Negative familial weight talk and weight bias internalization in a US sample of children and adolescents

Pediatr ObesPublished Cross-sectional study

Authors' conclusion

Frequent negative familial weight talk was associated with higher weight bias internalization across gender and weight status and in non-Hispanic White children only.

Study context

Population
5th-7th graders (10–15 years old) in Massachusetts; 52.3% girls, 21.3% BMI ≥85th percentile, 54.8% non-Hispanic White
Participants
375 participants
Exposure
Negative familial weight talk occasionally or often vs never
Outcome
Weight bias internalization (Modified Weight Bias Internalization Scale)

Main finding

As reported in the abstract

Weight bias internalization

Ratio of means

1.12

P = 0.024

Occasionally

Ratio of means

1.48

P < 0.001

Often

Observational data: associations, not effects.

Further findings

OutcomeRatio of meansP value
Weight bias internalization by subgroup, often vs neverOften vs Never · girls1.66P < 0.001
Weight bias internalization by subgroup, often vs neverOften vs Never · boys1.32P = 0.007
Weight bias internalization by subgroup, often vs neverOften vs Never · BMI <85th percentile1.44P = 0.007
Weight bias internalization by subgroup, often vs neverOften vs Never · BMI ≥85th percentile1.39P = 0.001
Weight bias internalization by subgroup, often vs neverOften vs Never · non-Hispanic White1.78P < 0.001
Weight bias internalization by subgroup, often vs neverOften vs Never · Hispanic1.25P = 0.085
Weight bias internalization by subgroup, often vs neverOften vs Never · non-Hispanic Black1.20P = 0.31

Original publication

Negative familial weight talk and weight bias internalization in a US sample of children and adolescents. Pediatr Obes. Published 20 February 2024. doi:10.1111/ijpo.13108

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