Researchers urge for clearer communication to aid the general public and policymakers in gaining a deeper comprehension of the disease of obesity.
A recent study emphasizes the necessity of altering our language surrounding obesity, in order to enhance public understanding of this disease.
Researchers from University College Cork (UCC) and University of Galway are proposing a redefinition of the term ‘obesity’, with the aim of fostering a deeper understanding of its implications among both the public and policymakers. They believe that this could spur more effective strategies for treating and preventing obesity.
Beyond BMI: Understanding Obesity as a Complex Disease
Published in Obesity Reviews, their study highlights ongoing confusion about the term ‘obesity’, which currently can refer to the disease of obesity or to a BMI range, or a combination of the two.
Dr. Margaret Steele, a postdoctoral researcher in UCC’s School of Public Health, and Professor Francis Finucane, Consultant Endocrinologist and Professor of Medicine in the University of Galway, explored different or conflicting understandings of the term ‘obesity’.
The researchers suggest it is time to reconsider whether the term ‘obesity’ conveys the reality of this complex disease that centers on environmental, genetic, physiological, behavioral, and developmental factors, not on body weight or on BMI.
New appetite-control medications are generating phenomenal demand worldwide, but patients with obesity may be sent to the back of the queue on the mistaken assumption that they do not need the medication as much as patients with diabetes. The researchers suggest that clearer terminology could play a role in addressing this inequity.
Dr Margaret Steele said: “Our focus should be on the underlying pathophysiology and not on body size. For people with the disease of obesity, treatment is not optional or cosmetic. A different diagnostic term such as ‘adiposity-based chronic disease’ could more clearly convey the nature of this disease, and avoid the confusion and stigma that may occur if we keep using the term ‘obesity’, which has become synonymous with body size.”
Tackling Stigma and Misuse of Obesity Treatments
Professor Francis Finucane described new Irish Medical Council guidance warning doctors against using Ozempic for obesity as morally problematic.
Professor Finucane said: “Semaglutide is approved as a treatment for obesity, just as it is for diabetes. There is a deeply stigmatizing idea out there that people with obesity are looking for an easy way out, that these medicines provide a low-effort alternative to a healthy diet and lifestyle. But for people living with the disease of obesity, these drugs don’t make behavioral change unnecessary, nor do they make it easy – they just make it possible.”
The researchers point out that this is very different from celebrities using drugs like semaglutide to become “fashionably” thin.
Dr. Steele said: “This is why we need to clarify what we mean by obesity. Many of the people we see on TikTok or Instagram reporting on their semaglutide journeys do not have the disease of obesity. When we talk about treating and preventing obesity, our focus should be on healthy food environments, and appropriate treatment for people living with chronic metabolic diseases. We hope this new research will help drive home the point that this is about helping people live well, not making everyone skinny.”
Reference: “Philosophically, is obesity really a disease?” by Margaret Steele and Francis M. Finucane, 6 June 2023, Obesity Reviews.
DOI: 10.1111/obr.13590
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4 Comments
We must rename “obesity” because of “confusion and stigma”. The problem really is “not on body size”, but the “focus should be on the underlying pathophysiology”. I suggest the following non-size related pathophysiological terminology options: people of exceptional adiposity, beings experiencing fatness, the lipo-wealthy, and the lardencumbered.
All too frequently, those concerned about the stigma associated with certain human conditions, confuse the combination of letters of the alphabet — called words — with the complex properties that the word represents. Those properties elicit emotional responses from people who hear the word. The serious mistake made is to assume that using a different word will cause people to no longer associate their feelings with the word. That may work temporarily, while people are unfamiliar with the word, but eventually they will come to have the same feelings associated with the new word. Therefore, someone will come up with the ‘brilliant’ idea to come up with yet another word, or sometimes borrow an existing word.
To solve the problem, one must get people to remove the property that elicits the negative feelings, such as by losing weight, instead of stigmatizing people who continue to use the original word.
LMAO of course the person wanting to stop using the term “obesity” is OBESE! LMAO
I didnt know obesity was a disease either. I thought it was a symptom not a cause.
My mother had an overactive thyroid gland and she was unable to eat enough to maintain her weight. I just wonder if over weight people could be suffering from an under active thyroid?