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Introduction <p>Residual weight stigma refers to lingering negative attitudes, judgment, and/or stereotypes that persist towards individuals even after they have achieved significant weight loss.</p> <p>This study aimed to identify the types of residual weight stigma reported by patients following metabolic and bariatric surgery (MBS), and to examine the relationships between residual weight stigma, internalized weight bias, and weight loss outcomes in this population.</p> Methods <p>Adults who underwent MBS completed a one-time electronic survey at a post-operative follow-up visit. The survey included the modified version of the Weight Bias Internalization Scale (WBIS-M), history of experienced weight stigma, and questions developed for this study to assess residual weight stigma since losing weight. Postoperative body weight was recorded on the date of the survey.</p> Results <p>Participants (N = 128) completed a one-time survey at 44.5 ± 42.6 months after MBS, and achieved total percent weight loss of 19.1 ± 11.0 after sleeve gastrectomy, 24.8 ± 9.3 after Roux-en-Y gastric bypass, 19.7 ± 13.3 after adjustable gastric banding, and 15.1 ± 11.0 after conversion surgery. Among the 128 participants, 33.9% reported being judged for “taking the easy way out” by losing weight through surgery and 26.1% concealed their surgery from others. While 57.8% of participants reported increased confidence based on how other people treated them since losing weight, 39.2% reported feeling more self-critical about their weight based on how others treated them since losing weight. Higher internalized weight bias was associated with significantly less total percent weight loss following surgery, controlling for surgery type (p = 0.003).</p> Conclusion <p>A substantial portion of MBS patients in this study experienced residual weight stigma following weight loss, and higher internalized weight bias was associated with less weight loss. The broader impact of residual stigma on weight loss and other patient-centered outcomes after MBS warrants further investigation.</p>

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Residual Stigma and Internalized Weight Bias following Metabolic Bariatric Surgery

  • 期刊论文

  • 发表日期：

    2026年4月24日

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  • Rebecca Puhl,
  • Kyriakos Papasavas,
  • Isabel Michalak,
  • Yin Wu,
  • Tara McLaughlin,
  • Arit Esu,
  • Darren Tishler,
  • Pavlos Papasavas,
  • Dale Bond,
  • Devika Umashanker

摘要

Introduction

Residual weight stigma refers to lingering negative attitudes, judgment, and/or stereotypes that persist towards individuals even after they have achieved significant weight loss.

This study aimed to identify the types of residual weight stigma reported by patients following metabolic and bariatric surgery (MBS), and to examine the relationships between residual weight stigma, internalized weight bias, and weight loss outcomes in this population.

Methods

Adults who underwent MBS completed a one-time electronic survey at a post-operative follow-up visit. The survey included the modified version of the Weight Bias Internalization Scale (WBIS-M), history of experienced weight stigma, and questions developed for this study to assess residual weight stigma since losing weight. Postoperative body weight was recorded on the date of the survey.

Results

Participants (N = 128) completed a one-time survey at 44.5 ± 42.6 months after MBS, and achieved total percent weight loss of 19.1 ± 11.0 after sleeve gastrectomy, 24.8 ± 9.3 after Roux-en-Y gastric bypass, 19.7 ± 13.3 after adjustable gastric banding, and 15.1 ± 11.0 after conversion surgery. Among the 128 participants, 33.9% reported being judged for “taking the easy way out” by losing weight through surgery and 26.1% concealed their surgery from others. While 57.8% of participants reported increased confidence based on how other people treated them since losing weight, 39.2% reported feeling more self-critical about their weight based on how others treated them since losing weight. Higher internalized weight bias was associated with significantly less total percent weight loss following surgery, controlling for surgery type (p = 0.003).

Conclusion

A substantial portion of MBS patients in this study experienced residual weight stigma following weight loss, and higher internalized weight bias was associated with less weight loss. The broader impact of residual stigma on weight loss and other patient-centered outcomes after MBS warrants further investigation.