What is obesity?
Let’s address the misconceptions about obesity - “it’s not about will power”
“Eat less and move more” are words that any person who has struggled with their weight has likely been told.
The problem with this message is it’s based on a false belief that we have full control over our weight. We do not, science tells us otherwise.
Obesity is a complex chronic condition that is defined by how abnormal or excess fat tissue impairs our health. Obesity is driven by our own biology; an intricate interplay of genetics, hormones, metabolism, and our environment causes the development of obesity.
It’s not just about calories
At the most basic level weight gain is caused by a positive energy balance, meaning we are eating more calories (taking in more energy) than our body needs. However, what causes that imbalance is complicated. Energy balance is influenced by factors such as lack of sleep/fatigue, hormone regulation, stress and psychological distress, medications, our appetite system and more. In fact there are thousands of genes and an abundance of hormones that influence hunger, fullness, cravings and how your body stores energy.
Obesity deserves real ongoing medical care
When we recognize the complexity of obesity, we see that treating it with only lifestyle recommendations is not enough! We would never treat other chronic diseases, like high blood pressure or diabetes with vague advice and no follow up. So why is obesity still often treated this way?!
Managing obesity requires more than willpower, or a better meal plan. It requires a proper medical assessment, personalised evidence based treatment options (including medications and surgery when appropriate), and ongoing support.
Stigma makes everything harder
Despite global health institutions like Obesity Canada and the World Health Organization recognizing obesity as a chronic condition, weight bias exists. Stigma (harmful social stereotypes about people living with obesity) both within our society and our healthcare system creates discrimination that makes access to care more difficult. In fact, 64% of people living with obesity report experiencing weight bias from a healthcare professional. Internalized weight bias (when an individual believes those same messages) is also a common issue and a key roadblock to managing obesity. The impacts of stigma and bias go beyond accessing medical support. Experiencing weight bias impacts emotional wellbeing, confidence, and overall quality of life, creating barriers to establishing new habits or trying new treatment strategies that might aid in weight management.
The bottom line
Struggling with weight is not a reflection of effort, willpower, or worth. Obesity is a complex, chronic condition that deserves the same compassion and evidence-based care as any other medical condition. If you’re struggling, it’s not because you’ve failed, it’s because you haven’t been given the right tools or support.
If you want to learn more about obesity and treatment options, speak to your Constant Health Dietitian to find tailored approaches designed specifically for you!
Click the following links to learn more about weight bias or understanding obesity from Obestiy Canada.