Why we struggle to make progress in obesity prevention and how we might overcome policy inertia: Lessons from the complexity and political sciences

Obesity Reviews, Journal Year: 2024, Volume and Issue: 25(5)

Published: Feb. 29, 2024

Summary Despite evidence for the effectiveness of policies that target obesogenic environments, their adoption remains deficient. Using methods and concepts from complexity political science (Stock‐and‐Flow analysis Punctuated Equilibrium Theory) a qualitative literature review, we developed system maps to identify feedback loops hinder policymaking on mitigating environments could trigger sustain policy change. We found numerous self‐reinforcing buttress assumption obesity is an individual problem, strengthening biomedical commercial weight‐loss sectors' claim “ownership” over solutions. That is, improvements in therapies individuals with reinforces policymakers' reluctance environments. Random events focus attention (e.g., celebrities dismissing soda) disrupt this cycle, when actors outside medical sector anti‐weight stigma activists) successfully reframe as societal which requires robust politically relevant engagement affected communities prior such taking place. Sustained prioritization targeting shared problem ownership nonhealth government sectors, by emphasizing cobenefits ultraprocessed food taxation raising revenue) solutions are meaningful communities.

Language: Английский

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Current trends and future directions in internalized weight stigma research: a scoping review and synthesis of the literature

Journal of Eating Disorders, Journal Year: 2024, Volume and Issue: 12(1)

Published: July 15, 2024

Since the first papers focused on internalized weight stigma were published in mid 2000's, literature has grown into a robust field that complements existing knowledge stigma. Recently, researchers have documented need for increased conceptual and measurement clarity, to distinguish from body dissatisfaction. Although several systematic reviews been conducted portions of literature, no review date examining entirety literature.

Language: Английский

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The evolution of the understanding of obesity over the last 100 years

International Journal of Obesity, Journal Year: 2024, Volume and Issue: 49(2), P. 168 - 176

Published: Nov. 7, 2024

Language: Английский

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Exploring weight inclusive vs. weight-normative approaches in high school nutrition education

Health Education, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 3, 2025

Purpose Teaching about nutrition is a crucial component of high school health education, with the potential to shape students' perceptions food, weight and bodies improve outcomes. Weight-inclusive approaches have demonstrated success in improving body acceptance, decreasing dieting behaviors anti-fat attitudes outcomes may decrease weight-based bullying. However, little known education settings. This study sought understand how teachers Vermont are teaching connections between nutrition, what influences their nutrition-focused curricular decisions. The goal inform development novel weight-inclusive curriculum for beyond. Design/methodology/approach used case methodology: qualitative interviews eight document analysis materials. Findings indicate that weight-normative activities values dominate multiple levels exert influence on teacher confirm need implementation curriculum, professional policy-level interventions as strategies Research limitations/implications Limitations data collection include small within-case sample size limited availability documents review. triangulation gathered publicly available ultimately supported an in-depth study. Originality/value findings from this future directions both teachers, which essential outcomes, reducing stigma moving toward justice. original work.

Language: Английский

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Changing the global narrative: raising awareness of implicit and explicit weight bias in healthcare professions

Evidence-Based Nursing, Journal Year: 2025, Volume and Issue: unknown, P. ebnurs - 104088

Published: Jan. 7, 2025

Language: Английский

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Glass “half full” on obesity and anti-obesity medication health communication

Annals of Behavioral Medicine, Journal Year: 2025, Volume and Issue: 59(1)

Published: Jan. 1, 2025

Language: Английский

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Who drives weight stigma? A multinational exploration of clustering characteristics behind weight bias against preconception, pregnant, and postpartum women

International Journal of Obesity, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 28, 2025

Abstract Background Weight bias is a global health challenge and community members are endorsed as the most common source of weight bias. The nature biases specifically against preconception, pregnant, postpartum (PPP) women from perspective not known, especially in terms cross-cultural trends. We investigated magnitude explicit implicit profiles characteristics associated with harbouring Methods conducted multinational investigation clusters factors PPP (May–July 2023). Community Australia, Canada, United States (US), Kingdom (UK), Malaysia, India completed cross-sectional survey measuring biases, beliefs about controllability, awareness sociocultural body ideals. Hierarchical multiple regression latent profile analyses identified Results Participants reported lowest (B = −0.45, p 0.02). Australia −0.14, 0.04) UK −0.16, 0.02) (vs. US) Three distinct were clustering on mass index (BMI) weight-controllability beliefs: low-BMI/moderate-beliefs, high-BMI/more biased , high-BMI/less . Profile membership varied by country residence outcomes low-BMI/moderate-beliefs containing more people non-Western countries low Conclusions Explicit was harboured participants across all included nations, although less pronounced countries. Our highlight that individuals who held stronger belief controllable, regardless their weight, should be targeted for interventions to eliminate stigma.

Language: Английский

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A comparison of early childhood obesity prevention in Australian general practice and child and family health settings: A mixed methods study

Journal of Pediatric Nursing, Journal Year: 2025, Volume and Issue: 81, P. 97 - 107

Published: Jan. 30, 2025

We aimed to 1) understand and compare the knowledge, self-efficacy, practices, attitudes of primary health professionals (PHPs) in general practice child family settings regarding early childhood promotion obesity prevention, 2) describe barriers facilitators embedding preventive care these settings. From August 2022 July 2023, PHPs were recruited participate a mixed methods study, 227 completed 20-item online survey 28 participated semi-structured interviews. Most female, almost half Child Family Health Nurses. Quantitative data analysed descriptively, using Chi-squared or Fisher's exact tests responses Nurses practice. Reflexive thematic analysis qualitative was conducted. engaged activities (including growth assessment, discussions infant feeding nutrition) more frequently confident doing so than professionals. The latter also agreed with statements inconsistent current recommendations less likely report having sufficient time discuss healthy lifestyle behaviours families. At interview considered prevention an important component their role. Organisational barriers, including limited staffing challenges, limit opportunities for engagement prevention. require support implement guidelines routine Professional education accompanied by organisational changes are required implementation strategies healthcare. There many Australian training resourcing increase capacity embed care.

Language: Английский

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The Impact of Novel Medications for Obesity on Weight Stigma and Societal Attitudes: A Narrative Review

Current Obesity Reports, Journal Year: 2025, Volume and Issue: 14(1)

Published: Feb. 5, 2025

Language: Английский

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Motivational Interviewing (MI) in Obesity Care: Cultivating Person‐Centered and Supportive Clinical Conversations to Reduce Stigma: A Narrative Review

Obesity Science & Practice, Journal Year: 2025, Volume and Issue: 11(1)

Published: Feb. 1, 2025

ABSTRACT Background Patients perceive high levels of weight prejudice, stigma, and discrimination within health systems, affecting their ability to manage obesity related chronic conditions. Scientific patient associations worldwide have prioritized the reduction stigma improve experiences in systems overall outcomes. Since a significant proportion population is now living with multiple diseases obesity, healthcare must shift toward multi‐disease management frameworks incorporating person‐centered non‐stigmatizing clinical conversations. Motivational Interviewing (MI) has potential transform interactions by using language, communication, practices. Studies MI solely focused on loss outcomes, while other experience outcomes would also be relevant evaluate. Methods A narrative review was undertaken critically analyze impact disease practices experiences. Findings An analysis contextualization theoretical framework for management, based philosophy motivational spirit, reviewed, assessing micro skills or strategies. Conclusion may assist professionals conduct conversations accordance basic principles collaborative therapeutic alliances. proposal research considerations that can help illuminate outlined.

Language: Английский

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