Medical Nutrition Education for Health, Not Harm: BMI, Weight Stigma, Eating Disorders, and Social Determinants of Health
Kearney T. W. Gunsalus, Jordan K. Mixon, Ellen M. House
Abstract
Effective nutrition training is fundamental to medical education. Current training is inadequate and can cause harm to students and patients alike; it leaves physicians unprepared to counsel on nutrition, places undue focus on weight and body mass index (BMI), can exacerbate anti-obesity bias, and increase risk for development of eating disorders, while neglecting social determinants of health and communication skills. Physicians and educators hold positions of influence in society; what we say and how we say it matters. We propose actionable approaches to improve nutrition education to minimize harm and pursue evidence-based, effective, and equitable healthcare.
Topics & Concepts
Stigma (botany)HarmEating disordersSocial stigmaPsychiatryPsychologyWeight stigmaDo no harmMedicineClinical psychologyFamily medicineObesitySocial psychologyOverweightHuman immunodeficiency virus (HIV)Internal medicineObesity and Health PracticesObesity, Physical Activity, DietDietetics, Nutrition, and Education