Eliminating the "Morbid" in Obesity: A Step Toward More Sensitive Documentation in the Era of Open Notes

Weighty words: exploring terminology about weight among samples of physicians, obesity specialists, and the general public

BACKGROUND

The words used to refer to weight and individuals with large bodies can be used to reinforce weight stigma. Given that most previous research has examined preferred terminology within homogenous groups, this research sought to examine terminology preferences across populations.

METHODS

This paper reports on data gathered with the general public, family physicians, and obesity researchers/practitioners. Participants were asked about the words they commonly: (1) used to refer to people with large bodies (general public); (2) heard in their professional contexts (physicians and obesity specialists); and (3) perceived to be the most socially or professionally acceptable (all samples).

RESULTS

Similarities and differences were evident between samples, especially related to weight-related clinical terms, the word fat, and behavioral stereotypes.

CONCLUSION

The results provide some clarity into the differences between populations and highlight the need to incorporate use of strategies that may move beyond person-first language to humanize research and clinical practice with people with large bodies.