Line after line of criticism of HCP here
Almost like there's a common theme emerging, right? Could it be that HCPs are generally utterly crap at getting people to lose weight because they go about it the wrong way?
According to a 2015 study, fat people who feel discriminated against have shorter life expectancies than fat people who don't. “These findings suggest the possibility that the stigma associated with being overweight,” the study concluded, “is more harmful than actually being overweight.”
And, in a cruel twist, one effect of weight bias is that it actually makes you eat more. The stress hormone cortisol—the one evolution designed to kick in when you’re being chased by a tiger or, it turns out, rejected for your looks—increases appetite, reduces the will to exercise and even improves the taste of food. Sam, echoing so many of the other people I spoke with, says that he drove straight to Jack in the Box last year after someone yelled, “Eat less!” at him across a parking lot.
Clicky link
Fat shaming does not work. Current approaches to weight loss and obesity do not work.
Acknowledging the infinite complexity of each person’s relationship to food, exercise and body image is at the center of her treatment, not a footnote to it. “Eighty percent of my patients cry in the first appointment,” Sogg says. “For something as emotional as weight, you have to listen for a long time before you give any advice. Telling someone, 'Lay off the cheeseburgers' is never going to work if you don't know what those cheeseburgers are doing for them.”
And...
Diet is the leading cause of death in the United States, responsible for more than five times the fatalities of gun violence and car accidents combined. But it’s not how much we’re eating—Americans actually consume fewer calories now than we did in 2003. It’s what we’re eating.
For more than a decade now, researchers have found that the quality of our food affects disease risk independently of its effect on weight. Fructose, for example, appears to damage insulin sensitivity and liver function more than other sweeteners with the same number of calories. People who eat nuts four times a week have 12 percent lower diabetes incidence and a 13 percent lower mortality rate regardless of their weight. All of our biological systems for regulating energy, hunger and satiety get thrown off by eating foods that are high in sugar, low in fiber and injected with additives. And which now, shockingly, make up 60 percent of the calories we eat.
In 2017, the U.S. Preventive Services Task Force, the expert panel that decides which treatments should be offered for free under Obamacare, found that the decisive factor in obesity care was not the diet patients went on, but how much attention and support they received while they were on it. Participants who got more than 12 sessions with a dietician saw significant reductions in their rates of prediabetes and cardiovascular risk. Those who got less personalized care showed almost no improvement at all.
So the strategies that might work are intense, long-term, personal and customised support programmes with trained specialists, and moving away as a society from additive-laden shite to less- or non-processed food. But that's expensive, slow and difficult. The current approach of basically informing fat people they're fat and should do something about it is way cheaper but fantastically ineffective.
are you sure you’re reading the same thread? I think most people disagree with you op.