Obesity is a Negative Buzz Word, Study Says

Doctors who use terms like “obesity” and “fatness” may alienate their patients and prevent them from having healthy discussions about their weight, new research from the University of Pennsylvania suggests. According to PostMedia News, these “undesirable terms” often carry a negative and judgmental stigma.

To reach their conclusions, researchers at the university’s Center for Weight and Eating Disorders asked 390 obese patients in the Philadelphia area to rate words and expressions relating to their weight from the most to least offensive. Terms included: weight, heaviness, obesity, BMI, excess weight, fatness, excess fat, large size, unhealthy body weight, weight problem and unhealthy BMI.

“Obese” and “fat” headed the list, and expressions like “you are lazy” and “you are way too fat” also ranked as undesirable.

Lead author Sheri Volger said she hopes that by identifying how people prefer to discuss their weight, doctors can become more comfortable in approaching the subject with their patients.

“Very few physicians—sometimes I’ve seen numbers as low as 12 percent—counsel their obese patients to lose weight,” Volger said. “By identifying how patients prefer to be talked to, we’re hoping to facilitate the dialogue.”

Researchers found that the most preferred term was “weight,” which was viewed as being neutral and nonjudgmental. By contrast, the medical term “obesity” was seen as a negative value statement. “Obesity isn’t neutral,” Volger agreed. “It’s judgmental and it has negative attributes…You’re imposing blame on the person; the thought may be that this person is obese and that they’re at fault for the situation. There’s a bias against obese persons, and it’s not limited to the lay public.” PostMedia News noted that studies and other reports have indicated that prejudices against obese people exist even among doctors and nurses specializing in treatment of weight-related disorders. Instead of putting people on the defensive, Volger suggests framing weight-related discussions around other health issues. “You could say something like, ‘Mr. Jones, nice to see you today. I see your blood pressure is a little high,’” she suggested. “I also noticed you’re 10 pounds overweight. Do you know if you lost some weight your blood pressure could go down?” The findings were published in the journal Obesity.
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