2. BMI is not what you think it is: Health At Every Size
Just Medicine9 Feb 2023

2. BMI is not what you think it is: Health At Every Size

Producer’s note: The audio for this episode is a bit unstable at times, so apologies for that in advance.

In this episode, I chatted with Dr. Katarina Wind, a recent Family Medicine graduate and a weight-inclusive practitioner about weight and fatphobia in healthcare. We talked about the history and application of BMI to medicine, her personal journey with weight perception, and how to approach discussions around weight with patients. The sources from the introduction are included below.

If you have any questions, want to suggest a topic for us to cover, or know of any experts in a particular field, please email us at justmedicinepod@gmail.com

Sources

References

  1. Rathbone, JA, Cruwys, T, Jetten, J, Barlow, FK. When stigma is the norm: How weight and social norms influence the healthcare we receive. J Appl Soc Psychol. 2020; 00: 1– 17. https://doi.org/10.1111/jasp.12689
  2. Mann T, Tomiyama AJ, Westling E, Lew AM, Samuels B, Chatman J. Medicare's search for effective obesity treatments: diets are not the answer. Am Psychol. 2007 Apr;62(3):220-33. doi: 10.1037/0003-066X.62.3.220. PMID: 17469900.
  3. Loveman E, Frampton GK, Shepherd J, Picot J, Cooper K, Bryant J, Welch K, Clegg A. The clinical effectiveness and cost-effectiveness of long-term weight management schemes for adults: a systematic review. Health Technol Assess. 2011 Jan;15(2):1-182. doi: 10.3310/hta15020. PMID: 21247515; PMCID: PMC4781196.
  4. Lee JA, Pausé CJ. Stigma in Practice: Barriers to Health for Fat Women. Front Psychol. 2016 Dec 30;7:2063. doi: 10.3389/fpsyg.2016.02063. PMID: 28090202; PMCID: PMC5201160.
  5. McPhail D, Orsini M. Fat acceptance as social justice. CMAJ. 2021 Sep 7;193(35):E1398-E1399. doi: 10.1503/cmaj.210772. PMID: 34493569; PMCID: PMC8443289.
  6. https://www.brown.edu/news/2016-12-12/famine
  7. https://www.huffingtonpost.co.uk/entry/south-asian-health-colonial-history_uk_620e74fee4b055057aac0e9f
  8. https://obesitycanada.ca/guidelines/weightbias/
  9. https://thischangedmypractice.com/why-i-no-longer-prescribe-weight-loss/
  10. https://www.nytimes.com/2013/06/19/business/ama-recognizes-obesity-as-a-disease.html

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