{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T01:37:15Z","timestamp":1790300235693,"version":"4.1.0"},"reference-count":96,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Reviews"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Experiencing weight stigmatization is linked to maladaptive eating, poorer mental health, and increased risk of weight gain, potentially impacting metabolic bariatric surgery (MBS) outcomes. This meta\u2010analysis aimed to synthesize patient experiences of weight stigmatization before and after MBS and to examine the association of presurgical weight stigma on postsurgical weight loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This preregistered study followed PRISMA guidelines. Six databases were searched through March 2025; eligible studies included published articles and dissertations\/theses available in English that quantitatively measured presurgical weight stigma among MBS samples and included relevant outcomes. Meta\u2010analyses utilized random effects models with change scores converted to Hedge's\n                      <jats:italic>g<\/jats:italic>\n                      and associations between presurgical experienced weight stigma and post\u2010MBS weight change converted to coefficient\n                      <jats:italic>r<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty\u2010one studies were included, with 36 reporting on experienced weight stigma change pre\u2010 to post\u2010MBS and 10 studies reporting on the relationship between pre\u2010MBS experienced weight stigma and post\u2010MBS weight loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Results revealed weight stigmatization decreased substantially after MBS (6\u201312 months,\n                      <jats:italic>g<\/jats:italic>\n                      \u2009=\u20091.28; 13\u201324 months,\n                      <jats:italic>g<\/jats:italic>\n                      \u2009=\u20091.16; 25\u201336 months,\n                      <jats:italic>g<\/jats:italic>\n                      \u2009=\u20091.26). Presurgical weight stigma was not associated with weight loss post\u2010surgery (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.05). Findings are limited by minimal studies reporting on longer term relationships between baseline stigma, post\u2010MBS weight loss, and additional health outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/obr.70179","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T23:15:07Z","timestamp":1781651707000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Experienced Weight Stigma Changes Following Bariatric Surgery: a Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2327-6373","authenticated-orcid":false,"given":"Hannah\u00a0R.","family":"Farnsworth","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Utah Health  Salt Lake City Utah 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