Evidence map›Paper›PMID 40204960›Full record

ArticleInternational journal of obesity (2005)2025

The association of age of onset of obesity with experienced weight stigma in adulthood.

Deepali K Ernest, Matthew Cali, Chellse Gazda, Jackson M Francis, Luyu Xie, Jeffrey N Schellinger, M Sunil Mathew, Aparajita Chandrasekhar, Jane Guo, Gloria L Vega and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in International journal of obesity (2005), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
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

12 authors.

Deepali K ErnestUniversity of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.ORCID 0000-0003-2638-8229
Matthew CaliUniversity of Texas Southwestern Medical Center, Department of Internal Medicine, Division of Endocrinology, Dallas, TX, USA.
Chellse GazdaUniversity of Texas Southwestern Medical Center, Department of Internal Medicine, Division of Endocrinology, Dallas, TX, USA.
Jackson M FrancisUniversity of Texas Southwestern Medical Center, Peter O'Donnell Jr School of Public Health, Dallas, TX, USA.
Luyu XieUniversity of Texas Southwestern Medical Center, Peter O'Donnell Jr School of Public Health, Dallas, TX, USA.
Jeffrey N SchellingerUniversity of Texas Southwestern Medical Center, Department of Internal Medicine, Division of Endocrinology, Dallas, TX, USA.
M Sunil MathewUniversity of Texas Southwestern Medical Center, Peter O'Donnell Jr School of Public Health, Dallas, TX, USA.
Aparajita ChandrasekharUniversity of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.
Jane GuoUniversity of Texas Southwestern Medical Center, Department of Clinical Nutrition, Dallas, TX, USA.
Gloria L VegaUniversity of Texas Southwestern Medical Center, Department of Clinical Nutrition, Dallas, TX, USA.
Sarah E MessiahUniversity of Texas Southwestern Medical Center, Peter O'Donnell Jr School of Public Health, Dallas, TX, USA.ORCID 0000-0001-6685-2175
Jaime P AlmandozUniversity of Texas Southwestern Medical Center, Department of Internal Medicine, Division of Endocrinology, Dallas, TX, USA. jaime.almandoz@utsouthwestern.edu.ORCID 0000-0002-0462-0843

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExperienced weight stigma (EWS) is linked to adverse physical and mental health outcomes, including maladaptive health behaviors and attenuated weight loss in people with obesity. Limited research is available regarding the association between the age of onset and severity of obesity and lifetime experience of EWS among adults with obesity.

methodsCross-sectional survey data (n = 686) from a single-site academic obesity medicine program was analyzed, including demographics, anthropometric measures, and the Stigmatizing Situations Inventory (SSI-B). The median SSI-B score was used to dichotomize the EWS outcome variable. Crude associations were assessed by chi-square and logistic regression analyses. Multivariable logistic regression determined age-adjusted odds ratios (aOR) of EWS with body mass index (BMI) at age 18 years and peak BMI.

resultsParticipants had a mean age of 55.8 years (SD = 12.7), and the majority were female and white. EWS was correlated with BMI at age 18 years (r = 0.38; p = 0.001) and peak BMI (r = 0.48; p = 0.001) before and after adjustment. Those with severe obesity (BMI ≥ 40) by 18 years had 2.79 times higher odds (aOR = 2.79; 95% CI: 1.38, 5.62; p < 0.01) of severe EWS vs. those who developed severe obesity after 18 years; 2.17 higher odds [aOR = 2.17; 95% CI: 1.08, 4.35; p = 0.009] of severe EWS versus those with BMI < 40 at 18 years; 2.98 times higher odds [aOR = 2.98; 95% CI: 1.44, 6.15; p = 0.001] of severe EWS vs. those with BMI < 30 at 18 years; and 4.06 times higher odds [aOR = 4.06; 95% CI: 1.39, 6.73; p = 0.001] of severe EWS vs. those with BMI < 25 at 18 years.

conclusionThose with severe obesity before the age of 18 years were nearly 3 times more likely to report severe EWS than people who developed severe obesity later in life. Healthcare providers should consider screening for EWS in people with early onset of severe obesity, to identify those who may benefit from weight stigma interventions and support.

Indexed as

ObesitySocial StigmaAdultAgedAge of OnsetBody Mass IndexCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMiddle Aged

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.