Obesity

Weight discrimination, BMI, or weight bias internalization? Testing the best predictor of psychological distress and body dissatisfaction

Obesity (Silver Spring)Published Cross-sectional study

Authors' conclusion

These results stressed the importance of WBI in PD and the role of weight discrimination in WBI and BD. Hence, there is a need to better understand how WBI is formed and to design effective interventions to reduce it.

Study context

Population
Participants across all BMI categories, recruited voluntarily through the internet; people with obesity most predominant (26.1%)
Participants
1,283 participants
Exposure
Psychological distress (PD) and body dissatisfaction (BD) by BMI, weight bias internalization (WBI) and current and past weight discrimination
Outcome
Psychological distress (PD) and body dissatisfaction (BD)
Methodological detailsonline voluntary sample, mediation analyses
  • Online voluntary sample
  • Mediation analyses

Main finding

As reported in the abstract

  • People with obesity, with WBI, and with current and past weight discrimination reported higher PD and higher BD
  • WBI was the best predictor after controlling for BMI, WBI, and current and past weight discrimination

Observational data: associations, not effects.

Further findings

Mediation analyses

Relationship between weight discrimination and BD through WBI was significant
Relationship between weight discrimination and WBI through BD was significant

Weight-based discrimination experiences

Reported across all BMI categories; more prevalent in people with obesity

Original publication

Weight discrimination, BMI, or weight bias internalization? Testing the best predictor of psychological distress and body dissatisfaction. Obesity (Silver Spring). Published 9 July 2023. doi:10.1002/oby.23802

Composed by AI from the published abstract and checked against it. How Briefs are made →

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