ArticleInternational journal of behavioral medicine2026
Understanding the Relationship Between Weight Discrimination and Cardiometabolic Risk Factors in Diabetes: Findings from the English Longitudinal Study of Ageing (ELSA).
Article in International journal of behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundWeight discrimination is associated with negative psychological and physical health. However, in those with diabetes, a high risk-group for weight discrimination, this association is not well-understood. This study examined the extent to which weight discrimination is longitudinally associated with cardiometabolic risk factors in adults with diabetes.
methodsParticipants were 833 people (aged ≥ 50 years) with diabetes at wave 5 (2010/2011) of the English Longitudinal Study of Ageing (ELSA). Perceived weight discrimination was measured at wave 5. Participants provided outcome data at waves 6 (2012/2013) and 8/9 (2016/17, 2018/2019) including psychological (depressive symptoms), anthropometric (body mass index [BMI]), and cardiometabolic biomarkers (glycated haemoglobin [HbA1c], triglycerides, total cholesterol/high density lipoprotein [HDL] ratio, fibrinogen). Linear regressions controlled for baseline age, sex, wealth, BMI, and baseline measures of the outcome of interest.
resultsPerceived weight discrimination was associated with greater depressive symptoms (B = 1.40, p < 0.001), higher triglycerides (B = 0.50, p = 0.014), poorer total cholesterol/HDL ratio (B = 0.59, p = 0.005), and greater fibrinogen (B = 0.25, p = 0.025) at wave 6. Effects were attenuated in fully adjusted models and at wave 8/9. Findings were not replicated using a general discrimination measure suggesting results are specific to weight discrimination.
conclusionFindings suggest that weight discrimination has deleterious effects on a range of cardiometabolic risk factors in those living with diabetes, at least in the short-term. Interventions targeted to help individuals with diabetes cope with weight stigma are warranted to help reduce the risk of future diabetes-related complications.
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