Practice Consideration
Alternative Way of Approaching Interventions for Overweight or Obese Individuals
Non-Diet/Size-Acceptance Approach
In the past two decades there have been a number of weight management initiatives which challenge the prevailing medical approach to overweight and obesity.(1-4) Based on a "non-dieting philosophy" these programs focus on achieving the psychological and physiological benefits that coincide with size acceptance, optimal nutrient intake, physical activity, cardiovascular fitness and strength training. The emphasis is on well-being rather than weight reduction with energy restriction.(1-7) These approaches are known by several names:
Note — systematic reviews show that overweight/obesity and eating disorders often co-exist. However the research does not show that attempts to lose weight cause eating disorders.(8)
References
1. Bacon L. Health at Every Size. Available at: https://haescommunity.com/. Accessed July 13, 2017.
2. Mann T, Tomiyama AJ, Westling E, Lew AM, Samuels B, Chatman J. Medicare’s search for effective obesity treatments: diets are not the answer. Am Psychol. 2007; 62: 220–233.
3. Bacon L, Aphramor L. Weight science: evaluating the evidence for a paradigm shift. Nutr J. 2011; 10: 9–21.
4. Fatspiration. Accessed August 2, 2017. Available at: http://daretotakeupspace.tumblr.com/.
5. Centre Disease Control (CDC). General Physical Activities Defined by Level of Intensity, Table 2. 2008; Accessed 25 July 2017.
Available from: http://www.cdc.gov/nccdphp/dnpa/physical/pdf/PA_Intensity_table_2_1.pdf.
6. Brennan L, Murphy KD, de la Piedad Garcia X, Ellis ME, Metzendorf MI, McKenzie JE. Psychological interventions for adults who are overweight or obese. Cochrane Libr. 2016;3:CD012114.
7. Franz MJ, VanWormer JJ, Crain AL, Boucher JL, Histon T, Caplan W, Pronk, NP. Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. JADA. 2007; 107: 1755–1767.
8. Peckmezian T, Hay P. A systematic review and narrative synthesis of interventions for uncomplicated obesity: weight loss, well-being and impact on eating disorders. Journal of Eating Disorders 2017; 5: 15.
In the past two decades there have been a number of weight management initiatives which challenge the prevailing medical approach to overweight and obesity.(1-4) Based on a "non-dieting philosophy" these programs focus on achieving the psychological and physiological benefits that coincide with size acceptance, optimal nutrient intake, physical activity, cardiovascular fitness and strength training. The emphasis is on well-being rather than weight reduction with energy restriction.(1-7) These approaches are known by several names:
- Healthy at Every Size (HEAS)©
- Non-Diet Approach
- Fit but Fat
- Fatspiration©(4)
Note — systematic reviews show that overweight/obesity and eating disorders often co-exist. However the research does not show that attempts to lose weight cause eating disorders.(8)
References
1. Bacon L. Health at Every Size. Available at: https://haescommunity.com/. Accessed July 13, 2017.
2. Mann T, Tomiyama AJ, Westling E, Lew AM, Samuels B, Chatman J. Medicare’s search for effective obesity treatments: diets are not the answer. Am Psychol. 2007; 62: 220–233.
3. Bacon L, Aphramor L. Weight science: evaluating the evidence for a paradigm shift. Nutr J. 2011; 10: 9–21.
4. Fatspiration. Accessed August 2, 2017. Available at: http://daretotakeupspace.tumblr.com/.
5. Centre Disease Control (CDC). General Physical Activities Defined by Level of Intensity, Table 2. 2008; Accessed 25 July 2017.
Available from: http://www.cdc.gov/nccdphp/dnpa/physical/pdf/PA_Intensity_table_2_1.pdf.
6. Brennan L, Murphy KD, de la Piedad Garcia X, Ellis ME, Metzendorf MI, McKenzie JE. Psychological interventions for adults who are overweight or obese. Cochrane Libr. 2016;3:CD012114.
7. Franz MJ, VanWormer JJ, Crain AL, Boucher JL, Histon T, Caplan W, Pronk, NP. Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. JADA. 2007; 107: 1755–1767.
8. Peckmezian T, Hay P. A systematic review and narrative synthesis of interventions for uncomplicated obesity: weight loss, well-being and impact on eating disorders. Journal of Eating Disorders 2017; 5: 15.
Updated January 07, 2018