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Cited by 114Obesity and Health PracticesPatient-Provider Communication in HealthcareObesity, Physical Activity, Diet

Perceived judgment about weight can negatively influence weight loss: A cross-sectional study of overweight and obese patients

Open access
Gudzune, Kimberly A., Bennett, Wendy L., Cooper, Lisa A., Bleich, Sara N.·2014·Preventive Medicine
DOI 10.1016/j.ypmed.2014.02.001PMC PMC4006987
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Abstract

Objective To examine the association between patient-perceived judgments about weight by primary care providers (PCPs) and self-reported weight loss. Methods We conducted a national internet-based survey of 600 adults engaged in primary care with a body mass index (BMI)≥25 kg/m(2) in 2012. Our weight loss outcomes included attempted weight loss and achieved ≥10% weight loss in the last 12 months. Our independent variable was "feeling judged about my weight by my PCP." We created an interaction between perceiving judgment and PCP discussing weight loss as an independent variable. We conducted a multivariate logistic regression model adjusted for patient and PCP factors using survey weights. Results Overall, 21% perceived that their PCP judged them about their weight. Respondents who perceived judgment were significantly more likely to attempt weight loss [odds ratios (OR) 4.67, 95% confidence interval (CI) 1.96-11.14]. They were not more likely to achieve ≥10% weight loss [OR 0.87, 95%CI 0.42-1.76]. Among patients whose PCPs discussed weight loss, 20.1% achieved ≥10% weight loss if they did not perceive judgment by their PCP as compared to 13.5% who perceived judgment. Conclusions Weight loss discussions between patients and PCPs may lead to greater weight loss in relationships where patients do not perceive judgment about their weight.

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  • Patients are more likely to lose weight when clinicians communicate using a supportive, nonjudgmental approach.

    “Patients are also more likely to lose weight when clinicians communicate using a supportive, nonjudgmental approach.36”

    From Obesity Management in Adults (2023) · cites this paper as [36]

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Cited by

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Authors
Gudzune, K. A., Bennett, W. L., Cooper, L. A., & Bleich, S. N.
Affiliations
Johns Hopkins University (US)
Corresponding author
Gudzune, Kimberly A.
ORCID
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
2014-05
Volume
62
Pages
103-107
ISSN
0091-7435 (ISSN-L)
DOI
10.1016/j.ypmed.2014.02.001
PMC
PMC4006987
OpenAlex
W2088286180
Cited by
114
References
3
Citations by year
2026: 5 · 2025: 15 · 2024: 11 · 2023: 11 · 2022: 9 · 2021: 7 · 2020: 8 · 2019: 8 · 2018: 13 · 2017: 9 · 2016: 7 · 2015: 7 · 2014: 4
FWCI
21.03
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Heart, Lung, and Blood Institute's (NHLBI) Center for Population Health and Health Disparities (P50HL0105187, K23HL116601, K23HL098476, K24HL083113, K01HL096409)
Topics
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
weight loss, weight stigma, primary care providers, overweight, obesity, body mass index, weight loss outcomes, patient-provider relationship
MeSH terms
Adult, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Negativism, Obesity, Physician-Patient Relations, Primary Health Care, Self Concept, Socioeconomic Factors, United States, Weight Loss, Body Mass Index, Logistic Models, Outcome Assessment, Health Care, Overweight, Self Report

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