Obesity alone cannot determine weight according to new Canadian guidelines

Nonprofits Obesity Canada and Doctors Who Are Part of the Canadian Bariatric Surgeons Association believe that doctors are not treating Obese patients The way they should be. In their view, Weight discrimination Interfering with treatment, the drug made little room for positives in the body.

“This is a big departure from this notion that you can scale to diagnose obesity,” Sharma said. “This has nothing to do with size, shape, etc. It’s just a question, is your body fat harming your health?”

5 steps to improve obesity treatment

The new guidelines provide a five-step roadmap for physicians to follow when treating obese patients.

The first step-Sharma’s joke approach was “very Canadian”-doctors are encouraged to ask patients if they are comfortable talking about their weight. Doctors can move forward if they are and if they want to pursue treatment.

At this stage, doctors must also learn to rethink obesity not as a personal failure, but as a chronic illness that even major procedures such as temporary diets and bariatric surgery cannot cure. As a result, long-term care by a doctor is required.

“Obesity management must be based on principles or chronic disease management, which means it needs to be corrected quickly…there are no long-term consequences,” Sharma told CNN.

It was the doctor’s duty to identify these causative factors for the patient, develop a customized course of treatment, and work with the patient in the process, he said-steps 2-4 of the recommendations.

Not all treatments for obese patients are accompanied by weight loss, according to Sharma-the overall sign of improved health without losing weight, as the patient eats healthier food or exercises If they indicate they are successful.

“I don’t care what’s happening on a scale,” he said. “The real question is do my patients feel better? Problems related to obesity-is their condition better controlled now? It may or may not be weight loss.”

The fifth step, whatever the patient, is to help the patient with barriers to achieving their goals. It is the doctor’s job to identify these barriers and identify them before they support them so that they will not interfere with the success of the patient according to the new guidelines.

Difficult to handle medical weight

Weight has become a polarized and nodal topic in medicine.

The stigma of obesity has hampered existing treatments, a team of Canadian physicians writes in their guidelines. Doctors may cancel obese patients as lack of willingness or irresponsibility, or even increase their weight when it is not appropriate, Sharma said. Biased treatment is enough to keep obese people away from medication, he said.

Sylvia Ley, an associate professor at the Department of Epidemiology at Tulane University who was not involved in the study, said these guidelines were a “superior upgrade” from previous approaches to obesity.

“The new guidelines try to treat obesity as a complex disease that manages as a complex approach…” Ray wrote to CNN. “We also recognize the importance of a patient-centric, personalized approach.”

However, while the guidelines are not entirely consistent with fat receptive exercises, Sharma said the guidelines were created with the cooperation and input of obese people. Many fat-positive activists reject the belief that obesity is ill or defective.

Writer, YouTuber, and fat activist Ali Thompson told CNN that characterizing obesity as a disease “turns normal human change into a problem to be solved.”

According to Thompson, the guidelines could still leave room for discrimination among doctors.

“The standard care for fat people who doesn’t start or end with “treating like a lean person” is inadequate,” she said.

“It’s very inhuman to be told the same way as a virus,” she said.

Public health researchers and adipologists may disagree about obesity, how it is explained, and whether it requires medical intervention. But Sharma said the guidelines were not designed to force people to accept treatment. If someone isn’t interested in changing anything about himself, they shouldn’t be made unless their health is at risk, he said.

“Before, we had one recommendation: eat less, move more.” But it was just one narrow view of a complex state with no root cause.

The guidelines open the window for a more sympathetic view of obesity, centered on patients, that Sharma and his colleagues want.