The best way to treat obesity is to practice a weight-inclusive approach and focusing on health outcomes rather than a number on a scale, writes Amanda Velazquez, MD.
Assistant Professor of Surgery and Medicine, Cedars-Sinai Medical Center; Director of Obesity Medicine, Department of Surgery, Cedars-Sinai Center for Weight Management and Metabolic Health, Los Angeles, California Serve as a director, officer, partner, employee, advisor, consultant, or trustee for: Intellihealth; Weight Watchers; Novo Nordisk; LillyClinicians continue to argue that solely focusing on weight in discussions with patients with obesity can be harmful.
Healthcare systems and the US reimbursement model have been aligned with a chronic disease treatment paradigm. At the same time,The literature defines a weight-centric approach to care as one that places significant emphasis on body weight as a primary indicator of health — a perspective that may view lower body weight as inherently healthier. This approach includes comprehensive treatment of obesity that factors in lifestyle, pharmacotherapy, procedures, and surgery.
Also, measuring a patient's weight in the clinic would be an impartial act, obtaining a routine data point, like measuring a person's blood pressure. Just as it is necessary to obtain a patient's blood pressure data to treat hypertension, it is necessary to obtain adiposity health-related data to make informed clinical decisions and safeguard delivery of evidence-based care.
The weight-inclusive paradigm has much in common with the principles of Health at Every Size. Both share common goals of focusing on health rather than weight, challenging weight stigma and weight discrimination.that this leads to disregard of the risk that visceral adiposity poses for increased morbidity and mortality. But this is not an either/or situation.
Obese GLP-1 Receptor Agonists Glucagon-Like Peptide-1 Receptor Agonists Professional Development Leadership Prognosis Chronic Disease Chronic Illness Body Mass Index BMI Stigma California Fellowship Fellows Residency Residents Weight Management Diversity Dyslipidemia Dyslipidaemia Medical Education Quality Of Life QOL Health Related Quality Of Life
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