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May 05, 2023
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VIDEO: Address weight bias as a complication of obesity

Fact checked byJill Rollet
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SEATTLE — In this video exclusive, Jonathan D. Leffert, MD, talks with Karl Nadolsky, DO, FACE, DABOM, about the drawbacks of using BMI and the importance of addressing weight stigma and bias when diagnosing and treating obesity.

Leffert is managing partner at North Texas Endocrine Center, a past president of the American Association of Clinical Endocrinology and an Endocrine Today Editorial Board Member. Nadolsky is assistant clinical professor of medicine at Michigan State University College of Human Medicine and chief of the department of endocrinology, obesity and metabolic health at Holland Hospital in Michigan.

Leffert and Nadolsky discuss a new AACE consensus statement on addressing weight stigma and bias.

Weight stigma, explicit and implicit provider bias, and patients’ own bias should be viewed as a complication of obesity, or adiposity-based chronic disease, according to Nadolsky.

“Patient internalized weight bias is not only a complication of obesity ... but it’s also a contributor, a driver or an exacerbating factor of that,” reducing patients’ efforts toward medical and lifestyle changes, Nadolsky said.

Acknowledging, staging and addressing internalized weight bias should be part of the plan for treating adiposity-based chronic diseases, Nadolsky said.

Reference:

  • Nadolsky K, et al. Endocr Pract. 2023;doi:10.1016/j.eprac.2023.03.272.