title: Weight bias and weight loss treatment outcomes in treatment-seeking adults.
abstract: BACKGROUND
  Few studies have explored the relationship between weight bias and weight loss treatment outcomes.
  
  
  OBJECTIVE
  This investigation examined the relationship between implicit and explicit weight bias and (a) program attrition, (b) weight loss, (c) self-monitoring adherence, (d) daily exercise levels and overall caloric expenditure, (e) daily caloric intake, and (f) daily caloric deficit among overweight/obese treatment-seeking adults.
  
  
  METHODS
  Forty-six overweight/obese adults (body mass index > or = 27 kg/m(2)) participating in an 18-week, stepped-care, behavioral weight loss program completed implicit and explicit measures of weight bias. Participants were instructed to self-monitor and electronically report daily energy intake, exercise, and energy expenditure.
  
  
  RESULTS
  Greater weight bias was associated with inconsistent self-monitoring, greater caloric intake, lower energy expenditure and exercise, creation of a smaller caloric deficit, higher program attrition, as well as less weight loss during the self-help phase of the stepped-care treatment.
  
  
  CONCLUSIONS
  Weight bias may interfere with overweight/obese treatment-seeking adults' ability to achieve optimal health.
authors: Department of Psychology, Bowling Green State University, Bowling Green, OH 43403, USA. rcarels@bgsu.edu
authors: Robert A
authors: RA
authors: Carels
authors: Kathleen M
authors: KM
authors: Young
authors: Carissa B
authors: CB
authors: Wott
authors: Jessica
authors: J
authors: Harper
authors: Amanda
authors: A
authors: Gumble
authors: Marissa Wagner
authors: MW
authors: Oehlof
authors: Anna Marie
authors: AM
authors: Clayton
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods; D002149:Energy Intake; D004734:Energy Metabolism; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000523:psychology / Q000628:therapy; D050177:Overweight / Q000523:psychology / Q000628:therapy; D010349:Patient Compliance / Q000523:psychology*; D010352:Patient Dropouts / Q000523:psychology*; D011287:Prejudice; D016896:Treatment Outcome; D015431:Weight Loss