Work

Does Weight Loss Translate to Workplace Gains? Results of an Employment Questionnaire in Adults With Prediabetes and Overweight or Obesity

Year: 2026

Type: article

Abstract: ABSTRACT Aims 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‐supported program improved financial outcomes. Materials and Methods 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 ≥ 25 kg/m 2 (Registration Number ACTRN12614001302640). All participants received dietitian‐led counselling for weight loss over 6 months, followed by 6 months of maintenance. Data relating to income and workplace experiences were collected at baseline, 6 months, and 12 months. Analyses were completed to identify any relationship between income and weight or BMI over time. Results The questionnaire was completed by 281 participants (64% female, age 54.7 ± 9.8 years, BMI 34.5 ± 6.1 kg/m 2 ). At baseline, 120 females and 83 males reported employment. Modest weight loss over 12 months (−3.3 ± 5.6 kg in females and −3.1 ± 5.6 kg 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 ≥ 35 kg/m 2 were more likely to report being treated with less courtesy or respect at work. Conclusions Findings suggest that economic disadvantages linked to obesity may not be easily reversed through short‐term lifestyle interventions, highlighting the need for broader structural and societal approaches.

Source: Diabetes Obesity and Metabolism

DOI: 10.1111/dom.70691

Authors: Erica Bessell, Tegan Picone, Tania Markovic, Amanda Sainsbury, Nicholas R. Fuller

Institutions: The University of Sydney, Royal Prince Alfred Hospital, Sydney Local Health District, The University of Western Australia

Language: English

Topic: Obesity and Health Practices

Subfield: Pharmacy

Field: Health Professions

Domain: Health Sciences

SDGs: Decent work and economic growth, Good health and well-being, No poverty, Reduced inequalities

Open Access status: hybrid

Estimated APC paid: $5,380