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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 3/2009

01-06-2009 | Rapid Communication

Weight Bias and Weight Loss Treatment Outcomes in Treatment-Seeking Adults

Authors: Robert A. Carels, Ph.D., Kathleen M. Young, M.A., Carissa B. Wott, M.A., Jessica Harper, M.A., Amanda Gumble, B.A., Marissa Wagner Oehlof, M.A., Anna Marie Clayton, M.A.

Published in: Annals of Behavioral Medicine | Issue 3/2009

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Abstract

Background

Few studies have explored the relationship between weight bias and weight loss treatment outcomes.

Purpose

This investigation examined the relationship between implicit and explicit weight bias and (a) program attrition, (b) weight loss, (c) self-monitoring adherence, (d) daily exercise levels and overall caloric expenditure, (e) daily caloric intake, and (f) daily caloric deficit among overweight/obese treatment-seeking adults.

Methods

Forty-six overweight/obese adults (body mass index ≥ 27 kg/m2) participating in an 18-week, stepped-care, behavioral weight loss program completed implicit and explicit measures of weight bias. Participants were instructed to self-monitor and electronically report daily energy intake, exercise, and energy expenditure.

Results

Greater weight bias was associated with inconsistent self-monitoring, greater caloric intake, lower energy expenditure and exercise, creation of a smaller caloric deficit, higher program attrition, as well as less weight loss during the self-help phase of the stepped-care treatment.

Conclusions

Weight bias may interfere with overweight/obese treatment-seeking adults' ability to achieve optimal health.
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Metadata
Title
Weight Bias and Weight Loss Treatment Outcomes in Treatment-Seeking Adults
Authors
Robert A. Carels, Ph.D.
Kathleen M. Young, M.A.
Carissa B. Wott, M.A.
Jessica Harper, M.A.
Amanda Gumble, B.A.
Marissa Wagner Oehlof, M.A.
Anna Marie Clayton, M.A.
Publication date
01-06-2009
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 3/2009
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-009-9109-4

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