Weight Stigma and Barriers to Effective Obesity Care

Puhl, Rebecca M.

doi:10.1016/j.gtc.2023.02.002

Cited by 21 publications

(14 citation statements)

References 75 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Health care professionals are not immune from weight bias . Patients report experiencing weight stigma from medical professionals, and this contributes to poor outcomes in multiple domains . In addition, potentially serious but treatable conditions may be dismissed as solely consequences of obesity.…”

Section: Improving Patient-clinician Communication About Obesitymentioning

confidence: 99%

“…Online resources are available to help health care professionals reduce weight bias and stigma and improve patient-physician communication . Because patients report avoiding or delaying medical care due to perceived negative experiences during health care visits, including embarrassment at being weighed, a patient-centered approach to discussing weight may be helpful (Box).…”

Section: Improving Patient-clinician Communication About Obesitymentioning

confidence: 99%

See 1 more Smart Citation

Approach to Obesity Treatment in Primary Care

Yanovski,

Yanovski

2024

JAMA Intern Med

View full text Add to dashboard Cite

ImportanceMore than 40% of US adults have obesity, which increases the risks for multiple chronic diseases and premature mortality. Historically, nonsurgical interventions often have not led to sufficient weight loss and maintenance to improve health, but highly effective antiobesity medications (AOMs) have recently become available, and additional effective therapeutics are under development. Given that most medical care for adults with obesity is delivered in primary care settings, guidance for integrating weight-management approaches is needed.ObservationsLifestyle interventions can lead to a mean weight loss of 2% to 9% of initial weight at 1 year and increase the likelihood of weight loss of 5% or more, but weight regain over time is common even with continued treatment. Adjunctive treatments, including AOMs and surgical approaches, can lead to larger, more sustained weight loss and improvements in numerous obesity-associated medical conditions. Highly effective AOMs, including nutrient-stimulated hormone-based therapies, induce mean weight loss of 15% or more. Barriers to intervention, including access to care, have a disproportionate influence on populations most affected by obesity and its consequences.Conclusions and RelevancePrimary care clinicians play a vital role in the assessment, management, and support of patients with obesity. With careful clinical assessment and shared decision-making, a flexible treatment plan can be developed that reflects evidence of treatment efficacy, patient preference, and feasibility of implementation. Adjunctive therapies to lifestyle interventions, including more effective pharmacotherapeutics for obesity, offer hope to patients and the potential for considerable improvements in health and quality of life.

show abstract

Section: Improving Patient-clinician Communication About Obesitymentioning

confidence: 99%

Section: Improving Patient-clinician Communication About Obesitymentioning

confidence: 99%

Approach to Obesity Treatment in Primary Care

Yanovski,

Yanovski

2024

JAMA Intern Med

View full text Add to dashboard Cite

show abstract

“…Obesity stigma may be tolerated and sustained because of the mistaken belief that it will motivate people to lose weight 30. In fact, the opposite is the case 32 33. Weight stigma acts as a physical and mental stressor that can result in weight gain through mechanisms such as: negative health choices, unhealthy eating behaviours and the cortisol stress response 31 34 35.…”

Section: The Challenge Of Obesitymentioning

confidence: 99%

“…Set conversations about weight within a positive consultation context 33. This includes building rapport, relationship and trust; patient-centred communication; empathy; adequately addressing the primary presenting problem (if not weight).…”

Section: The Challenge Of Obesitymentioning

confidence: 99%

Tackling obesity while preventing obesity stigma

Darling,

Rudolf,

Rubino

et al. 2024

Arch Dis Child

View full text Add to dashboard Cite

Obesity is a significant public health problem. Prevalence is rising in children and young people, with lifelong health impacts and implications for paediatric clinical practice. Obesity stigma is increasingly acknowledged as a problem within health services. Health professionals can inadvertently contribute to this stigma, which is harmful and in itself can promote weight gain. A complex web of factors contributes to obesity, and a simplistic approach exclusively focused on personal responsibility, diet and exercise is unhelpful. A more nuanced, sensitive and informed approach is needed, with careful use of language and non-judgemental partnership working.

show abstract

“…This complex issue has been shown to be harmful to a patient's health and can create barriers to their care. 7 Bias, generally, can be implicit or explicit. Implicit bias occurs automatically and unintentionally, affecting judgment, decision-making, and behavior.…”

mentioning

confidence: 99%

Obesity bias awareness decreases nursing students' bias toward patients with obesity

Dunham

2024

Nursing

View full text Add to dashboard Cite

Purpose: To determine if obesity bias scores among nursing students changed after education was delivered and to what degree body mass index (BMI) was associated with a personal experience of bias during a student's healthcare history. Methods: A quantitative, quasi-experimental design was used to analyze sociodemographic information and Implicit Association Test scores of junior, senior, and full-time accelerated coursework track nursing students. Results: Generally, obesity bias declined among the group. However, bias increased regarding increasing BMI. Conclusion: Obesity bias awareness and obesity education can decrease obesity bias among nursing students.

show abstract

Weight Stigma and Barriers to Effective Obesity Care

Cited by 21 publications

References 75 publications

Approach to Obesity Treatment in Primary Care

Approach to Obesity Treatment in Primary Care

Tackling obesity while preventing obesity stigma

Obesity bias awareness decreases nursing students' bias toward patients with obesity

Contact Info

Product

Resources

About