Evidence map›Paper›PMID 29788533›Full record

SynthesisObesity reviews : an official journal of the International Association for the Study of Obesity2018

Weight bias internalization and health: a systematic review.

R L Pearl, R M Puhl

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07685990 (Trauma Therapy for Weight-Based Bullying in Children Informed by TF-CBT Principles), which is not on this map. Cited by 288 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
288citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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.

NCT07685990 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Trauma Therapy for Weight-Based Bullying in Children Informed by TF-CBT Principles: A Feasibility Study

TypeinterventionalSponsorWestern UniversityRan2026 to 2028Enrolled30ConditionsPediatric Obesity, Weight-based Bullying, Psychological TraumaArmsTrauma Therapy for Weight-Based Bullying Informed by TF-CBT
3 · Its place in the literature

Who cites it

288 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  8. 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 · 2025
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  14. Binge-Spectrum Eating Disorders and Higher Body Mass Index Are Associated With Greater Negative Attitudes Towards Obesity.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Article
  15. Weight Bias Internalisation and Health-Related Quality of Life in Adolescents: What Role Do Family Meals Play?European eating disorders review : the journal of the Eating Disorders Association · 2026
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228 more citing papers are in PubMed but not listed here.

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

2 authors.

R L PearlCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-1996-0082
R M PuhlRudd Center for Food Policy and Obesity, Department of Human Development & Family Studies, University of Connecticut, Hartford, CT, USA.

Funding

Reducing Weight Stigma to Improve Long-Term Weight LossK23HL140176 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PEARL, REBECCA L · 2018 to 2022
$835k
NHLBI NIH HHS K23 HL140176
6 · The paper itself

Abstract

A robust literature has documented the negative health effects of being the target of weight bias. Weight bias internalization (WBI) occurs when individuals apply negative weight stereotypes to themselves and self-derogate because of their body weight. Compared with experiences of weight bias, less is known about the relationship between WBI and mental and physical health, although more literature on this topic has emerged in recent years. The current systematic review identified 74 studies assessing the relationship between WBI and health and interventions designed to reduce WBI and improve health. Over half of identified studies were published from 2016 to 2017. Results showed strong, negative relationships between WBI and mental health outcomes. Fewer studies have examined the relationship between WBI and physical health, and results were less consistent. Key directions for future research are highlighted, including the need for prospective and experimental studies with greater sample diversity.

Indexed as

Body WeightSelf ConceptSocial StigmaHumansObesityHealthobesitystigmaweight bias internalization

Identifiers

PMID29788533
PMCPMC6103811

What OpenQuestion holds

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Registered trials

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.