or sign in with Facebook, Twitter or email.
Global  |  London  |  New York  |  Buenos Aires  |  São Paulo  |  Ireland  |  Sydney  |  Germany  |  New Zealand  | 
  • Home
  • About
    • About
    • Who We Are
    • Our Collaborators
    • Contact Us
  • Get Informed
    • Get Informed
    • What is Endangered?
  • Ditching Dieting
    • Ditching Dieting
    • Evidence
    • Host a Speakout
    • Suggested Reading
    • FAQ about Dieting
    • Share Your Stories
  • Get Involved
    • Get Involved
    • Past Campaigns
    • Make a Donation
    • Online Activist Pack
  • Media
    • Media
    • Press Coverage
    • Videos
    • Press Releases
  • News
  • Cookie & privacy policy
  • AnyBody Blog
  • FB
Home → Ditching Dieting → Evidence → paradigm shift

paradigm shift

EVIDENCE FOR A SHIFT IN FOCUS FROM DIETING AND WEIGHT LOSS TO HEALTH AND NATURAL FOOD REGULATION

Weight science: evaluating the evidence for a paradigm shift.

Current guidelines recommend that "overweight" and "obese" individuals lose weight through engaging in lifestyle modification involving diet, exercise and other behaviour 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.

varied_bodies.jpgA growing trans-disciplinary movement called Health at Every Size (HAES) challenges the value of promoting weight loss and dieting behaviour and argues for a shift in focus to weight-neutral outcomes. Randomized controlled clinical trials indicate that a HAES approach is associated with statistically and clinically relevant improvements in physiological measures (e.g., blood pressure, blood lipids), health behaviours (e.g., eating and activity habits, dietary quality), and psychosocial outcomes (such as self-esteem and body image), and that HAES achieves these health outcomes more successfully than weight loss treatment and without the contraindications associated with a weight focus. This paper evaluates the evidence and rationale that justifies shifting the health care paradigm from a conventional weight focus to HAES.

Size acceptance and intuitive eating improve health for obese, female chronic dieters.

The health at every size approach enabled participants to maintain long-term behaviour change; the diet approach did not. Encouraging size acceptance, reduction in dieting behaviour, and heightened awareness and response to body signals resulted in improved health risk indicators for obese women.

Evaluating a 'non-diet' wellness intervention for improvement of metabolic fitness, psychological well-being and eating and activity behaviours.

Current public health policy recommends weight loss for obese individuals, and encourages energy-restricted diets. Others advocate an alternative, 'non-diet' approach which emphasizes eating in response to physiological cues (eg hunger and satiety) and enhancing body acceptance.

Results: Over a 1 yr period, a diet approach results in weight loss for those who complete the intervention (MOST DO NOT), while a non-diet approach does not (REMEMBER THAT THE MAJORITY OF DIETERS REGAIN THIS WEIGHT AND MORE). However, a non-diet approach can produce similar improvements in metabolic fitness, psychology and eating behaviour, while at the same time effectively minimizing the attrition common in diet programmes.

Back to main Evidence page


Showing 1 reaction



admin published this page in Evidence 2012-05-10 20:33:06 +0100
£   Donate Today!
London, UK
Twitter
Tweets by @AnyBodyOrg
Shape Your Culture
Shape your culture
Facebook
This site uses Cookies to help us analyse our website traffic. You have the option not to accept these cookies by ignoring this banner. Read more about the use of Cookies in our Privacy Policy
×
Sign in with  
Facebook
Twitter Email
Created with NationBuilder, theme by Jesse Haff.
© 2011-2018 Endangered Bodies All Rights Reserved.
ThoughtWorks Social Impact Program logo