ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2017
Perceived Weight Discrimination and 10-Year Risk of Allostatic Load Among US Adults.
Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06348238 (Strategies to Improve Well-Being and Diabetes Management), which is not on this map. Cited by 64 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Strategies to Improve Well-Being and Diabetes Management
Who cites it
64 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Weight and Procedural Abortion Complications: A Systematic Review.Obstetrics and gynecology · 2025Pooled it
- Pooled it
- Allostatic Load Measurement: A Systematic Review of Reviews, Database Inventory, and Considerations for Neighborhood Research.International journal of environmental research and public health · 2022Pooled it
- Vascular depression in Black Americans: A systematic review of the construct and its cognitive, functional, and psychosocial correlates.The Clinical neuropsychologist · 2022Pooled it
- A randomized controlled trial of an acceptance and commitment therapy-informed diabetes prevention program reduces body shame and distress.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Trial
- A randomized control trial of Expand Your Horizon: An intervention for women with weight bias internalization.Body image · 2022Trial
- Weight discrimination and cardiometabolic health in underrepresented US adults.Journal of behavioral medicine · 2026Article
- Understanding the Relationship Between Weight Discrimination and Cardiometabolic Risk Factors in Diabetes: Findings from the English Longitudinal Study of Ageing (ELSA).International journal of behavioral medicine · 2026Article
- Cross-Sectional and Longitudinal Associations Between Weight Perception and Cardiometabolic Health Among Adolescents Followed Into Emerging Adulthood.Preventing chronic disease · 2026Article
- Weight stigma among diverse ethnic groups with obesity in the U.S.: the USA-OBESTIGMA study.International journal of obesity (2005) · 2026Observational
- Development and validation of the EDIT weight stigma reduction checklist.International journal of obesity (2005) · 2026Article
- Dysglycemia-Based Chronic Disease and Lifestyle Medicine: Mechanistic Interpretation Using the Allostatic Load Model.American journal of lifestyle medicine · 2026Review
- CVD Environmental Health Disparities Tool: systematic evidence mapping of psychosocial stressors, environmental exposures, and cardiovascular diseases to inform disparities research and action.Environmental health : a global access science source · 2026Review
- Article
- Obesity as a Chronic Disease: A Narrative Review of Evolving Definitions, Management Strategies, and Cardiometabolic Prioritization.Advances in therapy · 2025Review
- Disparities in Allostatic Load Among Different Races: A Comprehensive Scoping Review.Journal of racial and ethnic health disparities · 2025Review
- Perceived Weight Discrimination and General Coping Strategies.International journal of behavioral medicine · 2025Article
- Association Between Weight Stigma Experiences in Healthcare and Self-Reported Healthcare Avoidance in a National Sample.Obesity science & practice · 2025Article
- Disentangling consequences of self-perceived weight from excess adiposity in metabolically healthy overweight/obesity.BMC public health · 2025Observational
- Weight discrimination partially mediates the longitudinal relationship between Body Mass Index and pain.The journal of pain · 2025Article
4 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
Authors and funding
2 authors.
Funding
Abstract
backgroundDiscrimination promotes multisystem physiological dysregulation termed allostatic load, which predicts morbidity and mortality. It remains unclear whether weight-related discrimination influences allostatic load. PURPOSE: The aim of this study was to prospectively examine 10-year associations between weight discrimination, allostatic load, and its components among adults 25-75 years in the Midlife Development in the US Biomarker Substudy.
methodsParticipants with information on weight discrimination were analyzed (n=986). At both timepoints, participants self-reported the frequency of perceived weight discrimination across nine scenarios as "never/rarely" (scored as 0), "sometimes" (1), or "often" (2). The two scores were averaged and then dichotomized as "experienced" versus "not experienced" discrimination. High allostatic load was defined as having ≥3 out of 7 dysregulated systems (cardiovascular, sympathetic/parasympathetic nervous systems, hypothalamic pituitary axis, inflammatory, lipid/metabolic, and glucose metabolism), which collectively included 24 biomarkers. Relative risks (RR) were estimated from multivariate models adjusted for sociodemographic and health characteristics, other forms of discrimination, and BMI.
resultsOver 41% of the sample had obesity, and 6% reported weight discrimination at follow-up. In multivariable-adjusted analyses, individuals who experienced (versus did not experience) weight discrimination had twice the risk of high allostatic load (RR, 2.07; 95 % CI, 1.21; 3.55 for baseline discrimination; 2.16, 95 % CI, 1.39; 3.36 for long-term discrimination). Weight discrimination was associated with lipid/metabolic dysregulation (1.56; 95 % CI 1.02, 2.40), glucose metabolism (1.99; 95 % CI 1.34, 2.95), and inflammation (1.76; 95 % CI 1.22, 2.54), but no other systems.
conclusionsPerceived weight discrimination doubles the 10-year risk of high allostatic load. Eliminating weight stigma may reduce physiological dysregulation, improving obesity-related morbidity and mortality.
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Registered trials
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