title: The war on obesity: a social determinant of health.
abstract: The weight-centred health paradigm is an important contributor to the broader cultural paradigm in which corpulence is eschewed in favour of leanness. The desirability to reduce body fat or weight or to prevent gaining 'excess' fat is driven by both aesthetic and health ideals. The 'war on obesity' is a broad health-based set of policies and programs designed to problematise 'excess' body fat and create solutions to the 'problem'. There is a substantial body of literature that claims to demonstrate the harmful effects of 'excess' body fat. Recent critiques of 'obesity prevention' programs have highlighted the importance of focusing on environmental changes rather than individuals due in part to the risk of harmful consequences associated with individualistic, victim-blaming approaches. Beyond this, there are suggestions that framing body weight as the source of health problems - known as the weight-centred health paradigm - is in itself a harmful approach. The range of harms includes body dissatisfaction, dieting, disordered eating, discrimination and death. Health promotion policies and programs that operate within the weight-centred paradigm have the potential to have a negative impact on the health and well-being of individuals and communities.
authors.affiliation: Centre for Healthy Activities, Sport and Exercise, Faculty of Science, Health and Education, University of the Sunshine Coast, Queensland. lohara@usc.edu.au
authors.forename: Lily
authors.initials: L
authors.lastname: O'Hara
authors.forename: Jane
authors.initials: J
authors.lastname: Gregg
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001828:Body Image; D001835:Body Weight; D002648:Child; D004032:Diet / Q000009:adverse effects; D001068:Feeding and Eating Disorders / Q000209:etiology; D005260:Female; D006293:Health Promotion; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D009765:Obesity / Q000178:diet therapy / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D012307:Risk Factors; D015431:Weight Loss