Format

Send to

Choose Destination
Nat Med. 2020 Mar 4. doi: 10.1038/s41591-020-0803-x. [Epub ahead of print]

Joint international consensus statement for ending stigma of obesity.

Author information

1
King's College London, Department of Diabetes, School of Life Course Science, London, UK. francesco.rubino@kcl.ac.uk.
2
King's College Hospital, Bariatric and Metabolic Surgery, London, UK. francesco.rubino@kcl.ac.uk.
3
Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford, CT, USA.
4
UW Medicine Diabetes Institute, University of Washington, Seattle, WA, USA.
5
Weight Management Program, Virginia Puget Sound Health Care System, University of Washington, Seattle, WA, USA.
6
Division of Endocrinology, Metabolism & Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
7
Division of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
8
Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, LA, USA.
9
The Marie-Josee and Henry R. Kravis Center for Clinical Cardiovascular Health at Mount Sinai Heart, New York, NY, USA.
10
Divisions of Cardiology and Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
11
Obesity Action Coalition, Tampa, FL, USA.
12
Obesity Canada, Edmonton, Canada.
13
European Association for the Study of Obesity, Teddington, UK.
14
Diabetes UK, London, UK.
15
Boston University School of Medicine, Boston, MA, USA.
16
Center for Nutrition and Weight Management, Boston Medical Center, Boston, MA, USA.
17
Comprehensive Weight Control Center, Division of Endocrinology, Diabetes and Metabolism, Weill Cornell Medicine, New York, NY, USA.
18
National Institute of Health Research, University College London Hospitals Biomedical Research Centre, London, UK.
19
University College London Hospital Foundation Trust, London, UK.
20
Centre for Obesity Research, Department of Medicine, University College London, London, UK.
21
Neurobiology of Nutrition and Metabolism Department, Pennington Biomedical Research Centre, Louisiana State University System, Baton Rouge, LA, USA.
22
Centro de Innovación Clinica Las Condes Universidad Adolfo Ibañez, Santiago, Chile.
23
Department of Internal Medicine, University of Padova, Padua, Italy.
24
Hasharon Hospital-Rabin Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
25
Obesity Management Task Force, European Association for the Study of Obesity, Teddington, UK.
26
Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
27
Department of Surgery, Stanford School of Medicine and Palo Alto Virginia Health Care System, Stanford, CA, USA.
28
School of Psychology, University of Leeds, Leeds, UK.
29
Scaled Insights, Nexus, University of Leeds, Leeds, UK.
30
Department of Health Policy & Management, Center for Systems & Community Design, New York, NY, USA.
31
NYU-CUNY Prevention Research Center, Graduate School of Public Health & Health Policy, City University of New York, New York, NY, USA.
32
Obesity, Metabolism and Nutrition Institute, Massachusetts General Hospital, Boston, MA, USA.
33
Integrated Physiology and Molecular Medicine, Pennington Biomedical Research Center, Baton Rouge, LA, USA.
34
Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
35
ConscienHealth, Pittsburgh, PA, USA.
36
Division of Endocrinology, Columbia University, New York, NY, USA.
37
Diabetes Complications Research Centre, University College Dublin, Dublin, Ireland.
38
Government Affairs & Advocacy, American Diabetes Association, Arlington, VA, USA.
39
King's College London, Department of Diabetes, School of Life Course Science, London, UK.
40
Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
41
Catholic University, Rome, Italy.
42
Division of Endocrinology, Diabetes & Metabolism, Columbia University College of Physicians and Surgeons, New York, NY, USA.
43
Pennsylvania State Hershey Medical Center, Hershey, PA, USA.
44
Columbia University Irving Medical Center, New York, NY, USA.
45
Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
46
Hospital Clinico San Carlos. Universidad Complutense de Madrid, Madrid, Spain.
47
Baker IDI Heart and Diabetes Institute, Melbourne, Australia.

Abstract

People with obesity commonly face a pervasive, resilient form of social stigma. They are often subject to discrimination in the workplace as well as in educational and healthcare settings. Research indicates that weight stigma can cause physical and psychological harm, and that affected individuals are less likely to receive adequate care. For these reasons, weight stigma damages health, undermines human and social rights, and is unacceptable in modern societies. To inform healthcare professionals, policymakers, and the public about this issue, a multidisciplinary group of international experts, including representatives of scientific organizations, reviewed available evidence on the causes and harms of weight stigma and, using a modified Delphi process, developed a joint consensus statement with recommendations to eliminate weight bias. Academic institutions, professional organizations, media, public-health authorities, and governments should encourage education about weight stigma to facilitate a new public narrative about obesity, coherent with modern scientific knowledge.

PMID:
32127716
DOI:
10.1038/s41591-020-0803-x

Supplemental Content

Full text links

Icon for Nature Publishing Group
Loading ...
Support Center