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...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2014/983495 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563332774625280 |
|---|---|
| author | Tracy L. Tylka Rachel A. Annunziato Deb Burgard Sigrún Daníelsdóttir Ellen Shuman Chad Davis Rachel M. Calogero |
| author_facet | Tracy L. Tylka Rachel A. Annunziato Deb Burgard Sigrún Daníelsdóttir Ellen Shuman Chad Davis Rachel M. Calogero |
| author_sort | Tracy L. Tylka |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-005540db5a6f419a8d8517395edfe957 |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-005540db5a6f419a8d8517395edfe9572025-02-03T01:20:24ZengWileyJournal of Obesity2090-07082090-07162014-01-01201410.1155/2014/983495983495The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight LossTracy L. Tylka0Rachel A. Annunziato1Deb Burgard2Sigrún Daníelsdóttir3Ellen Shuman4Chad Davis5Rachel M. Calogero6Department of Psychology, The Ohio State University, Columbus, OH 43210, USADepartment of Psychology, Fordham University, Bronx, NY 10458, USAPsychology Private Practice, Los Altos, CA 94022, USADirectorate of Health, 101 Reykjavik, IcelandAcoria—A Weigh Out Eating Disorder Treatment, Cincinnati, OH 45208, USADepartment of Psychology, Fordham University, Bronx, NY 10458, USADepartment of Psychology, University of Kent, Canterbury CT2 7NP, UKUsing 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.http://dx.doi.org/10.1155/2014/983495 |
| spellingShingle | Tracy L. Tylka Rachel A. Annunziato Deb Burgard Sigrún Daníelsdóttir Ellen Shuman Chad Davis Rachel M. Calogero The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss Journal of Obesity |
| 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 |
| url | http://dx.doi.org/10.1155/2014/983495 |
| work_keys_str_mv | AT tracyltylka theweightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT rachelaannunziato theweightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT debburgard theweightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT sigrundanielsdottir theweightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT ellenshuman theweightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT chaddavis theweightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT rachelmcalogero theweightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT tracyltylka weightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT rachelaannunziato weightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT debburgard weightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT sigrundanielsdottir weightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT ellenshuman weightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT chaddavis weightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss AT rachelmcalogero weightinclusiveversusweightnormativeapproachtohealthevaluatingtheevidenceforprioritizingwellbeingoverweightloss |