Observational studyBMC medical education2025
Assessing weight bias among Turkish dietitians: determinants and impact on professional practice.
Observational study in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06624111 (Assessing Weight Bias Among Turkish Dietitians), which is not on this map. Cited by 2 papers.
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Assessing Weight Bias Among Turkish Dietitians: Determinants and Impact on Professional Practice
Who cites it
2 citing papers in PubMed.
- The mediating role of psychological factors in the relationship between body image dissatisfaction and eating disorders: a cross-sectional study in adults.Frontiers in nutrition · 2026Article
- The extent of weight bias against obese patients among allied healthcare professional students in Jordan.Journal of education and health promotion · 2025Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWeight bias, whether explicit or implicit, has a detrimental effect on the physiological and psychological well-being of individuals, thereby complicating obesity management, particularly in healthcare settings. The objective of this study was to examine weight bias among Turkish dietitians. A further aim was to investigate the effect of the patient's weight status on the dietitian's assessment and dietetic practice.
methodsThis cross-sectional web-based study analyzed data from 411 Turkish dietitians. The participants completed a series of sociodemographic information, anthropometric measurements, and scales, including the Fat Phobia Scale (FPS) and Attitudes Toward Obese Persons Scale (ATOP). After completing the scales, the dietitians were randomly assigned to a case study on lactose intolerance via an online survey platform. All patient information was identical, except for the patient's weight and photography. The objective of the case study was to evaluate how the body weight of a patient who consulted a dietitian for a reason unrelated to the body weight affected professional practices.
resultsA total of 66.9% of dietitians exhibited fat phobia. While men had higher FPS scores than women (p = 0.022), dietitians with a family history of obesity (p = 0.032) had lower FPS scores. BMI was negatively associated with FPS scores (β = -0.036, p = 0.026). However, dietitians with a history of feeling overweight had higher FPS scores (p = 0.024). Dietitians' assessments of cases differed according to the patient's body weight status. Although, there were no statistically significant differences in FPS and ATOP scores between dietitians assigned to cases with higher or lower body weight (p > 0.05 for each), those assessing the case with higher body weight rated patients' nutritional (p = 0.025) and biochemical status (p < 0.001) as worse and were more inclined to recommend weight management strategies.
conclusionsThe issue of fat phobia and weight bias represents a significant concern among dietitians, with notable impacts on their professional practice. It is therefore of crucial importance to address and resolve these issues within the context of dietetic education.
trial registrationClinicalTrials.gov registration number: NCT06624111 (submitted 01/10/2024).
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