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Journal article 1704 views

Not very NICE: deviance, stigma and nutritional guidelines related to healthy weight and obesity

Alison Hann, Ashley Frawley Orcid Logo, Gillian Spedding

The International Journal of Health Planning and Management, Volume: 31, Issue: 2

Swansea University Authors: Alison Hann, Ashley Frawley Orcid Logo

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DOI (Published version): 10.1002/hpm.2350

Abstract

This paper examines critically the current NICE and NHS guidelines on weight management and the avoidance of obesity (NG7). The advice and its stated context are distilled into four key assumptions: BMI is a valid indicator of ill-health, energy balance, or ‘calories-in, calories-out’, is the underl...

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Published in: The International Journal of Health Planning and Management
Published: 2017
Online Access: http://onlinelibrary.wiley.com/doi/10.1002/hpm.2350/full
URI: https://cronfa.swan.ac.uk/Record/cronfa27554
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spelling 2020-10-15T12:08:52.1538875 v2 27554 2016-04-28 Not very NICE: deviance, stigma and nutritional guidelines related to healthy weight and obesity dcb8d9bb26d808c4bfae00a671048ec8 Alison Hann Alison Hann true false 9279d7a34ced689e04eb6bdc56e74a64 0000-0002-4691-4612 Ashley Frawley Ashley Frawley true false 2016-04-28 PHAC This paper examines critically the current NICE and NHS guidelines on weight management and the avoidance of obesity (NG7). The advice and its stated context are distilled into four key assumptions: BMI is a valid indicator of ill-health, energy balance, or ‘calories-in, calories-out’, is the underlying driver of weight management, physical activity is an effective method of weight management, and failure to adhere to dietary/physical activity guidelines is exacerbating the ‘obesity crisis’. The paper provides a critical examination of these assumptions and concludes that the guidelines are unlikely to encourage maintenance of ‘healthy’ weights or prevent obesity, are not based upon particularly strong evidence and are misguided in maintaining a persistent focus upon weight rather than other indicators of health. Moreover, we suggest their promotion may have a number of consequences, including perpetuating body related stigmatisation and perpetuating highly moralised beliefs that bodily corpulence is primarily the result of laziness and gluttony. Journal Article The International Journal of Health Planning and Management 31 2 NICE;obesity;nutritional guidelines;healthy weight;dieting 1 10 2017 2017-10-01 10.1002/hpm.2350 http://onlinelibrary.wiley.com/doi/10.1002/hpm.2350/full This is a co-authored article with Alison Hann and Jill Spedding of Swansea University. The author made a substantial contribution to the conception and design of the study, to the organisation of the conduct of the study, to carrying out the study (including acquisition of study data) and to analysis and interpretation of study data. The author helped draft the output. COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University 2020-10-15T12:08:52.1538875 2016-04-28T17:57:51.6064931 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Alison Hann 1 Ashley Frawley 0000-0002-4691-4612 2 Gillian Spedding 3
title Not very NICE: deviance, stigma and nutritional guidelines related to healthy weight and obesity
spellingShingle Not very NICE: deviance, stigma and nutritional guidelines related to healthy weight and obesity
Alison Hann
Ashley Frawley
title_short Not very NICE: deviance, stigma and nutritional guidelines related to healthy weight and obesity
title_full Not very NICE: deviance, stigma and nutritional guidelines related to healthy weight and obesity
title_fullStr Not very NICE: deviance, stigma and nutritional guidelines related to healthy weight and obesity
title_full_unstemmed Not very NICE: deviance, stigma and nutritional guidelines related to healthy weight and obesity
title_sort Not very NICE: deviance, stigma and nutritional guidelines related to healthy weight and obesity
author_id_str_mv dcb8d9bb26d808c4bfae00a671048ec8
9279d7a34ced689e04eb6bdc56e74a64
author_id_fullname_str_mv dcb8d9bb26d808c4bfae00a671048ec8_***_Alison Hann
9279d7a34ced689e04eb6bdc56e74a64_***_Ashley Frawley
author Alison Hann
Ashley Frawley
author2 Alison Hann
Ashley Frawley
Gillian Spedding
format Journal article
container_title The International Journal of Health Planning and Management
container_volume 31
container_issue 2
publishDate 2017
institution Swansea University
doi_str_mv 10.1002/hpm.2350
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
url http://onlinelibrary.wiley.com/doi/10.1002/hpm.2350/full
document_store_str 0
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description This paper examines critically the current NICE and NHS guidelines on weight management and the avoidance of obesity (NG7). The advice and its stated context are distilled into four key assumptions: BMI is a valid indicator of ill-health, energy balance, or ‘calories-in, calories-out’, is the underlying driver of weight management, physical activity is an effective method of weight management, and failure to adhere to dietary/physical activity guidelines is exacerbating the ‘obesity crisis’. The paper provides a critical examination of these assumptions and concludes that the guidelines are unlikely to encourage maintenance of ‘healthy’ weights or prevent obesity, are not based upon particularly strong evidence and are misguided in maintaining a persistent focus upon weight rather than other indicators of health. Moreover, we suggest their promotion may have a number of consequences, including perpetuating body related stigmatisation and perpetuating highly moralised beliefs that bodily corpulence is primarily the result of laziness and gluttony.
published_date 2017-10-01T03:33:25Z
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score 11.03559

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