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The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss
Using an ethical lens, this review evaluates two methods of working within patient care and public health: the weight-normative approach (emphasis on weight and weight loss when defining health and well-being) and the weight-inclusive approach (emphasis on viewing health and well-being as multifacet...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4132299/ https://www.ncbi.nlm.nih.gov/pubmed/25147734 http://dx.doi.org/10.1155/2014/983495 |
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author | Tylka, Tracy L. Annunziato, Rachel A. Burgard, Deb Daníelsdóttir, Sigrún Shuman, Ellen Davis, Chad Calogero, Rachel M. |
author_facet | Tylka, Tracy L. Annunziato, Rachel A. Burgard, Deb Daníelsdóttir, Sigrún Shuman, Ellen Davis, Chad Calogero, Rachel M. |
author_sort | Tylka, Tracy L. |
collection | PubMed |
description | Using an ethical lens, this review evaluates two methods of working within patient care and public health: the weight-normative approach (emphasis on weight and weight loss when defining health and well-being) and the weight-inclusive approach (emphasis on viewing health and well-being as multifaceted while directing efforts toward improving health access and reducing weight stigma). Data reveal that the weight-normative approach is not effective for most people because of high rates of weight regain and cycling from weight loss interventions, which are linked to adverse health and well-being. Its predominant focus on weight may also foster stigma in health care and society, and data show that weight stigma is also linked to adverse health and well-being. In contrast, data support a weight-inclusive approach, which is included in models such as Health at Every Size for improving physical (e.g., blood pressure), behavioral (e.g., binge eating), and psychological (e.g., depression) indices, as well as acceptability of public health messages. Therefore, the weight-inclusive approach upholds nonmaleficience and beneficience, whereas the weight-normative approach does not. We offer a theoretical framework that organizes the research included in this review and discuss how it can guide research efforts and help health professionals intervene with their patients and community. |
format | Online Article Text |
id | pubmed-4132299 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-41322992014-08-21 The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss Tylka, Tracy L. Annunziato, Rachel A. Burgard, Deb Daníelsdóttir, Sigrún Shuman, Ellen Davis, Chad Calogero, Rachel M. J Obes Review Article Using an ethical lens, this review evaluates two methods of working within patient care and public health: the weight-normative approach (emphasis on weight and weight loss when defining health and well-being) and the weight-inclusive approach (emphasis on viewing health and well-being as multifaceted while directing efforts toward improving health access and reducing weight stigma). Data reveal that the weight-normative approach is not effective for most people because of high rates of weight regain and cycling from weight loss interventions, which are linked to adverse health and well-being. Its predominant focus on weight may also foster stigma in health care and society, and data show that weight stigma is also linked to adverse health and well-being. In contrast, data support a weight-inclusive approach, which is included in models such as Health at Every Size for improving physical (e.g., blood pressure), behavioral (e.g., binge eating), and psychological (e.g., depression) indices, as well as acceptability of public health messages. Therefore, the weight-inclusive approach upholds nonmaleficience and beneficience, whereas the weight-normative approach does not. We offer a theoretical framework that organizes the research included in this review and discuss how it can guide research efforts and help health professionals intervene with their patients and community. Hindawi Publishing Corporation 2014 2014-07-23 /pmc/articles/PMC4132299/ /pubmed/25147734 http://dx.doi.org/10.1155/2014/983495 Text en Copyright © 2014 Tracy L. Tylka et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Tylka, Tracy L. Annunziato, Rachel A. Burgard, Deb Daníelsdóttir, Sigrún Shuman, Ellen Davis, Chad Calogero, Rachel M. The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss |
title | The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss |
title_full | The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss |
title_fullStr | The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss |
title_full_unstemmed | The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss |
title_short | The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss |
title_sort | weight-inclusive versus weight-normative approach to health: evaluating the evidence for prioritizing well-being over weight loss |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4132299/ https://www.ncbi.nlm.nih.gov/pubmed/25147734 http://dx.doi.org/10.1155/2014/983495 |
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