007

Munn, L. (2024). Misinformation’s missing human. Media, Culture & Society, 46(6), 1287 1298. https://doi.org/10.1177/01634437241249164

Newman, E. J., & Zhang, L. (2024). How images influence perceptions of truth and what can be done about it. Current Opinion in Psychology, 58, 101853.

Nickel, B., Moynihan, R., Gram, E. G., Copp, T., Taba, M., Shih, P., Heiss, R., Gao, M., & Zadro, J. R. (2025). Social media posts about medical tests with potential for overdiagnosis. JAMA Network Open, 8(2), e2461940. https://doi.org/10.1001/jamanetworkopen.2024.61940

O’Keeffe, M., Barratt, A., Fabbri, A., Zadro, J. R., Ferreira, G. E., Sharma, S., & Moynihan, R. N. (2021). Global media coverage of the benefits and harms of early detection tests. JAMA Internal Medicine, 181(6), 865–867. https://doi.org/10.1001/jamainternmed.2021.0261

Osude, N., O’Brien, E., & Bosworth, H. B. (2024). The search for the missing link between health misinformation and health disparities. Patient Education and Counseling, 129, 108386. https://doi.org/10.1016/j.pec.2024.108386

Palmer, A., & Gorman, S. (2025). Misinformation, trust, and health: The case for information environment as a major independent social determinant of health. Social Science & Medicine, 381, 118272. https://doi.org/10.1016/j.socscimed.2025.118272

Pilgrim, K., & Bohnet-Joschko, S. (2019). Selling health and happiness: How influencers communicate on Instagram about dieting and exercise: Mixed methods research. BMC Public Health, 19, Article 1054. https://doi.org/10.1186/s12889-019-7387-8

Powell, J., & Pring, T. (2024). The impact of social media influencers on health outcomes: Systematic review. Social Science & Medicine, 340, 116472. https://doi.org/10.1016/j.socscimed.2023.116472

Pryde, S., Kemps, E., Prichard, I., & Tiggemann, M. (2024). “You started working out to get a flat stomach and a fat a$$”: A content analysis of fitspiration videos on TikTok. Body Image, 50, 101756. https://doi.org/10.1016/j.bodyim.2024.101756

Purba, A. K., Pearce, A., Henderson, M., McKee, M., & Katikireddi, S. V. (2024). Social media as a determinant of health. European Journal of Public Health, 34(3), 425–426. https://doi.org/10.1093/eurpub/ckae029

Raffoul, A., Santoso, M., Lu, J., Duran, V., & Austin, S. B. (2024). Diet pills and deception: A content analysis of weight-loss, muscle-building, and cleanse and detox supplements videos on TikTok. Eating Behaviors, 55, 101911. https://doi.org/10.1016/j.eatbeh.2024.101911

Ricke, J.-N., & Seifert, R. (2025). Disinformation on dietary supplements by German influencers on Instagram. Naunyn-Schmiedeberg’s Archives of Pharmacology, 398(5), 5629 5647. https://doi.org/10.1007/s00210-024-03616-4

Rodrigues, F., Newell, R., Babu, G. R., Chatterjee, T., Sandhu, N. K., & Gupta, L. (2024). The social media infodemic of health-related misinformation and technical solutions. Health Policy and Technology, 13, 100846. https://doi.org/10.1016/j.hlpt.2024.100846

Rubinelli, S. (2025). Why health institutions must learn from social media influencers: A paradigm shift in health communication. Journal of Health Communication, 30(10–12), 630 633. https://doi.org/10.1080/10810730.2025.2517385

Servicio Nacional del Consumidor. (2016). Informe de publicidad de adelgazantes. https://www.sernac.cl/portal/619/articles-5264_archivo_01.pdf

Servicio Nacional del Consumidor. (2025, noviembre 5). ¿Bajar de peso a cualquier costo?: SERNAC alerta por venta y consumo riesgoso de medicamentos para la obesidad. https://www.sernac.cl/604/w3-article-87663.html

Soni, A., & Bhukya, R. (2025). Do social media self-care influencers promote unsustainable consumption? A mixed methods study. Journal of Retailing and Consumer Services, 87, 104430. https://doi.org/10.1016/j.jretconser.2025.104430

Taylor, J., & Armes, G. (2024). Social comparison on Instagram, and its relationship with self-esteem and body-esteem. Discover Psychology, 4(1), 126. https://doi.org/10.1007/s44202-024-00241-3

Van Kessel, R., Wong, B. L. H., Clemens, T., & Brand, H. (2022). Digital health literacy as a super determinant of health: More than simply the sum of its parts. Internet Interventions, 27, 100500. https://doi.org/10.1016/j.invent.2022.100500

Vandenbosch, L., Fardouly, J., & Tiggemann, M. (2022). Social media and body image: Recent trends and future directions. Current Opinion in Psychology, 45, 101289. https://doi.org/10.1016/j.copsyc.2021.12.002

Wu, Y., Kemps, E., & Prichard, I. (2024). Digging into digital buffets: A systematic review of eating-related social media content and its relationship with body image and eating behaviours. Body Image, 48, 101650. https://doi.org/10.1016/j.bodyim.2023.101650

Xue, X., Ma, H., Zhao, Y., Zhu, Q., & Song, S. (2024). Mitigating the influence of message features on health misinformation sharing intention in social media: Experimental evidence for accuracy-nudge intervention. Social Science & Medicine, 356, 117136. https://doi.org/10.1016/j.socscimed.2024.117136

Zeng, M., Grgurevic, J., Diyab, R., & Roy, R. (2025). #WhatIEatInADay: The quality, accuracy, and engagement of nutrition content on TikTok. Nutrients, 17(5), 781. https://doi.org/10.3390/nu17050781

Zenone, M., Kenworthy, N., & Maani, N. (2023). The social media industry as a commercial determinant of health. International Journal of Health Policy and Management, 12, 6840. https://doi.org/10.34172/ijhpm.2022.6840

Zhong, B. (2023). Going beyond fact-checking to fight health misinformation: A multi level analysis of the Twitter response to health news stories. International Journal of Information Management, 70, 102626. https://doi.org/10.1016/j.ijinfomgt.2023.102626

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