Evidence map›Paper›PMID 25602172›Full record

Trial reportEating behaviors2015

Identification as overweight by medical professionals: relation to eating disorder diagnosis and risk.

Andrea E Kass, Annie Z Wang, Rachel P Kolko, Jodi C Holland, Myra Altman, Mickey Trockel, C Barr Taylor, Denise E Wilfley

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Eating behaviors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Weight stigma and its impact on paediatric care.Current opinion in endocrinology, diabetes, and obesity · 2019
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Andrea E KassDepartment of Psychology, Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA. Electronic address: kassa@psychiatry.wustl.edu.
Annie Z WangDepartment of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA.
Rachel P KolkoDepartment of Psychology, Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA.
Jodi C HollandDepartment of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA.
Myra AltmanDepartment of Psychology, Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA.
Mickey TrockelDepartment of Psychiatry, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305, USA.
C Barr TaylorDepartment of Psychiatry, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305, USA.
Denise E WilfleyDepartment of Psychology, Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA; Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA.
Washington University in St. Louis · US

Funding

NUTRITION-BEHAVIORAL CARDIOVASCULAR DISEASE PREVENTIONT32HL007456 · NHLBI · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 1985 to 2014
$2.9M
Clinical Research in Eating Disorders and ObesityK24MH070446 · NIMH · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 2004 to 2013
$1.4M
2/2-Preventing Eating Disorders and Reducing ComorbidityR01MH081125 · NIMH · WASHINGTON UNIVERSITY · PI WILFLEY, DENISE ELLA · 2009 to 2010
$1.0M
Trans-NIDDK Short-Term Training for Medical StudentsT35DK074375 · NIDDK · WASHINGTON UNIVERSITY · PI BARANSKI, THOMAS JOHN · 2006 to 2015
$891k
NHLBI NIH HHS T32 HL007456NIDDK NIH HHS T35 DK074375NIMH NIH HHS K24 MH070446NIMH NIH HHS R01 MH081125NIMH NIH HHS R01MH081125
6 · The paper itself

Abstract

purposeDiscussions about weight between medical professionals and young adults may increase risk of eating disorders (EDs). Clarifying the relation between screening for overweight and ED risk is needed.

methods548 college-age women were classified as at-risk (n=441) or with an ED (n=107), and were assessed for disordered eating attitudes, behaviors, and relevant history, including, "Has a doctor, nurse, or other medical professional ever told you that you were overweight?" Regression analyses were used to evaluate the relations between being identified as overweight and current disordered eating behaviors, attitudes, and ED diagnosis, without and with covariates (history of weight-related teasing, history of an ED, family history of being identified as overweight, and current body mass index).

results146 (26.6%) women reported being previously identified as overweight by a medical professional. There was no relation between being previously identified as overweight and having an ED. Those identified as overweight were more likely to have weight/shape concerns above a high-risk cutoff, but showed no difference in dietary restraint, binge eating, purging behaviors, or excessive exercise compared to those not identified.

conclusionsBeing previously identified as overweight by a medical professional was associated with increased weight/shape concerns but not with current disordered eating behaviors or ED status. Minimizing the potential negative effects of overweight screening on weight and shape concerns by providing patients with strategies to increase healthy lifestyle behaviors and long-term support for healthy weight loss goals may have a positive impact on reducing the public health problem of overweight and obesity.

Indexed as

Mass ScreeningPhysician-Patient RelationsAdolescentAdultBody ImageFeeding and Eating DisordersFemaleHumansOverweightRisk AssessmentYoung AdultEating disorder riskInterventionObesityOverweightScreening

Identifiers

PMID25602172
PMCPMC4380786
OpenAlexW1979059475

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.