Patients Prefer Diet Skinny from Big Docs

Overweight patients are more likely to take weight-loss advice from overweight doctors, but the advice from thin doctors may be of higher quality. Katherine Harmon reports

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With more than two-thirds of Americans now overweight or obese, finding the best way to help improve diet and exercise is key for the nation's health. So who do you trust to help you lose weight? A svelte celebrity on a magazine cover? Your buffest friend? What about a super-fit physician?

Actually, if you have a body-mass-index, a BMI, of 25 or more, you’re more likely to take weight advice from an overweight doctor than a slim one. That’s according to a study of 600 overweight adults in the journal Preventive Medicine. [Sara Bleich et al., How does physician BMI impact patient trust and perceived stigma?]

More than half the patients in the study see a primary care physician who also has a too-high BMI. The overweight patients may have a higher overall comfort level with docs of a similar weight class.


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But the downside is that previous research found that physicians who have above-normal BMIs can lack knowledge about solid weight-loss strategies. So when it comes to getting effective weight loss help, perhaps the best advice comes from the doc who can say, "Do as I say—and as I do."

—Katherine Harmon

[The above text is a transcript of this podcast.]
 

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