Weighty words: exploring terminology about weight among samples of physicians, obesity specialists, and the general public

J Commun Healthc. 2023 Dec 22:1-7. doi: 10.1080/17538068.2023.2297122. Online ahead of print.

Abstract

Background: The words used to refer to weight and individuals with large bodies can be used to reinforce weight stigma. Given that most previous research has examined preferred terminology within homogenous groups, this research sought to examine terminology preferences across populations.

Methods: This paper reports on data gathered with the general public, family physicians, and obesity researchers/practitioners. Participants were asked about the words they commonly: (1) used to refer to people with large bodies (general public); (2) heard in their professional contexts (physicians and obesity specialists); and (3) perceived to be the most socially or professionally acceptable (all samples).

Results: Similarities and differences were evident between samples, especially related to weight-related clinical terms, the word fat, and behavioral stereotypes.

Conclusion: The results provide some clarity into the differences between populations and highlight the need to incorporate use of strategies that may move beyond person-first language to humanize research and clinical practice with people with large bodies.

Keywords: Weight bias; adult sample; language; obesity; terminology; weight stigma.