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Background <p>Weight bias internalization (WBI) negatively effects health outcomes in people with obesity. Little is known about how these experiences relate to quality of life and vary in racially/ethnically diverse adolescents with severe obesity. Associations between WBI and health-related quality of life (HRQOL) by race/ethnicity among a sample of adolescents seeking metabolic and bariatric surgery (MBS) were examined in this analysis.</p> Methods <p>In this single-site cross-sectional study of adolescents seeking MBS (NCT05393570, March 2022 to October 2024), WBI was measured using the 11-item weight bias internalization scale and HRQOL by the standardized HRQOL scale. Race/ethnic group differences were evaluated by univariate/multivariable linear regression analysis. Multivariable regression models were adjusted for age, sex, body mass index, and race/ethnicity.</p> Results <p>The final sample consisted of 76 adolescents (mean age 15.7 [SD 1.4] years, mean BMI 44.7&#xa0;kg/m<sup>2</sup>, 69.7% females, 9.2% non-Hispanic white (NHW), 32.9% non-Hispanic Black (NHB), 56.6% Hispanic/Latino, 1.3% other). Mean WBIS score (4.0; SD = 1.3) did not differ among NHW (4.5 ± 1.7), NHB (3.6 ± 1.3), and Hispanic (4.3 ± 1.1) adolescents (<i>P</i> &gt; 0.05). Adolescents with high WBI experienced significantly more days with poor mental health (<i>β</i> = 0.03 (SE = 0.01), <i>p</i> = 0.03), affected by pain (<i>β</i> = 0.07 (SE = 0.02), <i>p</i> &lt; 0.01), feeling sad/blue/depressed (<i>β</i> = 0.05 (SE = 0.02), <i>p</i> &lt; 0.01), and feeling worried/tensed or anxious (<i>β</i> = 0.05 (SE = 0.02), <i>p</i> &lt; 0.01). A negative association was shown for days feeling very healthy and full of energy (<i>β</i> = − 0.04 (SES = 0.01), <i>p</i> = 0.01).</p> Conclusion <p>WBI was inversely associated with feeling healthy among racially/ethnically diverse adolescents seeking MBS. Adolescent MBS programs may consider screening and targeting WBI to optimize health outcomes.</p>

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Relationship Between Weight Bias Internalization and Health-Related Quality of Life Among Adolescents Seeking Metabolic and Bariatric Surgery

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年2月25日

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  • Alicia Wheelington,
  • Deepali Ernest,
  • Luyu Xie,
  • Folefac Atem,
  • Sitapriya Neti,
  • Rashon Braxton,
  • Maral Misserian,
  • Jackson Francis,
  • M. Sunil Mathew,
  • Marlyn Allicock,
  • Bethany Cartwright,
  • Faisal Qureshi,
  • Sarah Barlow,
  • Sarah Messiah

摘要

Background

Weight bias internalization (WBI) negatively effects health outcomes in people with obesity. Little is known about how these experiences relate to quality of life and vary in racially/ethnically diverse adolescents with severe obesity. Associations between WBI and health-related quality of life (HRQOL) by race/ethnicity among a sample of adolescents seeking metabolic and bariatric surgery (MBS) were examined in this analysis.

Methods

In this single-site cross-sectional study of adolescents seeking MBS (NCT05393570, March 2022 to October 2024), WBI was measured using the 11-item weight bias internalization scale and HRQOL by the standardized HRQOL scale. Race/ethnic group differences were evaluated by univariate/multivariable linear regression analysis. Multivariable regression models were adjusted for age, sex, body mass index, and race/ethnicity.

Results

The final sample consisted of 76 adolescents (mean age 15.7 [SD 1.4] years, mean BMI 44.7 kg/m2, 69.7% females, 9.2% non-Hispanic white (NHW), 32.9% non-Hispanic Black (NHB), 56.6% Hispanic/Latino, 1.3% other). Mean WBIS score (4.0; SD = 1.3) did not differ among NHW (4.5 ± 1.7), NHB (3.6 ± 1.3), and Hispanic (4.3 ± 1.1) adolescents (P > 0.05). Adolescents with high WBI experienced significantly more days with poor mental health (β = 0.03 (SE = 0.01), p = 0.03), affected by pain (β = 0.07 (SE = 0.02), p < 0.01), feeling sad/blue/depressed (β = 0.05 (SE = 0.02), p < 0.01), and feeling worried/tensed or anxious (β = 0.05 (SE = 0.02), p < 0.01). A negative association was shown for days feeling very healthy and full of energy (β = − 0.04 (SES = 0.01), p = 0.01).

Conclusion

WBI was inversely associated with feeling healthy among racially/ethnically diverse adolescents seeking MBS. Adolescent MBS programs may consider screening and targeting WBI to optimize health outcomes.