Addressing weight bias in medicine

You happen to be among the two-thirds of Americans with overweight and obesity (defined as a body mass index of 25 or greater), and you are just thrilled to go to your next doctor’s appointment, right? Wrong! Unfortunately, if you have a diagnosis of overweight or obesity, you might find the doctor’s office to be the least inviting place to be. Maybe you find that there are no chairs to accommodate you in the waiting room. When the medical staff takes your blood pressure, you might find that they struggle to find the right size cuff. You might feel as though you are weighed in a disrespectful fashion. Or maybe, when you bring up a medical issue with your doctor that is of significant concern, your doctor states that if you just “got your weight under control,” that this and all other issues would no longer be problematic. And finally, as you prepare to depart, your doctor tells you once more: “If you eat less and exercise more, you will lose weight.” Health consequences of weight bias Weight bias is pervasive in medicine, as communicated in a recent article in the Journal of the American Medical Association. The prevalence of weight bias in medicine may stem, at least in part, from minimal education about obesity in undergraduate and graduate medical education. And there is even less education about weight bias and stigma and its impact on the health of individuals who struggle with obesity. Obesity is a complex disease that cannot be minim...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Source Type: blogs

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Phys. Chem. Chem. Phys., 2019, Accepted Manuscript DOI: 10.1039/C9CP03151K, PaperQin Qiao, Guanghong Wei, Demin Yao, Zhijian Song The amyloid formation of human islet amyloid polypeptide (hIAPP) —an intrinsically disordered peptide, is associated with type II diabetes. Cellular membranes, especially those composed of negatively-charged lipids, accelerate the hIAPP amyloid... The content of this RSS Feed (c) The Royal Society of Chemistry
Source: RSC - Phys. Chem. Chem. Phys. latest articles - Category: Chemistry Authors: Source Type: research
Publication date: Available online 9 August 2019Source: Spatial and Spatio-temporal EpidemiologyAuthor(s): M. Vranckx, T. Neyens, C. FaesAbstractDisease mapping is a scientific field that aims to understand and predict disease risk based on counts of observed cases within small regions of a study area of interest. Hierarchical model-based approaches that borrow information from neighbouring areas via conditional autoregressive (CAR) random effects on the local disease rates have gained a lot of popularity, thanks to the readily implemented Markov chain Monte Carlo methods. Nowadays, many software implementations to model r...
Source: Spatial and Spatio-temporal Epidemiology - Category: Epidemiology Source Type: research
Conclusions: The results evidenced the role of the domiciliary situation among outcomes at the national level, with lower prevalence of general and abdominal obesity in men living in rural areas. However, higher prevalences were found among women, especially for abdominal obesity.
Source: Revista Brasileira de Epidemiologia - Category: Epidemiology Source Type: research
This study aimed to identify different groups of pregnant women based on their behavioral, psychosocial and socio-economic characteristics and their pregnancy outcomes.In total, 2455 women who were 12 weeks pregnant completed a questionnaire on smoking behavior, health behaviors and psychosocial and socio-economic characteristics. Neonatal and maternal outcomes were extracted from the Dutch perinatal registration. Subgroups were identified with latent class analysis and adverse pregnancy outcomes were compared between subgroups with logistic regression.Women were classified into four latent classes. Two classes represent...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research
Suicidality is a serious concern in this country. In the U.S. nearly 40,000 people die by suicide each year. It is the 10th leading cause of death. For those 15-24, it is the 2nd leading cause of death. Using data from the Add Health Longitudinal data set ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
INTRODUCTION: Childhood adversity (CA) has been suggested as a key risk factor for suicidal behaviour, but evidence from low/middle-income countries is lacking. In Sri Lanka, CA, in the form of child maltreatment or as a consequence of maternal separation,...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
This study aimed to describe the characteristics, distribution, and mortality rates from suicide in indigenous children in Brazil compared to non-indigenous children. This descriptive study covered the years from 2010 to 2014, using national databases. The...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
OBJECTIVE: To conduct a geospatial analysis of suicide deaths among young people in the state of Paran á, southern Brazil, and evaluate their association with socioeconomic and spatial determinants. METHODS: Data were obtained from the Mortality In...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
Several adolescent depression prevention programs have demonstrated effects on depressive symptoms and overall functioning. Yet, despite an increasing emphasis on elucidating mechanisms of change in interventions, few studies have identified mediators of t...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
Authors: Ericksen K, Fogel J, Verma RP Abstract Background: The etiopathogenesis of late preterm birth is undetermined. Placental histopathology (PH) reflects adverse intrauterine environment and is documented to be associated with preterm labor and neonatal morbidities. The placental histopathology has not been studied in late preterm infants. Purpose: We investigated placental pathological lesion as markers of adverse intrauterine environment during late preterm labor. Methods: In a retrospective case control study following placental histopathological and clinical variables were compared between late pre...
Source: Korean Journal of Pediatrics - Category: Pediatrics Tags: Korean J Pediatr Source Type: research
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