Evidence map›Paper›PMID 32333673›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2020

Weight Stigma and Weight-Related Health: Associations of Self-Report Measures Among Adults in Weight Management.

Rebecca L Pearl, Rebecca M Puhl, Mary S Himmelstein, Angela M Pinto, Gary D Foster

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Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 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

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3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

5 authors.

Rebecca L PearlCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Rebecca M PuhlDepartment of Human Development and Family Sciences, University of Connecticut, Storrs, CT, USA.
Mary S HimmelsteinRudd Center for Food Policy and Obesity, University of Connecticut, Hartford, CT, USA.
Angela M PintoScience Department, WW (formerly Weight Watchers) International, Inc., New York, NY, USA.
Gary D FosterCenter for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 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

backgroundWeight stigma impairs health. Few studies have disentangled the associations of experienced versus internalized stigma with weight-related outcomes. PURPOSE: To examine weight and health variables associated with weight stigma experiences and internalization in the largest-to-date sample of adults in weight management.

methodsWW (formerly Weight Watchers) members (N = 18,769, 94.6% female, 91.1% white) completed an online survey from 2017 to 2018. Participants reported whether they had experienced weight stigma and, if so, the onset, past-year frequency and distress, and interpersonal sources of stigma. Participants completed the Modified Weight Bias Internalization Scale (WBIS-M) and self-reported: past-year weight and lifetime weight cycles; current self-monitoring behaviors; eating self-efficacy; physical activity; perceived stress; eating to cope; body image; and mental and physical health-related quality-of-life (HRQOL). Participants reported their demographic characteristics, including height and weight to compute body mass index.

resultsIn logistic and linear regression analyses (controlling for participant characteristics), WBIS-M scores were negatively associated with weight loss, self-monitoring, eating self-efficacy, body image, and mental HRQOL and positively associated with weight gain, weight cycling, perceived stress, and eating to cope (p < .001). Experiencing weight stigma was associated with greater weight loss and less weight gain, although associations with other variables had small effect sizes (absolute β values < 0.10). WBIS-M scores remained significantly associated with all variables when including stigma onset, frequency/distress, and sources.

conclusionsInternalized, but not experienced, weight stigma was consistently associated with adverse weight and health factors. Developing and testing interventions targeting internalized stigma in the context of weight management should be a research priority.

Indexed as

Body WeightSocial StigmaWeight PrejudiceAdaptation, PsychologicalAdultAgedBody ImageExerciseFemaleHumansMaleMiddle AgedOverweightQuality of LifeSelf ConceptSelf EfficacyBehaviorsHealthWeight bias internalizationWeight managementWeight stigma

Identifiers

PMID32333673
PMCPMC7646152

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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.