Program in Nutrition, Health, and Behavior Studies, Teachers College, Columbia University, New York, NY.
Dietetics, Foods, and Nutrition, Department of Health Sciences, Lehman College, City University of New York, New York, NY.
J Nutr Educ Behav. 2020 Nov;52(11):1066-1072. doi: 10.1016/j.jneb.2020.08.004. Epub 2020 Sep 16.
The conventional approach to chronic disease management in women of color is a dieting-for-weight-loss approach, which has not been proven to be effective. The purpose of this article is to highlight the shortcomings of the dieting-for-weight-loss approach and demonstrate the potential efficacy of the Health at Every Size approach when working with women of color to prevent and address chronic diseases. The article's areas of focus are weight stigma, bias, and size discrimination; the implications of differing weight perceptions and motivations for change; and weight as the primary determinant of health and biological factors affecting weight.
传统的有色人种女性慢性病管理方法是节食减肥法,但这种方法已被证明无效。本文旨在强调节食减肥法的缺点,并展示健康体型法在与有色人种女性合作预防和解决慢性病方面的潜在效果。本文的重点领域包括体重污名、偏见和体型歧视;不同体重观念和改变动机的影响;以及体重作为健康的主要决定因素和影响体重的生物学因素。