Weight stigma and bias: standards of care in overweight and obesity—2025

Weight bias involves negative attitudes and stereotypes towards individuals based on their weight, which can be explicit or implicit. This bias contributes to weight stigma, or the mistreatment and social devaluation of individuals based on weight. Weight stigma is linked to adverse physical and men...

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Main Authors: Kamlesh Khunti, Leigh Perreault, Vanita R Aroda, Fatima Cody Stanford, Louis J Aronne, Kimberly A Gudzune, Scott Kahan, Raveendhara R Bannuru, Stephanie L Fitzpatrick, Nuha A ElSayed, Kirthikaa Balapattabi, Allison K Bennett, Kathaleen Briggs Early, Angela Fitch, W Timothy Garvey, Robert F Kushner, Elizabeth J Pekas, Sathyavathi ChallaSivaKanaka, Joseph Nadglowski Jr., Rebecca L Pearl
Format: Article
Language:English
Published: BMJ Publishing Group 2025-05-01
Series:BMJ Open Diabetes Research & Care
Online Access:https://drc.bmj.com/content/13/3/e004962.full
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author Kamlesh Khunti
Leigh Perreault
Vanita R Aroda
Fatima Cody Stanford
Louis J Aronne
Kimberly A Gudzune
Scott Kahan
Raveendhara R Bannuru
Stephanie L Fitzpatrick
Nuha A ElSayed
Kirthikaa Balapattabi
Allison K Bennett
Kathaleen Briggs Early
Angela Fitch
W Timothy Garvey
Robert F Kushner
Elizabeth J Pekas
Sathyavathi ChallaSivaKanaka
Joseph Nadglowski Jr.
Rebecca L Pearl
author_facet Kamlesh Khunti
Leigh Perreault
Vanita R Aroda
Fatima Cody Stanford
Louis J Aronne
Kimberly A Gudzune
Scott Kahan
Raveendhara R Bannuru
Stephanie L Fitzpatrick
Nuha A ElSayed
Kirthikaa Balapattabi
Allison K Bennett
Kathaleen Briggs Early
Angela Fitch
W Timothy Garvey
Robert F Kushner
Elizabeth J Pekas
Sathyavathi ChallaSivaKanaka
Joseph Nadglowski Jr.
Rebecca L Pearl
collection DOAJ
description Weight bias involves negative attitudes and stereotypes towards individuals based on their weight, which can be explicit or implicit. This bias contributes to weight stigma, or the mistreatment and social devaluation of individuals based on weight. Weight stigma is linked to adverse physical and mental health outcomes, leading to reduced access and quality of healthcare for individuals with obesity. The American Diabetes Association (ADA)’s Obesity Association developed guidelines on recognizing and addressing weight bias and stigma. All healthcare professionals and staff should receive training on weight bias and stigma to improve care for individuals with obesity. Training should start early and continue throughout medical education and practice. Multicomponent training that combines education with hands-on learning is recommended to reduce explicit and implicit weight bias. Clinical practices, a potential source of stigmatization for people living with obesity, should be equipped with appropriate furniture and equipment to establish an inclusive environment. Privacy and sensitivity during anthropometric measurements are essential to minimize stigmatization. Healthcare professionals should use person-centered, non-judgmental language and engage individuals in shared decision-making to consider their health and goals. Asking permission to discuss weight and respecting individual preferences is crucial. The ADA’s Obesity Association encourages adopting these guidelines to reduce weight bias and stigma, emphasizing education, inclusive clinical environments, and effective communication to improve obesity care.
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spelling doaj-art-ed04a0cd48c14af3ab2e1e685277d09c2025-08-20T02:58:34ZengBMJ Publishing GroupBMJ Open Diabetes Research & Care2052-48972025-05-0113310.1136/bmjdrc-2025-004962Weight stigma and bias: standards of care in overweight and obesity—2025 0Kamlesh KhuntiLeigh PerreaultVanita R ArodaFatima Cody StanfordLouis J AronneKimberly A GudzuneScott KahanRaveendhara R Bannuru1Stephanie L FitzpatrickNuha A ElSayedKirthikaa BalapattabiAllison K BennettKathaleen Briggs EarlyAngela FitchW Timothy GarveyRobert F KushnerElizabeth J PekasSathyavathi ChallaSivaKanakaJoseph Nadglowski Jr.Rebecca L Pearlvice presidentAmerican Diabetes Association, Arlington, Virginia, USAWeight bias involves negative attitudes and stereotypes towards individuals based on their weight, which can be explicit or implicit. This bias contributes to weight stigma, or the mistreatment and social devaluation of individuals based on weight. Weight stigma is linked to adverse physical and mental health outcomes, leading to reduced access and quality of healthcare for individuals with obesity. The American Diabetes Association (ADA)’s Obesity Association developed guidelines on recognizing and addressing weight bias and stigma. All healthcare professionals and staff should receive training on weight bias and stigma to improve care for individuals with obesity. Training should start early and continue throughout medical education and practice. Multicomponent training that combines education with hands-on learning is recommended to reduce explicit and implicit weight bias. Clinical practices, a potential source of stigmatization for people living with obesity, should be equipped with appropriate furniture and equipment to establish an inclusive environment. Privacy and sensitivity during anthropometric measurements are essential to minimize stigmatization. Healthcare professionals should use person-centered, non-judgmental language and engage individuals in shared decision-making to consider their health and goals. Asking permission to discuss weight and respecting individual preferences is crucial. The ADA’s Obesity Association encourages adopting these guidelines to reduce weight bias and stigma, emphasizing education, inclusive clinical environments, and effective communication to improve obesity care.https://drc.bmj.com/content/13/3/e004962.full
spellingShingle Kamlesh Khunti
Leigh Perreault
Vanita R Aroda
Fatima Cody Stanford
Louis J Aronne
Kimberly A Gudzune
Scott Kahan
Raveendhara R Bannuru
Stephanie L Fitzpatrick
Nuha A ElSayed
Kirthikaa Balapattabi
Allison K Bennett
Kathaleen Briggs Early
Angela Fitch
W Timothy Garvey
Robert F Kushner
Elizabeth J Pekas
Sathyavathi ChallaSivaKanaka
Joseph Nadglowski Jr.
Rebecca L Pearl
Weight stigma and bias: standards of care in overweight and obesity—2025
BMJ Open Diabetes Research & Care
title Weight stigma and bias: standards of care in overweight and obesity—2025
title_full Weight stigma and bias: standards of care in overweight and obesity—2025
title_fullStr Weight stigma and bias: standards of care in overweight and obesity—2025
title_full_unstemmed Weight stigma and bias: standards of care in overweight and obesity—2025
title_short Weight stigma and bias: standards of care in overweight and obesity—2025
title_sort weight stigma and bias standards of care in overweight and obesity 2025
url https://drc.bmj.com/content/13/3/e004962.full
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