{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T04:03:26Z","timestamp":1780459406519,"version":"3.54.1"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Excess weight is associated with adverse health and economic disadvantage. Observational studies suggest that people with obesity are less likely to be employed and have lower income, potentially from workplace discrimination. This study examined whether weight loss achieved through a structured, dietitian\u2010supported program improved financial outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      An employment questionnaire was embedded within a clinical trial conducted between 2015 and 2019, investigating the effect of dietary supplements on metabolic health in otherwise healthy adults with prediabetes and body mass index (BMI) of \u2265\u200925\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (Registration Number ACTRN12614001302640). All participants received dietitian\u2010led counselling for weight loss over 6\u2009months, followed by 6\u2009months of maintenance. Data relating to income and workplace experiences were collected at baseline, 6\u2009months, and 12\u2009months. Analyses were completed to identify any relationship between income and weight or BMI over time.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The questionnaire was completed by 281 participants (64% female, age 54.7\u2009\u00b1\u20099.8\u2009years, BMI 34.5\u2009\u00b1\u20096.1\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ). At baseline, 120 females and 83 males reported employment. Modest weight loss over 12\u2009months (\u22123.3\u2009\u00b1\u20095.6\u2009kg in females and \u22123.1\u2009\u00b1\u20095.6\u2009kg in males) did not improve income or employment outcomes in adults with prediabetes and overweight or obesity. There were clear sex disparities in income; weight loss did not alter these patterns. Participants with BMI \u2265\u200935\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      were more likely to report being treated with less courtesy or respect at work.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings suggest that economic disadvantages linked to obesity may not be easily reversed through short\u2010term lifestyle interventions, highlighting the need for broader structural and societal approaches.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70691","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T05:04:36Z","timestamp":1774328676000},"page":"5001-5010","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Does Weight Loss Translate to Workplace Gains? Results of an Employment Questionnaire in Adults With Prediabetes and Overweight or Obesity"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5938-9917","authenticated-orcid":false,"given":"Erica","family":"Bessell","sequence":"first","affiliation":[{"name":"Department of Endocrinology, Royal Prince Alfred Hospital Sydney Local Health District  Sydney Australia"},{"name":"Charles Perkins Centre, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tegan","family":"Picone","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Royal Prince Alfred Hospital Sydney Local Health District  Sydney Australia"},{"name":"Charles Perkins Centre, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania","family":"Markovic","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Royal Prince Alfred Hospital Sydney Local Health District  Sydney Australia"},{"name":"Charles Perkins Centre, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Sainsbury","sequence":"additional","affiliation":[{"name":"School of Human Sciences The University of Western Australia  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6823-5872","authenticated-orcid":false,"given":"Nicholas R.","family":"Fuller","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Royal Prince Alfred Hospital Sydney Local Health District  Sydney Australia"},{"name":"Charles Perkins Centre, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehb.2016.09.004"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2307\/3559022"},{"key":"e_1_2_9_4_1","volume-title":"The Oxford Handbook of the Social Science of Obesity","author":"Averett S.","year":"2011"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-042845"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehb.2012.02.002"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2023.3283"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019862"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2011.12.001"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvb.2008.09.008"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-017-2963-4"},{"key":"e_1_2_9_12_1","unstructured":"M.Roehling S.Pilcher F.Oswald andT.Bruce \u201cThe Effects of Weight Bias on Job\u2010Related Outcomes: A Meta\u2010Analysis of Experimental Studies \u201d(2008) Academy of Management Annual Meeting Anahiem CA."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2001.108"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-525"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41387-024-00352-9"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.4337\/9781847204066.00015"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-021-00846-x"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordhb\/9780190243470.013.27"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0211940"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.3790\/schm.125.1.119"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2018.06.026"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-017-2677-7"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-013-1140-7"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2008.00502.x"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/qje\/qjz023"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2020.1321"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.3307"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.01808"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1257\/app.20180686"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12324"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.23491"},{"key":"e_1_2_9_32_1","unstructured":"Australian Taxation Office \u201cGross Pay Estimator: Australian Government \u201daccessed March 21 2024 https:\/\/www.ato.gov.au\/single\u2010page\u2010applications\/calculatorsandtools?anchor=GPE#GPE\/questions."},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-021-00238-6"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibac032"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1381\/096089291765561132"},{"issue":"1","key":"e_1_2_9_36_1","first-page":"57","article-title":"Associations Between Type of Bariatric Surgery and Obstructive Sleep Apnoea, Employment Outcomes, and Body Image Satisfaction: A Systematic Review and Meta\u2010Analysis","volume":"18","author":"Leyaro B.","year":"2025","journal-title":"Obesity Facts"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1089\/bari.2018.0014"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-019-03905-5"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvb.2007.04.008"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14132775"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2016.00647"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0021594"},{"key":"e_1_2_9_43_1","article-title":"Weight Loss Drugs for the Unemployed\u2010How Will the Government's New Trial Work?","volume":"387","author":"Mahase E.","year":"2024","journal-title":"BMJ (Clinical Research Ed.)"}],"container-title":["Diabetes, Obesity and Metabolism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dom-pubs.pericles-prod.literatumonline.com\/doi\/pdf\/10.1111\/dom.70691","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/dom-pubs.pericles-prod.literatumonline.com\/doi\/full-xml\/10.1111\/dom.70691","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/dom-pubs.pericles-prod.literatumonline.com\/doi\/pdf\/10.1111\/dom.70691","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T03:14:16Z","timestamp":1780456456000},"score":1,"resource":{"primary":{"URL":"https:\/\/dom-pubs.pericles-prod.literatumonline.com\/doi\/10.1111\/dom.70691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,23]]},"references-count":42,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/dom.70691"],"URL":"https:\/\/doi.org\/10.1111\/dom.70691","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/DOM.70691\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70691\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70691\/v1\/review3","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70691\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70691\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70691\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/DOM.70691\/v2\/review1","asserted-by":"object"}]},"ISSN":["1462-8902","1463-1326"],"issn-type":[{"value":"1462-8902","type":"print"},{"value":"1463-1326","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,23]]},"assertion":[{"value":"2025-12-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}