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Related Concept Videos

Obesity01:24

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The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
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The hypodermis (the subcutaneous layer or superficial fascia) is present directly below the dermis. It connects the skin to the underlying fascia (fibrous tissue) of the bones and muscles. It is not strictly a part of the skin, although the border between the hypodermis and dermis can be difficult to distinguish. The hypodermis consists of well-vascularized, loose, areolar connective tissue and adipose tissue, which functions as a mode of fat storage and provides insulation and cushioning for...
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Multidisciplinary Approach to Obesity Management: A Case Report
05:10

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Published on: May 30, 2025

What words should we use when discussing excess weight?

Gareth R Dutton1, Fei Tan, Michael G Perri

  • 1Florida State University College of Medicine, Tallahassee, FL, USA. gareth.dutton@med.fsu.edu

Journal of the American Board of Family Medicine : JABFM
|September 9, 2010
PubMed
Summary

Patients prefer neutral terms like "weight" for obesity discussions, while physicians align with these preferences, avoiding undesirable terms like "fatness." This improves communication effectiveness in weight management.

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Area of Science:

  • Obesity research
  • Medical communication
  • Patient-physician interaction

Background:

  • Limited research exists on patient preferences for physician communication regarding obesity.
  • Understanding physician terminology use in obesity discussions is also lacking.

Purpose of the Study:

  • To investigate patient preferences for terms describing excess weight.
  • To understand physicians' likelihood of using these terms in clinical encounters.
  • To compare patient preferences with physician terminology usage.

Main Methods:

  • Cross-sectional, nonrandom sampling study.
  • Patients (n=143) rated desirability of 12 terms for excess weight.
  • Physicians (n=108) rated likelihood of using these terms.

Main Results:

  • Patients favored "weight" (1.13 +/- 1.10) and disliked "fatness" (-1.30 +/- 1.22).
  • Physicians were most likely to use "weight" (1.42 +/- 0.89) and least likely to use "fatness" (-1.74 +/- 0.59).
  • Physician usage aligned with patient preferences, avoiding undesirable terms.

Conclusions:

  • Physicians' reported terminology generally matches patient preferences.
  • Avoiding terms patients find undesirable is a common physician practice.
  • Understanding patient and physician terminology is crucial for effective obesity communication.