What’s the difference between a weight-inclusive approach and a weight-centric approach?
Currently, doctors and many health care professionals (including dietetics) are taught through a weight-centric perspective, where weight and body size is believed to be central to good health. In a weight-centric health care system, losing weight is not only the most typical treatment recommendation when health issues arise, but it is still encouraged and focused on even when the patient is in good health. A weight-centric approach is entrenched with bias, fatphobia and is a quite narrow view that doesn’t take into consideration other (and more profound) determinants of health, such as: genetics, environment, behaviors, relationship to food and exercise, trauma history and adverse childhood experiences, mental and emotional health, stress, stigma, discrimination, ablesim, oppression and poverty.
When we shift our focus away from weight it allows us to take the blinders off and broaden our understanding of health. Therefore, a weight-inclusive approach rejects BMI and the pathologizing of weight and instead centers care around all of the above factors. A weight-inclusive approach appreciates that body diversity is a fact (that not all bodies are meant to be small), offers dignity and respect for all body sizes and puts weight regulation back into the hands of genetics and your biology.