Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
Login Abbonamenti Pubblicazioni Carrello Registrazione Perché registrarsi? Contatti

Consensus

Consensus sulla lotta allo stigma nell’obesità

How to fight the obesity stigma: an international consensus

Rita Tanas1, Riccardo Lera2, Francesco Baggiani 3, Guido Caggese4, Gianluca Tornese5, Luca Busetto6

1Pediatra endocrinologo, Ferrara; 2Pediatra diabetologo, Alessandria; 3Pedagogista, Greve in Chianti (Firenze)
4Anestesista rianimatore, Ferrara; 5IRCCS Materno-Infantile “Burlo Garofolo”, Trieste; 6Dipartimento di Medicina, Università di Padova; co-coordinatore della Obesity Management Task Force della European Association for the Study of Obesity

Settembre 2020 - pagg. 437 -443 | DOI: 10.53126/MEB39437

Abstract
People with obesity daily face a pervasive and ubiquitous form of stigma on weight that damages health and reduces the likelihood of receiving adequate care. The stigma is reinforced by outdated ideas on body weight regulation and lack of up-to-date scientific knowledge. The prevailing opinion that obesity is a choice that can be avoided misleads public health policies, confuses messages in the media, undermines access to treatments and compromises research. The stigma is a serious obstacle, therefore tackling it is not only a matter of human rights and social justice, but a way to promote prevention and treatment. A large group of international experts examined the evidence on the causes and consequences of the stigma and developed a Consensus to end it, raising awareness among health workers, politicians and public opinion, encouraging training and facilitating a new narrative on obesity. Successful therapies for all people with obesity can arise from the shared struggle against the stigma.
Contenuto riservato

Per leggere l'articolo completo è necessario effettuare il login.

Non sei ancora registrato? Registrati

Bibliografia
Joint international consensus statement for ending stigma of obesity. Nat Med 2020;26: 485- 97. 2. Puhl R. Suh Y. Health consequences of weight stigma: implications for obesity prevention and treatment. Curr Obes Rep 2015; 4:182-90. 3. Pudney EV, Himmelstein MS, Puhl RM. The role of weight stigma in parental weight talk. Pediatr Obes 2019;14:e12534. 4. Tanas R, Baggiani F, Caggese G. Curare la derisione professionale dei pediatri italiani per non condannare i bambini all’obesità. Area Pediatrica 2017;18:126-31. 5. Pont SJ, Puhl R, Cook SR, Slusser W. Stigma experienced by children and adolescents with obesity. Pediatrics 2017;140:e20173034. 6. Puhl RM, Wall MM, Chen C, et al. Experiences of weight teasing in adolescence and weight-related outcomes in adulthood: a 15- year longitudinal study. Prev Med 2017;100: 173-9. 7. Himmelstein MS, Puhl RM. Weight-based victimization from friends and family: implications for how adolescents cope with weight stigma. Pediatr Obes 2019;14:e12453. 8. Phelan SM, Burgess DJ, Yeazel MW, et al. Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. Obes Rev 2015;16:319-26. 9. Tanas R, Caggese G, Corsello G. L’obesità va etichettata come “malattia”? Pediatria 2017; 6:14-5. 10. Ralston J, Brinsden H, Buse K, et al. Time for a new obesity narrative. Lancet 2018; 392: 1384-6. 11. Baggiani F. P(r)eso di mira. Pregiudizio e discriminazione dell’obesità. Edizione Clichy, 2014. 12. Ramos Salas X, Forhan M, Caulfield T, Sharma AM, Raine KD. Addressing internalized weight bias and changing damaged social identities for people living with obesity. Front Psychol 2019;10:1409. 13. Puhl RM. What words should we use to talk about weight? A systematic review of quantitative and qualitative studies examining preferences for weight-related terminology. Obes Rev 2020;21(6):e13008. 14. Stuij M, van Maarschalkerweerd PEA, Seidell JC, Halberstadt J, Dedding C. Youth perspectives on weight-related words used by healthcare professionals: a qualitative study. Child Care Health Dev 2020;46:369-80. 15. Boutelle KN, Feldman S, Neumark-Sztainer D. Parenting an overweight or obese teen: issues and advice from parents. J Nutr Educ Behav 2012;44:500-6. 16. Pudney EV, Himmelstein MS, Puhl RM. The role of weight stigma in parental weight talk. Pediatr Obes 2019;14:e12534. 17. Puhl RM, Phelan SM, Nadglowski J, Kyle TK. Overcoming weight bias in the management of patients with diabetes and obesity. Clin Diabetes 2016;34:44-50. 18. Zolnierek KB, Dimatteo MR. Physician communication and patient adherence to treatment: a meta-analysis. Med Care 2009; 47:826- 34. 19. Pearl RL, Himmelstein MS, Puhl RM, Wadden TA, Wojtanowski AC, Foster GD. Weight bias internalization in a commercial weight management sample: prevalence and correlates. Obes Sci Pract 2019;5:342-53. 20. Dewhurst A, Peters S, Devereux-Fitzgerald A, Hart J. Physicians’ views and experiences of discussing weight management within routine clinical consultations: a thematic synthesis. Patient Educ Couns 2017;100: 897-908. 21. Petrin C, Kahan S, Turner M, Gallagher C, Dietz WH. Current attitudes and practices of obesity counselling by health care providers. Obes Res Clin Pract 2017;11:352-9. 22. Toftemo I, Glavin K, Lagerløv P. Parents’ views and experiences when their preschool child is identified as overweight: a qualitative study in primary care. Fam Pract 2013;30: 719- 23. 23. Tanas R, Caggese G, Lera R. Il pediatra e l’obesità: riprova e vinci in 5 mosse. Quaderni acp 2020;27:4-11. 24. Tanas R, Bonadiman L, Caggese G, Lera R, Busetto L. Curare l’adulto con obesità: sostenibilità delle linee guida europee per i medici di famiglia italiani. Rivista Medica Italiana Online 2019;8:1-26. 25. Kyle TK, Stanford FC, Nadglowski JF. Addressing weight stigma and opening doors for a patient-centered approach to childhood obesity. Obesity (Silver Spring), 2018;26:457-8.

Corrispondenza: tanas.rita@gmail.com