This article by Eric M. Matheson, MS, MD, Dana E. King, MS, MD, and Charles J. Everett, PhD demonstrates that “Healthy lifestyle habits are associated with a significant decrease in mortality regardless of baseline body mass index.”
Current guidelines recommend that “overweight” and “obese” individuals lose weight through engaging in lifestyle modification involving diet, exercise and other behavior change. This approach reliably induces short term weight loss, but the majority of individuals are unable to maintain weight loss over the long term and do not achieve the putative benefits of improved morbidity and mortality. Concern has arisen that this weight focus is not only ineffective at producing thinner, healthier bodies, but may also have unintended consequences, contributing to food and body preoccupation, repeated cycles of weight loss and regain, distraction from other personal health goals and wider health determinants, reduced self-esteem, eating disorders, other health decrement, and weight stigmatization and discrimination. This concern has drawn increased attention to the ethical implications of recommending treatment that may be ineffective or damaging.
Dr. Jon Robison wrote this amazing Special Report that was published by the Wellness Council of America (WELCOA). It discusses the detrimental affects of obsessing about weight loss and dieting and following a weight-centered approach to health rather than a behavior centered one. These ten steps are excellent suggestions for how to begin living your life now the way it should be lived.
The number of deaths attributed to obesity is consistently over-estimated in studies that fail to account for a variety of essential mitigating factors. This essay takes a look at some of those figures and assesses the problems with them.
This is the second part in a two-part series that details the ways in which the emphasis on weight loss is not as good for the general public as an emphasis on healthy behaviors.
In this review, we address the prevailing view of obesity as a major threat to public health and find that this paradigm is based on incomplete consideration of the evidence. After reviewing diabetes, hypertension and hypercholesterolemia (Part 1), and mortality (Part 2), we advocate a wellness approach focused on healthy lifestyle and treating disease in the obese, rather than treating obesity as a disease.
This is a downloadable PDF article from the April 2007 edition of American Psychologist. It is summarized as such: The prevalence of obesity and its associated health problems have increased sharply in the past 2 decades. New revisions to Medicare policy will allow funding for obesity treatments of proven efficacy. The authors review studies of the long-term outcomes of calorie-restricting diets to assess whether dieting is an effective treatment for obesity. These studies show that one third to two thirds of dieters regain more weight than they lost on their diets, and these studies likely underestimate the extent to which dieting is counterproductive because of several methodological problems, all of which bias the studies toward showing successful weight loss maintenance. In addition, the studies do not provide consistent evidence that dieting results in significant health improvements, regardless of weight change. In sum, there is little support for the notion that diets lead to lasting weight loss or health benefits.
Are you having trouble getting your doctor or other health care professionals to stop focusing on your weight and to understand the Health at Every Size approach. Dr. Linda Bacon has drafted this letter for you to give to you doctor. Let us know how it goes in our Doctor and Health Professionals Forum.
This article is an excellent source for understanding what is happening in our weight-centered culture. Here are a few quotes from the article for your enjoyment: “Thinness bias is the error of seizing upon results that favor thinness or paying selective attention to thinness-promoting information.” “The idea that thinness equals health is perhaps the most widely held myth of all.” “There has been insufficient response from government agencies and other authorities to both document and prevent diet-induced deaths.”