Department of Nutrition, Food Science, and Packaging, San José State University, San José, California, USA.
Department of Clinical Nutrition, Stanford Health Care, Stanford, California, USA.
Nutr Clin Pract. 2022 Dec;37(6):1291-1306. doi: 10.1002/ncp.10885. Epub 2022 Jul 12.
Current healthcare is weight-centric, equating weight and health. This approach to healthcare has negative consequences on patient well-being. The aim of this article is to make a case for a paradigm shift in how clinicians view and address body weight. In this review, we (1) address common flawed assumptions in the weight-centric approach to healthcare, (2) review the weight science literature and provide evidence for the negative consequences of promoting dieting and weight loss, and (3) provide practice recommendations for weight-inclusive care.
当前的医疗保健是以体重为中心的,将体重和健康等同起来。这种医疗保健方法对患者的健康福祉有负面影响。本文的目的是提出一种观念转变,即临床医生如何看待和处理体重。在这篇综述中,我们(1)解决了以体重为中心的医疗保健方法中常见的错误假设,(2)回顾了体重科学文献,并提供了促进节食和减肥的负面影响的证据,(3)为体重包容护理提供了实践建议。