Do Registered Dietitians, Nutrition Students, and Laypeople Perceive Individuals with Obesity Differently?

Cassiano, Giovana Santarosa; Ferreira, Juliana; Buckland, Nicola J.; Cunha, Diogo Thimóteo da

doi:10.3390/ijerph18178925

Cited by 4 publications

(4 citation statements)

References 57 publications

(107 reference statements)

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“…This stigma may affect different domains, such as the labor market, the educational system, and even healthcare settings (41)(42)(43)(44). On the other hand, in this study, dietitians and nutrition students had a more positive view of profiles with obesity-more specifically the woman with obesity-than laypeople, and the same happened when antifat attitudes were assessed (32). Lower weight stigma in dietitians and nutrition students may be due to receiving education on the causes of obesity.…”

Section: Discussionmentioning

confidence: 58%

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Are Dietitians With Obesity Perceived as Competent and Warm? Applying the Stereotype Content Model to Weight Stigma in Brazil

et al. 2022

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The aim of this study was to understand how dietitians' body size influences perceived competence and warmth, based on the Stereotype Content Model (SCM). Online data were collected from 1,039 Brazilians, who were either laypeople, registered dietitians, or nutrition students. Participants rated the competence and warmth dimensions of three dietitians who differed in sex, body weight, and age. Participants also indicated how likelythey would consult or recommend each dietitian for nutritional advice, and indicated their attitudes toward people with obesity (PWO) [using The Antifat Attitudes Test (AFAT)]. Laypeople attributed less competence and warmth to all profiles compared to dietitians and students (p < 0.001). Three clusters occupied the SCM warmth-by-competence space. However, the clusters were different among groups (laypeople, dietitians, and students). For lay participants, the woman without overweight, the older woman, and the older man were located in the high competence/medium warmth cluster. Meanwhile, the woman with obesity was located in the medium competence/high warmth cluster. The dietitians and students map found the woman with obesity and the older woman in a high competence and warmth cluster. In general, the woman with obesity, the man without obesity, and the older man can be classified as ambivalent stereotypes, the woman being perceived as more warm than competent and the men more competent than warm. Participants with high AFAT scores were less likely to consult or recommend to a family member a dietitian with obesity. This study contributes to identifying ambivalent stereotypes for dietitians. Dietitians with obesity can be seen as warm but less competent. Also, although less intense than laypeople, dietitians, and students exhibited weight stigma. These findings can foster important discussions about weight stigma and emphasize the need to increase population awareness about the causes of obesity.

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Section: Discussionmentioning

confidence: 58%

“…All the scales presented adequate composite reliability: factor 1 = 0.78, factor 2 = 0.84, factor 3 = 0.84, global score = 0.72. The detailed results of AFAT are discussed elsewhere (32). To not bias the answers, participants answered the AFAT after answering the other questionnaires.…”

Section: Methodsmentioning

confidence: 99%

Are Dietitians With Obesity Perceived as Competent and Warm? Applying the Stereotype Content Model to Weight Stigma in Brazil

et al. 2022

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“…Despite the significant proportions of inpatients who are overweight and obese in the acute care setting, treatment is largely limited to surgical intervention [ 53 ], as primary care is the preferred setting for first-line treatments [ 54 ] and behavioral weight management interventions [ 55 ]. There is a reluctance by health professionals to raise obesity and weight as an issue with patients [ 56 ], and clinicians, including dietitians [ 57 , 58 , 59 ], may hold implicit negative attitudes and beliefs toward patients who are overweight or obese [ 56 , 60 ]. There are also challenges in care provision.…”

Section: Discussionmentioning

confidence: 99%

Exploring Overnutrition, Overweight, and Obesity in the Hospital Setting—A Point Prevalence Study

et al. 2023

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Malnutrition is an international healthcare concern associated with poor patient outcomes, increased length of stay, and healthcare costs. Although malnutrition includes both under and overnutrition, there is a large body of evidence that describes the impacts of undernutrition with limited data on overnutrition in hospitalized patients. Obesity itself is a modifiable risk factor associated with hospital-associated complications. However, there is limited reporting of the prevalence of obesity in hospitals. This one-day cross-sectional study (n = 513) captures the prevalence of both under and overnutrition in a hospitalized population and explores dietetic care provided compared to the Nutrition Care Process Model for hospitalized patients who have obesity. The main findings were: (1) the largest proportion of patients were in the overweight and obese classifications (57.3%, n = 294/513); 5.3% of these patients had severe obesity (class III); (2) patients who were overweight and obese had lower malnutrition risk profiles as well as the prevalence of malnutrition; (3) 24.1% of patients who had obesity (n = 34/141) were receiving dietetic intervention; (4) 70.6% (n = 24/34) did not have a nutrition diagnosis that followed the Nutrition Care Process Model. Study results provide valuable clinical insight into the prevalence of overnutrition and opportunities to improve nutrition care for this vulnerable patient group.

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“…Weight bias is highly prevalent among healthcare professionals, including dietitians [ 36 ]. Increasing awareness and knowledge among healthcare professionals about the uncontrollable and non-modifiable causes of obesity (genetics, biology, environment, socio-cultural influences) can decrease weight bias [ 37 ].…”

Section: Introductionmentioning

confidence: 99%

EASO and EFAD Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Children and Adolescents

et al. 2022

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Introduction: This position statement on medical nutrition therapy (MNT) in the management of overweight or obesity in children and adolescents was prepared by an expert committee convened by the European Association for the Study of Obesity (EASO) and developed in collaboration with the European Federation of the Associations of Dietitians (EFAD). Methods: It is based on the best evidence available from systematic reviews of randomised controlled trials on child and adolescent overweight and obesity treatment and other relevant peer-reviewed literature. Results: Multi-component behavioural interventions are generally considered to be the gold standard treatment for children and adolescents living with obesity. The evidence presented in this position statement confirms that dietary interventions can effectively improve adiposity-related outcomes. Dietary strategies should focus on the reduction of total energy intake through promotion of food-based guidelines that target modification of usual eating patterns and behaviours. These should target increasing intakes of nutrient-rich foods with a lower energy density, specifically vegetables and fruits, and a reduction in intakes of energy dense nutrient-poor foods and beverages. In addition, higher intensity, longer duration treatments, delivered by interventionists with specialised dietetic-related skills and co- designed with families are associated with greater treatment effects. Discussion: Such interventions should be resourced adequately so that they can be implemented in a range of settings and in different formats, including digital or online delivery, to enhance accessibility.

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Do Registered Dietitians, Nutrition Students, and Laypeople Perceive Individuals with Obesity Differently?

Cited by 4 publications

References 57 publications

Are Dietitians With Obesity Perceived as Competent and Warm? Applying the Stereotype Content Model to Weight Stigma in Brazil

Are Dietitians With Obesity Perceived as Competent and Warm? Applying the Stereotype Content Model to Weight Stigma in Brazil

Exploring Overnutrition, Overweight, and Obesity in the Hospital Setting—A Point Prevalence Study

EASO and EFAD Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Children and Adolescents

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