Obesity Pillars Roundtable: Obesity and Diversity

doi:10.1016/j.obpill.2021.100008

. 2022 Jan 12:1:100008.

doi: 10.1016/j.obpill.2021.100008. eCollection 2022 Mar.

Obesity Pillars Roundtable: Obesity and Diversity

Harold Edward Bays^{1

2}, Doris X Muñoz-Mantilla³, Ryan Morgan⁴, Chima Nwizu⁵, Theresa Tess Garcia⁶

Affiliations

¹ Medical Director/President Louisville Metabolic and Atherosclerosis Research Center, 3288 Illinois Avenue, Louisville, KY, 40213, USA.
² Clinical Associate Professor, University of Louisville School of Medicine, Louisville KY.
³ Medical Principal, Cigna Medicare, 601 Mainstreet A-105 Nashville, TN 37228, USA.
⁴ LLC, Sub-investigator for Lynn Health Science Institute, Adjunct Clinical Professor for Oklahoma State University Center for Health Sciences, 3330 NW 56th St., STE 608, Oklahoma City, OK, 73118, USA.
⁵ Department of Clinical Affairs, Rocky Vista University Parker, Family Physicians of Greeley, 6801 W 20th Street, Suite 101, Greeley, CO, 80634, USA.
⁶ Garcia Family Medicine, 1416 NW 7 Highway, Union Square, Eastern Jackson County, Blue Springs, MO, 64014, USA.

PMID: 37990704
PMCID: PMC10662096
DOI: 10.1016/j.obpill.2021.100008

Obesity Pillars Roundtable: Obesity and Diversity

Harold Edward Bays et al. Obes Pillars. 2022.

. 2022 Jan 12:1:100008.

doi: 10.1016/j.obpill.2021.100008. eCollection 2022 Mar.

Authors

Harold Edward Bays^{1

2}, Doris X Muñoz-Mantilla³, Ryan Morgan⁴, Chima Nwizu⁵, Theresa Tess Garcia⁶

Affiliations

¹ Medical Director/President Louisville Metabolic and Atherosclerosis Research Center, 3288 Illinois Avenue, Louisville, KY, 40213, USA.
² Clinical Associate Professor, University of Louisville School of Medicine, Louisville KY.
³ Medical Principal, Cigna Medicare, 601 Mainstreet A-105 Nashville, TN 37228, USA.
⁴ LLC, Sub-investigator for Lynn Health Science Institute, Adjunct Clinical Professor for Oklahoma State University Center for Health Sciences, 3330 NW 56th St., STE 608, Oklahoma City, OK, 73118, USA.
⁵ Department of Clinical Affairs, Rocky Vista University Parker, Family Physicians of Greeley, 6801 W 20th Street, Suite 101, Greeley, CO, 80634, USA.
⁶ Garcia Family Medicine, 1416 NW 7 Highway, Union Square, Eastern Jackson County, Blue Springs, MO, 64014, USA.

PMID: 37990704
PMCID: PMC10662096
DOI: 10.1016/j.obpill.2021.100008

Abstract

Background: The clinical implications of obesity differ, depending on race, ethnicity, and sexual orientation.

Methods: This roundtable discussion included 4 obesity specialists with expertise in the clinical management of obesity among diverse populations including Blacks, Hispanics/Latinos, Lesbian-Gay-Bisexual-Transgender-Questioning (LGBTQ) individuals, and Native-Americans.

Results: One of the first obstacles towards overcoming disparities in managing obesity and its complications among diverse populations is understanding applicable terminology. This includes categorization terminology relative to Native Americans (for the purpose of assessing culture and possibly genetic predispositions), understanding the differences between Black African Americans and Black Africans, understanding the differences between the terms Hispanic and Latinx, and basic concepts behind different pronouns applicable to Lesbian-Gay-Bisexual-Transgender-Questioning (LGBTQ) individuals. After being better able to grasp the input from patients with diverse backgrounds, universal obesity assessment and management principles can be then tailored utilizing a patient-centered approach.

Conclusion: Understanding the unique genetic, culture, and terminology regarding patients of different races, ethnicities, and sexual orientation may help clinicians better engage patients in managing obesity via utilizing a more patient-centered approach.

Keywords: Black; Hispanic; Latino; Lesbian-Gay-Bisexual-Transgender-Questioning (LGBTQ); Native-American; Obesity.

