Obesity not defined in weight, the new guideline Canada



 Obesity should be defined by a person's health - not just their weight, the Canadian for a new guideline.


He advises doctors to go beyond the recommendation of simple diet and exercise.


Instead, they should focus on the causes of weight gain and a holistic approach to health.


The directive, which was published in the Journal of the Canadian Medical Association on Tuesday, specifically warns of the weight of patient stigma in the healthcare system.


“Dominant cultural narrative about obesity fuels the assumptions about personal irresponsibility and unwillingness and throwing guilt and shame on people who are overweight,” policy intended for use by primary care physicians for the diagnosis and treatment of obesity in their states the daily practice,


Ximena Ramos Salas-, director of obesity research and policy in Canada and one of the authors of the guideline, research shows that many doctors discriminate against obese patients, can lead to improper health, regardless of their weight.


“The weight of bias isn't believing everything about bad obesity,” she told the BBC. “The weight of polarization does influence the behavior of healthcare professionals. "


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The obesity rate has tripled in the past three decades in Canada, and now about one in four Canadians is obese, according to Statistics Canada.


The guideline had since 2006. The new version was updated from Obesity Canada, the Canadian Association of Physicians and Bariatric Surgeons and the Canadian Institute for Health Research through a scholarship funded by the Research Strategy patient-oriented.


While the latest advice still recommends the use of diagnostic criteria such as body mass index (BMI) and waist circumference, it recognizes their clinical limitations and suggests that doctors should focus more on the effects of stress. on a person's health.


Small reductions in weight, around 3 to 5%, can lead to improved health and the "best weight" of an overweight person may not be the "ideal weight" for their faces BMI guideline.


He points out that obesity is a complex chronic disease that must be managed for life.


“For years we have associated obesity with lifestyle habits… He had a lot of shame and guilt,” says Ramos Salas.


“Overweight people should argue that people with other chronic diseases. "


But rather than simply educating patients to “eat less, move more,” the policy encourages supporting physicians like psychological therapy, medication, and surgery like gastric bypass surgery.




The guideline does not completely remove standard weight loss advice.


“All people, regardless of their size or body composition, would benefit from a healthy, balanced diet and regular physical activity,” he said.


However, he noted that maintaining weight is often difficult because the brain compensates for hunger, so that encourages people to eat more.


Numerous studies have shown that most people who lose the weight indicated by dieting continue.


“Diets don't work,” says Ramos Salas.


Doctors should also ask permission before weighing the patient and working on