Weight Inclusive Care Resources
Health At Every Size®-Based Guides
for Blame-Free, Shame-Free Explanations of Common Medical Conditions
Offer non-stigmatizing care in your office
National Association to Advance Fat Acceptance (NAAFA), Guidelines for healthcare providers with fat clients
Weight Inclusive Care and Anti-Fat Bias
Selected references about weight-inclusive care and anti-fat bias
Michael Hobbs, Everything You Know About Obesity Is Wrong, Huffington Post, 2018
Tomiyama et al. How and Why Weight Stigma Drives the Obesity ‘Epidemic’ and Harms Health. BMC Medicine 2018
Bianchi and Ricupero, Questioning the Ethics of Promoting Weight Loss in Clinical Practice. Canadian Journal of Bioethics. Feb 5 2020
Hunger, Smith, Tomiyama. An Evidence-Based Rationale for Adopting Weight Inclusive Health Policy. Social Issues and Policy Review 14(1) 2020
Gaesser and Angadi, Obesity treatment: Weight loss versus increasing fitness and physical activity for reducing health risks, IScience 2021
Glenn A. Gaesser. Type 2 Diabetes Incidence and Mortality: Associations with Physical Activity, Fitness, Weight Loss, and Weight Cycling. Rev. Cardiovasc. Med. 2022
Tylka, et al The Weight Inclusive Vs Weight Normative Approach to Health. J Obesity 2104
Bacon and Aphramor. Weight Science: Evaluating the Evidence for a Paradigm Shift. Nutr J 2011
Mensinger, J.L., Calogero, R.M., Stranges, S., & Tylka, T.L. (2016). A weight-neutral versus a weight-loss approach to health and well-being in women with high BMI: A randomized controlled trial.
Mensinger, J.L., & Meadows, A. (2017). Internalized weight stigma mediates and moderates physical activity outcomes during a healthy living program for women with high BMI. Psychology of Sport & Exerc.
Tae Jung Oh, Jae Hoon Moon, Sung Hee Choi, Soo Lim, Kyong Soo Park, Nam H Cho, Hak Chul Jang, Body-Weight Fluctuation and Incident Diabetes Mellitus, Cardiovascular Disease, and Mortality: A 16-Year Prospective Cohort Study, The Journal of Clinical Endocrinology & Metabolism, Volume 104, Issue 3, March 2019, Pages 639–646, https://doi.org/10.1210/jc.2018-01239
Read diverse fat writers
The Body is Not an Apology Sonya Renee Taylor
Decolonizing Wellness A QTBIPOC Guide, Dalia Kinsey
You Just Need to Lose Weight and 19 Other Myths about Fat People, Aubrey Gordon
Belly of the Beast, the Politics of Anti-Fatness as Anti-Blackness, Da’shaun Harrison
Rachel Wiley, Button Poetry
Hunger, A Memoir of (My) Body, Roxane Gay
Nalgona Positivity Pride, Gloria Lucas
Heavy, An American Memoir, Kiese Laymon
Body Liberation Guide, Lindley Ashline
Learn more: training, blogs, books, podcasts
Training: Center for Body Trust
Blog: Weight and Healthcare Newsletter by Regan Chastain
Books:
Fat Talk: Parenting in the Age of Diet Culture
Reclaiming Body Trust, A Path to Healing and Liberation by Dana Sturtevant and Hilary Kinavey
Anti-Diet Christy Harrison
What We Don't Talk About When We Talk About Fat, Aubrey Gordon
Fearing the Black Body, Sabrina Strings
Website: NoWeigh.org
Podcasts:
“Maintenance Phase” Podcast maintenancephase.com
"Food, Psych" Podcast https://christyharrison.com/foodpsych
Swag
References by topic
Larger-bodied eating disorders
Anorexia Knows No Body Type, Seattle Times, 2018
Sick Enough by Dr. Jennifer Guadiani
GLP-1s for weight loss
Medical Students for Size Inclusivity Shared Decision Making/Informed Consent handout
Pediatrics and AAP guidelines
"Do No Harm: Provider's resource guide to the AAP clinical practice guidelines for the evaluation and treatment of children and adolescents with O" Brandi Olsen, Nikki Gepner, Cristen Harris. Making Peace With Food LLC.
https://virginiasolesmith.com/books/fat-talk-parenting-in-the-age-of-diet-culture/
https://weightandhealthcare.substack.com/p/serious-issues-with-the-american
Weight inclusive public health messaging
The language of health: and editorial style guide to effectively communicate to the public Cori Lorts PhD, RDN. State Nutrition Action Committee
OB/gyn
Weight stigma in pregnancy
Ragpal, T.S., Tomiyama, A.J., & Incollingo Rodriguez, A.C. (in press). Beyond BMI: Pregnancy-related weight stigma increases risk of gestational diabetes. Primary Care Diabetes.
DeJoy, S.B., Bittner, K. Obesity Stigma as a Determinant of Poor Birth Outcomes in Women with High BMI: A Conceptual Framework. Matern Child Health J 19, 693–699 (2015).
