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Cited by 733

The DOI matches its Crossref record; 158 of the 158 references it cites were found in a registry or an index.

Weight Science: Evaluating the Evidence for a Paradigm Shift

Open access
Bacon, Linda, Aphramor, Lucy·2011·Nutrition Journal
DOI 10.1186/1475-2891-10-9
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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.

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Citations

Cites

Show all 158 references

Research works printed but not linked: 26

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Metadata

Authors
Bacon, L., & Aphramor, L.
Venue
Nutrition Journal
Publisher
Springer Science and Business Media LLC
Published
2011-01-24
Volume
10
Issue
1
Pages
9-9
ISSN
1475-2891 (ISSN-L)
DOI
10.1186/1475-2891-10-9
OpenAlex
W2123122071
Cited by
733
References
158
FWCI
98.03
Type
journal article
Language
en
Update notices
correction (2011-06-17)
Open access
gold
Licence
www.springer.com/tdm (unspecified)

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CoChat. (2026). Citation check: Weight Science: Evaluating the Evidence for a Paradigm Shift. https://app.cochat.ai/papers/10.1186/1475-2891-10-9
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Bacon, L., & Aphramor, L. (2011). Weight Science: Evaluating the Evidence for a Paradigm Shift. Nutrition Journal. https://doi.org/10.1186/1475-2891-10-9

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