Doctors are guilty of wrongly believing that obese1 people are simply lazy, research suggests.
Researchers at Yale University said the findings highlight the difficulty in tackling the stigma2 around obesity3.
Many obese people complain that others believe they are overweight simply because they eat too much or fail to exercise.
This is despite the fact that obesity can be caused by a variety of other factors, such as genes4 and environment.
Dr Marlene Schwartz and colleagues carried out psychological tests on 389 professionals who treat and study obese people.
They found that younger professionals, in particular, were most likely to have unfavourable stereotypes5 of obese people.
Workers who did not deal directly with obese patients were also inclined to see them in an unfavourable light.
"On both implicit6 and explicit7 measures, health professionals associated the stereotypes lazy, stupid and worthless with obese people," said Dr Schwartz.
"The stigma of obesity is so strong that even those most knowledgeable8 about the condition infer that obese people have blameworthy behavioural characteristics that contribute to their problem, i.e. being lazy," she said.
"Furthermore, these biases9 extend to core characteristics of intelligence and personal worth."
Dr Ian Campbell of the UK's National Obesity Forum10 said he was not surprised by the findings and said they would probably be replicated11 if the test was carried out on British doctors.
"It is disappointing but it is not surprising to see that health professionals have the same ingrained prejudice against obese people as the general public," he said.
"It is becoming increasingly clear that as much as 80% of people who are obese are predisposed genetically13.
"Although it is very rare to find a case where obesity is purely14 genetic12, there are many cases where it is not in the patient's control."
He said it was unhelpful for doctors to be biased15 against obese patients.
"It is important for doctors and other health professionals to show understanding and enthusiasm for change.
"If a doctor is biased against the patient's efforts, then it is unlikely to have a good outcome."