Mulherin, K., Miller, Y.D., Barlow, F.K. et al. Weight stigma in maternity care: women’s experiences and care providers’ attitudes. BMC Pregnancy Childbirth 13, 19 (2013).
Eating Disorders in pregnancy
Koubaa S, Hällström T, Lindholm C, Hirschberg AL. Pregnancy and neonatal outcomes in women with eating disorders. Obstetrics and Gynecology. 2005 Feb;105(2):255-260. DOI: 10.1097/01.aog.0000148265.90984.c3. PMID: 15684148.
Morgan, J. F. , Lacey, J. H. & Chung, E. (2006). Risk of Postnatal Depression, Miscarriage, and Preterm Birth in Bulimia Nervosa: Retrospective Controlled Study. Psychosomatic Medicine, 68 (3), 487-492. doi: 10.1097/01.psy.0000221265.43407.89.
Risks of prescribing weight maintenance or loss in pregnancy
Catalano PM, Mele L, Landon MB, Ramin SM, Reddy UM, Casey B, Wapner RJ, Varner MW, Rouse DJ, Thorp JM Jr, Saade G, Sorokin Y, Peaceman AM, Tolosa JE; Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Inadequate weight gain in overweight and obese pregnant women: what is the effect on fetal growth? Am J Obstet Gynecol. 2014 Aug;211(2):137.e1-7. doi: 10.1016/j.ajog.2014.02.004. Epub 2014 Feb 11. PMID: 24530820; PMCID: PMC4117705.
Champion ML, Harper LM. Gestational Weight Gain: Update on Outcomes and Interventions. Curr Diab Rep. 2020 Feb 27;20(3):11. doi: 10.1007/s11892-020-1296-1. PMID: 32108283.
BMI gatekeeping
Gender affirming surgeries
Brownstone LM, DeRieux J, Kelly DA, Sumlin LJ, Gaudiani JL. Body Mass Index Requirements for Gender-Affirming Surgeries Are Not Empirically Based. Transgend Health. 2021 Jun 2;6(3):121-124. doi: 10.1089/trgh.2020.0068.
Ives GC, Fein LA, Finch L, Sluiter EC, Lane M, Kuzon WM, Salgado CJ. Evaluation of BMI as a Risk Factor for Complications following Gender-affirming Penile Inversion Vaginoplasty. Plast Reconstr Surg Glob Open. 2019 Mar 13;7(3):e2097. doi: 10.1097/GOX.0000000000002097
Hassan, Bashar MD, et al. Association of High Body Mass Index With Postoperative Complications After Chest Masculinization Surgery. Annals of Plastic Surgery 2023.
Agarwal, N., To, K., Zhang, B. et al. Obesity does not adversely impact the outcome of unicompartmental knee arthroplasty for osteoarthritis: a meta-analysis of 80,798 subjects. Int J Obes 45, 715–724 (2021).
Orthopedic surgery
Lui, Michelle, C. Allyson Jones, and Marie D. Westby. "Effect of non-surgical, non-pharmacological weight loss interventions in patients who are o*ese prior to hip and knee arthroplasty surgery: a rapid review." Systematic reviews 4.1 (2015): 121.
Huang, Ronald, et al. "The effect of malnutrition on patients undergoing elective joint arthroplasty." The Journal of arthroplasty 28.8 (2013): 21-24.
Risk Reduction Compared with Access to Care: Quantifying the Trade-Off of Enforcing a Body Mass Index Eligibility Criterion for Joint Replacement Giori, Nicholas J., MD, PhD1,2,amanatullah, Derek F., MD, PhD2; Gupta, Shalini, MS1; Bowe, Thomas, PhD1; Harris, Alex H.S., PhD1,2 JBJS: April 4, 2018 - Volume 100 - Issue 7 - p 539-545 doi: 10.2106/JBJS.17.00120
Agarwal, N., To, K., Zhang, B. et al. Obesity does not adversely impact the outcome of unicompartmental knee arthroplasty for osteoarthritis: a meta-analysis of 80,798 subjects. Int J Obes 45, 715–724 (2021).
Weight Loss Before Joint Replacement Surgery: Episode 27 Unpacking Weight Science Fiona Willer AdvAPD
Diabetes, insulin resistance, "prediabetes," fatty liver
Diabetes
Glenn A. Gaesser. Type 2 Diabetes Incidence and Mortality: Associations with Physical Activity, Fitness, Weight Loss, and Weight Cycling. Rev. Cardiovasc. Med. 2022, 23(11), 364. https://doi.org/10.31083/j.rcm2311364
Inclusive Diabetes Care for Professionals. https://www.inclusivediabetescare.com/
Lauren Newman RD free weight inclusive diabetes group, diabetes and disordered eating group, individual treatment.
Erin Phillips MPH, RD, CDCES Blog , podcast, FB group and resources
Type2andYou with Meg podcast