![]() ![]() This paper evaluates the evidence and rationale that justifies shifting the health care paradigm from a conventional weight focus to HAES. A case for paradigm shift and a focus upon research epistemology is presented. 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 behaviors (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. Fitness and fatness in relation to health: implications for a paradigm shift. Weight science: evaluating the evidence for a paradigm shift. A growing trans-disciplinary movement called Health at Every Size (HAES) challenges the value of promoting weight loss and dieting behavior and argues for a shift in focus to weight-neutral outcomes. In shifting the focus from a weight-focused to a health-focused paradigm. This concern has drawn increased attention to the ethical implications of recommending treatment that may be ineffective or damaging. ![]() 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 behaviors (e.g. We reviewed the literature to identify the main components of the WCHP. Research Summary: We need to shift our focus from weight to health. This has resulted in arguments for a paradigm shift away from focusing on weight and focusing instead on health and well-being. 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. Putting body weight at the center of thinking and talking about health is referred to as the weight-centered health para- digm (WCHP). Weight Science: Evaluating the evidence for a paradigm shift Bacon L1, Aphramor L2 Author information Affiliations 1 author 1. 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. Current guidelines recommend that “overweight ” and “obese ” individuals lose weight through engaging in lifestyle modification involving diet, exercise and other behavior change. ![]()
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