Registered: Oct 03, 2012
Posts: 60
| Posted Today at 12:14 AM | Reply with quote?#1? |
| I have just opened a broucher for an up and coming 'General Practice Conference' in NZ organised by the NZ Medical Association (NZMA) . I was rather?taken aback?to see one of the workshop sessions offered is entitled?"Managing Fat Peolple". No further detail is given but I feel this is really quite an inappropriate title to use in the context of a professional body of medical practitioners. I was thinking of writing to the NZMA and expressing concern..any others agree? | |
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Bulletin Board Moderator
Registered: May 09, 2012
Posts: 2,756
| Posted Today at 01:22 AM | Reply with quote?#2? |
| I think the wording is disrespectful. It also is not a very descriptive title. Is the session about about weight control? Health issues related to weight? Improving fitness and quality of nutrition in overweight patients? It just isn't clear. | |
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Mentor
Registered: Sept 05, 2007
Posts: 981
| Posted Today at 10:28 AM | Reply with quote?#3? |
| Absolutely agree, SnP. The Rudd Center at Yale University here in the US has done extensive research showing that this kind of bias is actively harmful to patients and leads to poor treatment from healthcare providers and poor outcomes for the patients. This kind of framing is harmful to people and doesn't lead to positive health behavioral changes. Some links that may be helpful: http://www.yaleruddcenter.org/resources/upload/docs/what/bias/Public_Perceptions_Public_Health_Campaigns_IJO_9.12.pdf http://www.yaleruddcenter.org/resources/upload/docs/what/bias/ObesityStigmaPublicHealth_AJPH_6.10.pdf This is a nice meta analysis showing that the negative effects of provider bias is pervasive in the literature. From the abstract: Results: Ten studies, out of fifteen, were included in this review. Studies examining provider attitudes toward obese patients showed evidence of weight stigma. Other studies examined patient perceptions of provider attitudes, with findings that also lent support to the hypothesis of weight stigma occurring among providers. Quality of care was found to be sub-optimal for obese patients compared to non-obese patients, with decreased rates of preventive services in the obese population. Obese patients were also shown to delay seeking health care due to their perceptions of provider weight stigma.
Edit to add: as an alternative to that kind of framing, "Healthy At Every Size" measures DO positively impact health outcomes. Reference below. ? Quote:Abstract Current guidelines recommend that ?overweight? and ?obese? individuals lose weight through engaging in lifestyle modification involving diet, exercise and other behavior change. 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. 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. This concern has drawn increased attention to the ethical implications of recommending treatment that may be ineffective or damaging.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. 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. This paper evaluates the evidence and rationale that justifies shifting the health care paradigm from a conventional weight focus to HAES. http://www.biomedcentral.com/content/pdf/1475-2891-10-9.pdf ? | |
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Registered: Aug 04, 2012
Posts: 536
| Posted Today at 10:37 AM | Reply with quote?#4? |
| How offending,and what qualifies as "fat"?And why do they need to be managed?Why would anyone go there? Just wrong. | |
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Mentor
Registered: Feb 01, 2011
Posts: 3,154
| Posted Today at 11:00 AM | Reply with quote?#5? |
| Furious here. As a nurse married to a doctor I am appalled. | |
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Mentor
Registered: April 29, 2008
Posts: 1,233
| Posted Today at 04:55 PM | Reply with quote?#6? |
| You hear talk about patient management and management of illnesses, such as conditions such as diabetes or public health threats, for example, and that does not cause offence. I think the phrase causes offence because in itself?to use the word?'fat' is not a way of describing being ill - and the word itself has negative connotations.? 'Diabetes' is a neutral term.? 'Overweight patients' would be more acceptable - because my undersanding is that there are potential health risks to being overweight, such as high blood pressure.? And you are always a patient if you are on a doctor's list, whether you are fat, thin, tall, short - it's irrelevant. But if patients are overweight - then maybe checking blood pressure twice a year rather than once a year would be recommended.? I don't know - I'm not a medical person but this seems to me a better expression of what the workshop is likely to be about .? How best to look after the health of different categories of patients, e.g. the elderly.? | |
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Registered: Oct 03, 2012
Posts: 60
| Posted Today at 08:31 PM | Reply with quote?#7? |
| I am definitely motivated to send a letter to NZMA about this. IrishUp are you OK if I include your excellent references? I will keep you posted about any response I might get. I also note that amonst the 100 or so topics offered in the conference not one covers eating disorders.. another suggestion I might make. | |
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Mentor
Registered: Sept 05, 2007
Posts: 981
| Posted Today at 09:00 PM | Reply with quote?#8? |
| Absolutely! That's what they're for - to help support your letter & position with data these folks will (hopefully) find convincing.? Good luck! | |
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Source: http://www.aroundthedinnertable.org/post/quotmanaging-fat-peoplequot-6333637
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