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The Case for a Health at Every Size Approach for Chronic Disease Risk Reduction in Women of Color
Affiliation:1. Program in Nutrition, Health, and Behavior Studies, Teachers College, Columbia University, New York, NY;2. Dietetics, Foods, and Nutrition, Department of Health Sciences, Lehman College, City University of New York, New York, NY;1. Department of Nutrition and Dietetics, Hacettepe University, Ankara, Turkey;2. Department of Computer Engineering, Hacettepe University, Ankara, Turkey;3. Department of Pediatrics, Division of Adolescent Medicine, Hacettepe University, Ankara, Turkey;1. Division of General Pediatrics and Adolescent Health, School of Medicine, University of Minnesota, Minneapolis, MN;2. Sanford Center for Biobehavioral Research, Fargo, ND;3. Institute of Public Health and Clinical Nutrition, School of Medicine, University of Eastern Finland, Kuopio, Finland;4. Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN;1. Center for American Progress, United States;2. University of Hawaii at Manoa, United States;3. Western Washington University, United States
Abstract:The conventional approach to chronic disease management in women of color is a dieting-for-weight-loss approach, which has not been proven to be effective. The purpose of this article is to highlight the shortcomings of the dieting-for-weight-loss approach and demonstrate the potential efficacy of the Health at Every Size approach when working with women of color to prevent and address chronic diseases. The article's areas of focus are weight stigma, bias, and size discrimination; the implications of differing weight perceptions and motivations for change; and weight as the primary determinant of health and biological factors affecting weight.
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