Embracing a whole systems ‘weight neutral’ approach over a weight stigma based ‘personal willpower failure’ model. Recognising the impact of the latter in eating disorders, depression and anxiety and crucially increasing health inequalities. Nutriri is a volunteer/expert by experience led VCFSE struggling to fund a wider test case to prove at scale what we see working locally.
Given the rising rates of obesity, it seems clear that healthcare interventions to encourage weight loss are not working. In this context, the NHS needs to focus on how to improve health outcomes and quality of life measures for the significant proportion of the UK population who are and will remain overweight or obese. Some of the measures recommended in this report, such as tackling wider determinants of health, will do this, but it is disappointing to see the role of weight stigma and anti-fat bias ignored. There is evidence that weight stigma in healthcare results in worse health outcomes for people with higher BMIs, for example through missed diagnoses and perpetuation of shame around weight contributing to mental health problems. (See for example Tomiyama, A., Carr, D., Granberg, E. et al. How and why weight stigma drives the obesity ‘epidemic’ and harms health. BMC Med 16, 123 (2018). https://doi.org/10.1186/s12916-018-1116-5)
You are correct in stating that obesity is a complex condition ( it is not a disease in the UK) and that the aetioligy of each individual’s situation needs to be considered. One of the principal problems is that health care practitioners receive very little, if any trading in obesity. The average time devoted to understanding obesity in medical school is about 6 hours and in other disciplines less than that or nothing at all. Do these reports that come out regularly will collect dust like all the others and the incidence of obesity will continue to increase.
Mental health is key to why we overeat and how we can beat it. Identifying the reasons why we overeat is crucial. From childhood up, it's a form of self-harming. Also, chemicals added to food that entice the brain, in fact, any chemicals, should be minimal. I suspect they cause more than obesity and may be why UK health is so poor.
I find that the children born in the 60s are not obese. I was a supervisor in school meals and the food cooked was fresh and balanced. What they are getting now is packaged and frozen rubbish. I worked for a while in the kitchen of today and found that chicken planes were more breadcrumb than meat. the Chocolate flans were packed with sugar. Chocolate doughnuts says it all. I made dough from scratch, fried and dusted with cinnamon and small amount of sugar,a small amount of jam was added. The money spent on the NHS would be better spent to school meals. children dont eat before dinner or after unless they bring something with them. The only way they would get rubbish is by supplying them with chips and cheap ways to feed children at school. Excrsise is up to the head of he school. thisis shoiuld b compulsory s when in my day.
Agree, there is a relationship between obesity and deprivation. However, it is not just the deprived people eat unhealthily, even the over indulgence of food by the rich also makes them obese.
Obesity is a complex disease and to tackle this , each persons physiological as well as mental health need to be considered to provide relevant treatment. Each patient is different and relevant treatment and advice should be provided. Public Health should convey proper evidence based messages to the community.