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Practice Applications Professional Practice| Volume 121, ISSUE 9, P1674, September 2021

Communicating About Weight in Dietetics Practice: Recommendations for Reduction of Weight Bias and Stigma

Published:February 12, 2021DOI:https://doi.org/10.1016/j.jand.2021.01.016
      Weight bias reflects negative societal attitudes based on body weight and may include judgments about a person’s body shape or size if that size is not in concordance with societal expectations.
      • Anderson J.
      • Bresnahan M.
      Communicating stigma about body size.
      A significant focus of weight bias research has been the stigma directed toward people in larger bodies, known as obesity stigma or, more commonly, weight stigma.
      • Puhl R.M.
      • Brownell K.D.
      Psychosocial origins of obesity stigma: Toward changing a powerful and pervasive bias.
      Weight bias has been shown to be pervasive throughout American society and culture,
      • Crandall C.S.
      • Schiffhauer K.L.
      Anti-fat prejudice: Beliefs, values, and American culture.
      including among some within the field of dietetics.
      • Jung F.U.C.E.
      • Luck-Sikorski C.
      • Wiemers N.
      • Riedel-Heller S.G.
      Dietitians and nutritionists: Stigma in the context of obesity—A systematic review.
      Negative beliefs and attitudes may include perceptions of people in larger bodies as lazy, sloppy, noncompliant, or lacking self-discipline.
      • Puhl R.
      • Brownell K.D.
      Bias, discrimination, and obesity.
      These stereotypes may implicitly or explicitly influence how Registered Dietitian Nutritionists (RDNs) interact with people with obesity within the many different professional roles in which RDNs serve. This article discusses the importance of addressing weight bias and weight stigma in the dietetics field and presents current controversies relating to weight stigma. The authors propose actionable strategies for communicating about weight across different aspects of dietetics, from policy to training to practice.
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      Biography

      E. M. Howes is a doctoral student, Virginia Tech, Department of Human Nutrition, Foods, and Exercise, Blacksburg, VA.

      Biography

      S. M. Harden is an associate professor, Virginia Tech, Department of Human Nutrition, Foods, and Exercise, Blacksburg, VA.

      Biography

      H. K. Cox is a senior instructor and director of the didactic program in dietetics, Virginia Tech, Department of Human Nutrition, Foods, and Exercise, Blacksburg, VA.

      Biography

      V. E. Hedrick is an assistant professor, Virginia Tech, Department of Human Nutrition, Foods, and Exercise, Blacksburg, VA.

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