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Some studies are more surprising than others. Falling into the not-too-surprising category is the finding by researchers at the Johns Hopkins Bloomberg School of Public Health that finds overweight counselors aren't as effective as their slimmer counterparts are getting obese patients to lose weight.

In other words, patients may be more receptive to those who "practice what they preach."

Study leader Sara Bleich, PhD, an associate professor with the Bloomberg School's Department of Health Policy and Management, put it a bit more academically:

"Our research shows that the personal weight of health professionals matters when assessing their perceived level of success in helping obese patients to lose weight," she said. "Health professionals who maintain a healthy weight feel more empowered to help their obese patients achieve their weight loss goals and reported being more successful at helping obese patients lose weight."

Study details

The researchers surveyed 500 non-physician health professionals specializing in nutrition, nursing, behavior/mental health, exercise and pharmacy between January 20 and February 5, 2014.

Professionals of all weights, the survey found, were equally confident in their ability to relay proper weight-loss advice and felt that patients were equally receptive to it. But 52 percent of those counselors of normal weight reported success in helping obese patients achieve clinically significant weight loss as compared to 29 percent of overweight counselors.

The study also found that most health professionals, regardless of their weight, do not feel successful in helping patients with weight loss until they are morbidly obese, which suggests missed opportunities for early intervention.

A 2012 study led by Bleich on the impact of physician BMI on obesity care found that size also matters when it comes to physician care of obese patients. It found that normal-weight physicians, as compared to overweight/obese physicians, were more likely to provide recommended obesity care to their patients and feel confident doing so.

"More research is needed to understand how to improve obesity care delivered by non-physician health professionals, and why these groups do not typically initiate weight management discussions until their patients are morbidly obese, regardless of their personal body weight," Bleich says. "Going forward, it will be important to increase the confidence, perception and skill set among all health professionals who work on this public health issue."

The findings were published online Sept. 4 in the journal Obesity.


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