Evidence map›Paper›PMID 33934109›Full record

ArticleInternational journal of obesity (2005)2021

Weight stigma and health behaviors: evidence from the Eating in America Study.

Kristen M Lee, Jeffrey M Hunger, A Janet Tomiyama

Registry-linked trialAbstract read
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In one paragraph

Article in International journal of obesity (2005), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06348238 (Strategies to Improve Well-Being and Diabetes Management), which is not on this map. Cited by 67 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 4 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.

NCT06348238 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Strategies to Improve Well-Being and Diabetes Management

TypeinterventionalSponsorElizabeth ScharnetzkiRan2024 to 2027Enrolled150ConditionsDiabetes Mellitus, Type 2ArmsSelf-Affirmation
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  11. Weight discrimination and metabolic syndrome: Examining discrimination attributions and frequency across settings.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
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7 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

3 authors.

Kristen M LeeDepartment of Psychology, University of California, Los Angeles, CA, USA.
Jeffrey M HungerDepartment of Psychology, Miami University, Oxford, OH, USA.
A Janet TomiyamaDepartment of Psychology, University of California, Los Angeles, CA, USA. tomiyama@psych.ucla.edu.ORCID http://orcid.org/0000-0002-2152-5813

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWeight stigma is pervasive across the U.S. and is associated with poor health outcomes including all-cause mortality. One potential reason that weight stigma may be detrimental to health is that it begets poorer health behaviors. Therefore, the present study tested for associations between weight stigma and four health behaviors (i.e., eating behavior, alcohol use, sleep disturbance, and physical activity), while controlling for BMI and other potential confounds. SUBJECTS/

methodsParticipants (N = 2022) in the U.S. were recruited for the Eating in America Study using a Qualtrics panel between December 2019 and January 2020 and were census-matched according to national quotas for age, gender, income, race/ethnicity, and census region. Participants completed questionnaires about weight stigma, health behaviors, demographics, and anthropometric measurements. The current study employed a two-stage investigation: exploratory analyses were first performed on a random sample of the dataset (n = 438), then the remaining unexamined data were used to conduct confirmatory analyses that were preregistered on the Open Science Framework.

resultsControlling for BMI, weight stigma was significantly associated with greater disordered eating (b = 0.34, 95% CI [0.31, 0.38], p < 0.001), comfort eating (b = 0.32, 95% CI [0.25, 0.39], p < 0.001), sleep disturbance (b = 0.27, 95% CI [0.20, 0.33], p < 0.001), and alcohol use (b = 0.30, 95% CI [0.11, 0.49], p = 0.002), but not lower physical activity (b = -0.04, 95% CI [-0.13, 0.05], p = 0.402) for individuals across the weight spectrum. BMI and perceived weight status significantly moderated the effects of weight stigma on disordered eating and alcohol use. No gender differences were found. These confirmatory analyses partially replicated the exploratory stage 1 findings.

conclusionsThis study provides preliminary evidence that weight stigma is linked to several poor health behaviors, which may impact physical health.

Indexed as

Health BehaviorAdultAgedFemaleHumansMaleMiddle AgedObesitySurveys and QuestionnairesUnited StatesWeight Prejudice

Identifiers

PMID33934109
PMCPMC8236399

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.