Weight bias and weight stigma in the healthcare system: hypothetical case

Authors

  • Santiago J. Peregalli Politi

DOI:

https://doi.org/10.1344/rbd2018.0.20411

Keywords:

obesity, excess weight, low self-esteem, weight bias, weight stigma, principles of biomedical ethics, autonomy, non-maleficence, beneficence, justice

Abstract

Obesity is considered as one of the most concerning nutritional diseases. Scientific evidence demonstrates that weight is determined by a complex interaction of internal and external factors, many of which are not controllable by individuals. In this article, causes, consequences of obesity and how low self-esteem in patients with excess weight could affect loss weight, as well as weight bias, and weight stigma in the healthcare system are discussed. Beauchamp and Childress’ principles of biomedical ethics are used through a clinical case to consider ethical dilemmas treating obese patients. It is imperative for physicians to consider the complex etiology of obesity when treating obese patients because false assumptions about obesity personal causes can promote weight bias.

Author Biography

Santiago J. Peregalli Politi

Physician, trainee in Child and Adolescent Psychiatry and Psychotherapy, Hôpitaux Universitaires de Genève (HUG), Switzerland. Master’s degree in Bioethics and Law. Universitat de Barcelona, Spain. 

References

Álvarez, R.: Obesidad y autoestima, McGraw-Hill Interamericana, México, 1998.

Beato, L. & Rodríguez, T.: “Relación de las fases del cambio con la autoestima en pacientes con trastornos de la conducta alimentaria: seguimiento a un año”, Psiquiatría.com. [Internet]. [Access date July 2016]. Available: http://www.psiquiatria.com/articulos/tralimentacion/14883

Beauchamp T.L. & Childress J.: Principles of biomedical ethics, Oxford University Press, New York, 1979.

Björntorp P.: “Body fat distribution, insulin resistance, and metabolic diseases”, Nutrition vol. 13(9), Sept 1997, pp. 795–803.

Calva M.: “Obesidad”, Universidad Tijuana, Baja California. [Internet]. [Access date March 2016]. Available from: http://www.monografias.com/trabajos15/obesidad/obesidad.shtml

Chabris, C.F.; Simons, D.J.: “Does this ad make me fat?”, The New York Times, Opinion 8/03/2013 [Access date September 2016]. URL: http://www.nytimes.com/2013/03/10/opinion/sunday.htm

Caprio, S., Daniels, S.R., Drewnowski, A., Kaufman, F.R., Palinkas, L.A., Rosenbloom, A.L., et al.: “Influence of Race, Ethnicity, and Culture on Childhood Obesity: Implications for Prevention and Treatment”, Diabetes Care vol. 31(11), Nov 2008, pp. 2211–21.

Consejo Internacional de Enfermeras: “El CIE ante el problema de la obesidad: crear conciencia pública de una enfermedad social y ambiental”, 2004 [Internet]. [Access date September 2016]. Available from: http://www.icn.ch/matters_obe-sitysp.htm

Gafo, J.: Diez palabras clave en Bioética, 4a.ed., Verbo Divino, Estella (Navarra), 1998.

Goldberg, A.: “Secuelas de obesidad en la salud”, Obesidad.net, 2002. [Internet]. [Access date July 2016]. Available from: http://www.obesidad.net/spanish2002/secuela3.shtml

Goodman E., Slap G.B., Huang B.: “The Public Health Impact of Socioeconomic Status on Adolescent Depression and Obesity”, Am J Public Health, vol. 93(11), Nov 2003, pp. 1844–50.

Greenberg, J.: “Understanding the vital human quest for self-esteem”. Perspectives on Psychological Science, vol. 3, 2008, pp. 48-55.

Instituto Nacional de Estadística: “Encuesta nacional de Salud 2011-2012”. [Internet]. [Access date September 2016]. Available from: http://www.ine.es

Iruarrizaga, I., Romero, N., Camuñas, N., Rubio, M.A. y Cabrerizo, L.: “Entrenamiento en control emocional en obesidad mórbida”, 2001. [Internet]. [Access date September 2016]. Available from: http://www.psiquiatria.com/revistas/index.php/psicologiacom

Jebb S.A., Moore M.S.: “Contribution of a sedentary lifestyle and inactivity to the etiology of overweight and obesity: current evidence and research issues”. Medicine & Science in Sports & Exercise, vol. 1, supplement 1, Nov 1999, S534.

Kernis, M.H., Cornell, D.P., Sun, C-R., Berry, A., Harlow, T.: “There’s more to self-esteem than whether it is high or low: The importance of stability of self-esteem”, Journal of Personality and Social Psychology, vol. 65(6), 1993, pp. 1190–204.

Lazar M.: “Resistin- and Obesity-associated Metabolic Diseases”, Hormone and Metabolic Research, vol. 39(10), Oct 2007, pp. 710–6.

Macías, D.; Méndez, F.: Aplicaciones clínicas de la evaluación y modificación de conducta. Estudio de casos. Pirámide, México, 1997.

Mahoney, M. & Mahoney, K.: Control permanente de peso. Pegaso, México, 1999.

Hewitt, John P.: Oxford Handbook of Positive Psychology. Oxford University Press, 2009, pp. 217–224.

Seijas, D.; Feuchrmann, Ch.: “Obesidad: factores psiquiátricos y psicológicos”, Boletín de la Escuela de Medicina de la Universidad Católica de Chile, Vol. 26(1), 1997.

“Obesidad WHO” [Internet]. [Access date September 2016]. Available from: http://www.who.int/topics/obesity/es/

World Health Organisation (WHO): “Obesity: preventing and managing the global epidemic. Report of a WHO Consultation”, WHO Technical Report Series 894, World Health Organization Ed., Geneva, 2000.

Yale Rudd Center For Food Policy And Obesity: “What we do?” [Internet]. [Access date March 2016]. Available from: http://www.yaleruddcenter.org/what_we_do.aspx?id=10

Yale Rudd Center For Food Policy And Obesity: “Weight Bias in Clinical Settings: Improving Health Care Delivery for Obese Patients”, On-line course. [Internet]. [Access date March 2016]. Available from: http://learn.yale.edu/rudd/weightbias/login.asp?ec=60852

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Published

2018-10-02

How to Cite

Peregalli Politi, S. J. (2018). Weight bias and weight stigma in the healthcare system: hypothetical case. Revista De Bioética Y Derecho, 135–147. https://doi.org/10.1344/rbd2018.0.20411

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General section