Related Experiment Video
Updated: Aug 14, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Pediatricians' own weight: self-perception, misclassification, and ease of counseling
Eliana M Perrin1, Kori B Flower, Alice S Ammerman
1Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, CB #7220, 130 Mason Farm Road, Fifth Floor, Chapel Hill, NC 27599-7220, USA. eliana_perrin@med.unc.edu
Insights
Many pediatricians misclassify their own weight status, impacting their confidence in obesity counseling. This physician weight self-perception affects their ability to effectively counsel patients on weight management.
Area of Science:
- Medical Research
- Public Health
- Pediatrics
Background:
- Physician health behaviors influence patient counseling.
- Pediatricians often underdiagnose overweight and report feeling ineffective in obesity counseling.
- Understanding physician weight status and self-perception is crucial for improving counseling practices.
Purpose of the Study:
- To determine the prevalence of overweight among pediatricians.
- To assess the accuracy of pediatricians' self-classification of their weight status.
- To examine the relationship between pediatricians' weight self-perception and their perceived ease of conducting obesity counseling.
Main Methods:
- Cross-sectional mail survey of North Carolina pediatricians.
- Data collected on self-reported height, weight, and ease of counseling.
- Logistic regression used to analyze associations, controlling for confounders.
Main Results:
- Nearly half (49%) of overweight pediatricians misclassified their weight status.
- Men had higher odds of misclassifying overweight status compared to women.
- Pediatricians who perceived themselves as 'thin' or 'overweight' reported significantly more difficulty with obesity counseling than those who perceived themselves as 'average' weight.
Conclusions:
- Physician weight misclassification may influence obesity counseling effectiveness.
- Further research is needed to explore the impact of physician weight self-perception on counseling behaviors.
- Addressing physician weight status and self-awareness could enhance pediatric obesity interventions.
Objectives:
Pediatricians underdiagnose overweight and feel ineffective at counseling. Given the relationship between physicians' health and health habits and counseling behaviors, we sought to determine the 1) percentage of pediatricians who are overweight; 2) accuracy of pediatricians' own weight status classification; and 3) relationship between weight self-perception and perceived ease of obesity counseling.
Research Methods And Procedures:
This study was a cross-sectional, mail survey of North Carolina pediatricians that queried about their weight status and ease of counseling. Accuracy of pediatricians' self-classification of weight status was compared with BMIs derived from self-reported height and weight. Using logistic regression, controlling for potential confounding variables, we examined the association between weight perception and ease of counseling.
Results:
The unadjusted response rate was 62%, and the adjusted response rate was 71% (n = 355). Nearly one-half (49%) of overweight pediatricians did not identify themselves as such. Men had greater adjusted odds of misclassifying overweight than women [odds ratio (OR), 3.61; 95% confidence interval (CI) = 1.81, 7.21]. Self-classified "thin" pediatricians had nearly six times the odds of reporting more counseling difficulty as a result of their weight than "average" weight pediatricians (OR = 5.69; 95% CI = 2.30, 14.1), and self-identified "overweight" pediatricians reported nearly four times as great counseling difficulty as "average" weight physicians (OR = 3.84; 95% CI = 1.11, 13.3), after adjustment for self-reported BMI weight status and other potential confounders.
Discussion:
The roles that physician weight misclassification and self-perception potentially play in influencing rates of obesity counseling warrant further research.
Related Concept Videos
Regression Toward the Mean
Self-Evaluation: Self-Enhancement and Self-Verification
Self-Discrepancy Theory
Self-Presentation: Self-Monitoring and Self-Handicapping
Self-Discrepancy and Its Effects
Self-Regulation