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Cited by

Behavior, motivational interviewing, eating disorders, and obesity management technologies: An Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) 2022.
Freshwater M, Christensen S, Oshman L, Bays HE. Freshwater M, et al. Obes Pillars. 2022 Mar 24;2:100014. doi: 10.1016/j.obpill.2022.100014. eCollection 2022 Jun. Obes Pillars. 2022. PMID: 37990715 Free PMC article.
Obesity, thrombosis, venous disease, lymphatic disease, and lipedema: An obesity medicine association (OMA) clinical practice statement (CPS) 2023.
Bindlish S, Ng J, Ghusn W, Fitch A, Bays HE. Bindlish S, et al. Obes Pillars. 2023 Oct 19;8:100092. doi: 10.1016/j.obpill.2023.100092. eCollection 2023 Dec. Obes Pillars. 2023. PMID: 38125656 Free PMC article.
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Clayton TL, Fitch A, Bays HE. Clayton TL, et al. Obes Pillars. 2023 Aug 7;8:100083. doi: 10.1016/j.obpill.2023.100083. eCollection 2023 Dec. Obes Pillars. 2023. PMID: 38125655 Free PMC article.
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Bays HE, Kirkpatrick C, Maki KC, Toth PP, Morgan RT, Tondt J, Christensen SM, Dixon D, Jacobson TA. Bays HE, et al. Obes Pillars. 2024 Mar 12;10:100108. doi: 10.1016/j.obpill.2024.100108. eCollection 2024 Jun. Obes Pillars. 2024. PMID: 38706496 Free PMC article.
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Pennings N, Varney C, Hines S, Riley B, Happel P, Patel S, Bays HE. Pennings N, et al. Obes Pillars. 2025 Mar 17;14:100172. doi: 10.1016/j.obpill.2025.100172. eCollection 2025 Jun. Obes Pillars. 2025. PMID: 40235850 Free PMC article. Review.

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References

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1. Yracheta J.M., Lanaspa M.A., Le M.T., Abdelmalak M.F., Alfonso J., Sanchez-Lozada L.G., et al. Diabetes and kidney disease in American Indians: potential role of sugar-sweetened beverages. Mayo Clinic proceedings Mayo Clinic. 2015;90:813–823. - PubMed
1. Paeratakul S., White M.A., Williamson D.A., Ryan D.H., Bray G.A. Sex, race/ethnicity, socioeconomic status, and BMI in relation to self-perception of overweight. Obes Res. 2002;10:345–350. - PubMed
1. Olson K.L., Lillis J., Panza E., Wing R.R., Quinn D.M., Puhl R.R. Body shape concerns across racial and ethnic groups among adults in the United States: more similarities than differences. Body Image. 2020;35:108–113. - PMC - PubMed
1. Bays H.E., Bazata D.D., Fox K.,M., Grandy S. Poster presentation: the obesity society Annual meeting. Washinton D.C. October 24-28 2009. 2009. Differences in perceived body image: self-image versus self-identified ideal body image - men versus women.

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[1] Turkson-Ocran R.N., Nmezi N.A., Botchway M.O., Szanton S.L., Golden S.H., Cooper L.A., et al. Comparison of cardiovascular disease risk factors among African immigrants and African Americans: an analysis of the 2010 to 2016 national health interview surveys. J Am Heart Assoc. 2020;9 e013220. - PMC - PubMed

[2] Turkson-Ocran R.N., Nmezi N.A., Botchway M.O., Szanton S.L., Golden S.H., Cooper L.A., et al. Comparison of cardiovascular disease risk factors among African immigrants and African Americans: an analysis of the 2010 to 2016 national health interview surveys. J Am Heart Assoc. 2020;9 e013220. - PMC - PubMed

[3] Yracheta J.M., Lanaspa M.A., Le M.T., Abdelmalak M.F., Alfonso J., Sanchez-Lozada L.G., et al. Diabetes and kidney disease in American Indians: potential role of sugar-sweetened beverages. Mayo Clinic proceedings Mayo Clinic. 2015;90:813–823. - PubMed

[4] Yracheta J.M., Lanaspa M.A., Le M.T., Abdelmalak M.F., Alfonso J., Sanchez-Lozada L.G., et al. Diabetes and kidney disease in American Indians: potential role of sugar-sweetened beverages. Mayo Clinic proceedings Mayo Clinic. 2015;90:813–823. - PubMed

[5] Paeratakul S., White M.A., Williamson D.A., Ryan D.H., Bray G.A. Sex, race/ethnicity, socioeconomic status, and BMI in relation to self-perception of overweight. Obes Res. 2002;10:345–350. - PubMed

[6] Paeratakul S., White M.A., Williamson D.A., Ryan D.H., Bray G.A. Sex, race/ethnicity, socioeconomic status, and BMI in relation to self-perception of overweight. Obes Res. 2002;10:345–350. - PubMed

[7] Olson K.L., Lillis J., Panza E., Wing R.R., Quinn D.M., Puhl R.R. Body shape concerns across racial and ethnic groups among adults in the United States: more similarities than differences. Body Image. 2020;35:108–113. - PMC - PubMed

[8] Olson K.L., Lillis J., Panza E., Wing R.R., Quinn D.M., Puhl R.R. Body shape concerns across racial and ethnic groups among adults in the United States: more similarities than differences. Body Image. 2020;35:108–113. - PMC - PubMed

[9] Bays H.E., Bazata D.D., Fox K.,M., Grandy S. Poster presentation: the obesity society Annual meeting. Washinton D.C. October 24-28 2009. 2009. Differences in perceived body image: self-image versus self-identified ideal body image - men versus women.

[10] Bays H.E., Bazata D.D., Fox K.,M., Grandy S. Poster presentation: the obesity society Annual meeting. Washinton D.C. October 24-28 2009. 2009. Differences in perceived body image: self-image versus self-identified ideal body image - men versus women.

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Obesity Pillars Roundtable: Obesity and Diversity

Affiliations

Obesity Pillars Roundtable: Obesity and Diversity

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