Weight Bias among Dietetics Students: Implications for Treatment Practices

Puhl, Rebecca M.; Wharton, Christopher; Heuer, Chelsea A.

doi:10.1016/j.jada.2008.11.034

Cited by 132 publications

(153 citation statements)

References 45 publications

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“…40 The mean score on the Fat Phobia scale was 3.53, which reflects moderate weight bias and is similar to scores reported for previous research. 21,41,42 The racial distribution of the sample closely resembled that of US Census data, and the household income distribution approximated national percentages. 43,44 …”

Section: Sample and Study Designmentioning

confidence: 73%

“…Physicians and other health care providers have been documented as common sources of weight bias toward patients with obesity. [16][17][18][19][20][21][22][23] Although parents report that the physician's office is the best place to seek treatment for their child's weight, 24,25 some parents also report feeling blamed by providers for their children's excess weight and being provided with vague advice or unhelpful suggestions. 26,27 Given providers' attitudes toward patients with obesity, challenges reported by providers in discussing weight, and vulnerabilities of youth with obesity to stigma, it is critical to identify strategies to improve provider-patient discussions about overweight and obesity in youth, and to ensure that these discussions are positive, productive, and free of bias.…”

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confidence: 99%

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Parental Perceptions of Weight Terminology That Providers Use With Youth

2011

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OBJECTIVES: Little research has been performed to examine patient perceptions of weight-related language, especially related to childhood obesity. In this study we assessed parental perceptions of weight-based terminology used by health care providers to describe a child's excess weight and assessed perceived connotations associated with these terms including stigma, blame, and motivation to reduce weight. METHODS: A national sample of American parents with children aged 2 to 18 years (N = 445) completed an online survey to assess their perceptions of 10 common terms to describe excess body weight in youth (including “extremely obese,” “high BMI,” “weight problem,” “unhealthy weight,” “weight,” “heavy,” “obese,” “overweight,” “chubby,” and “fat”). Parents were asked to use a 5-point rating scale to indicate how much they perceived each term to be desirable, stigmatizing, blaming, or motivating to lose weight. RESULTS: Regression models revealed that the terms “weight” and “unhealthy weight” were rated as most desirable, and “unhealthy weight” and “weight problem” were rated as the most motivating to lose weight. The terms “fat,” “obese,” and “extremely obese” were rated as the most undesirable, stigmatizing, blaming, and least motivating. Parents' ratings were consistent across sociodemographic variables, body weight, and child's body weight. CONCLUSIONS: The results of this study have important implications for the improvement of health care for youth with obesity; it may be advantageous for health care providers to use or avoid using specific weight-based language during discussions about body weight with families. Pediatricians play a key role in obesity prevention and treatment, but their efforts may be undermined by stigmatizing or offensive language that can hinder important discussions about children's health.

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Section: Sample and Study Designmentioning

confidence: 73%

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confidence: 99%

Parental Perceptions of Weight Terminology That Providers Use With Youth

2011

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“…14 Similar fi ndings have been noted in research conducted with a range of medical professionals. 15,16 One study of nurses found that 22% believed that obese patients are lazy, and another noted that 24% were repulsed by having to work with the obese. 17 In 2006, there were 109,630 people in the United States who initiated dialysis, and they had an average body mass index (BMI) of 29.4 for females and 27.8 for males, which places them in the overweight to nearly obese category.…”

Section: Discussionmentioning

confidence: 99%

Dialysis clinician bias regarding patient non‐compliance

Iacono¹

2010

Dialysis & Transplantation

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BACKGROUND Most of the research regarding dialysis patient non‐compliance with the treatment regimen has not taken clinician views and biases into consideration. Studies in other medical ﬁelds have noted that an innate bias among professionals often leads to differences in treatment provision. METHODS This study assessed the views of 135 dialysis social workers, dietitians, and nurses with regard to which types of patients they believe are likely to be non‐compliant and why patients engage in these behaviors. An analysis of responses sought to identify any patterns of bias. RESULTS The majority of clinicians identiﬁed patient‐centered factors as being the primary cause of non‐compli‐ance. Commonly noted beliefs were that patients are unable to understand the importance of compliance or they are simply in denial of their illness. Demographic variables such as patient education level, income level, and the presence of obesity were all found to inﬂuence how clinicians view patients and their behaviors. DISCUSSION Dialysis social workers, dietitians, and nurses in this study rarely identiﬁed their personal views or clinic factors as being causative agents in patient non‐compliance. Wide differences between the views of the 3 studied professions highlights the subjective nature of labeling patients as being compliant or non‐compliant.

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“…Evidence shows 90 minutes of physician-delivered weight management instruction over 6 months achieved greater weight loss than the standard medical care [19,20].…”

Section: Malik Et Almentioning

confidence: 99%

Role of Community Pharmacist and Nutritionists in Obesity Management: A Literature Review

Malik

Kanwal

Hussain

2017

Asian J Pharm Clin Res

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The idea of engaging community pharmacists and nutritionists in weight management services has been well accepted by the community, as both can help to improve behavior and knowledge regarding obesity among obese patients. The aim of this study is to summarize research findings from developed and developing countries as well as from Pakistan regarding role of community pharmacists and nutritionists in obesity management. A total of 38 studies were reviewed regarding trends in obesity management. The review concluded that the role of community pharmacists and nutritionists in obesity management is not well acknowledged in most of the developing countries including Pakistan. Limited data are available on a number of nutritionists and type of services provided by them for weight management in these countries. There is urgent need to identify the barriers and gaps to further enhance the effectiveness of obesity management. Beside this intervention studies involving multi-disciplinary healthcare professionals must be designed to control current obesity crisis worldwide.

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Weight Bias among Dietetics Students: Implications for Treatment Practices

Cited by 132 publications

References 45 publications

Parental Perceptions of Weight Terminology That Providers Use With Youth

Parental Perceptions of Weight Terminology That Providers Use With Youth

Dialysis clinician bias regarding patient non‐compliance

Role of Community Pharmacist and Nutritionists in Obesity Management: A Literature Review

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