![]() Despite attention from the public health establishment, a private weight loss industry estimated at $58.6 billion annually in the United States, unprecedented levels of body dissatisfaction and repeated attempts to lose weight, the majority of individuals are unable to maintain weight loss over the long term and do not achieve the putative benefits of improved morbidity and mortality. This paper evaluates the evidence and rationale that justifies shifting the health care paradigm from a conventional weight focus to HAES.Ĭoncern regarding "overweight" and "obesity" is reflected in a diverse range of policy measures aimed at helping individuals reduce their body mass index (BMI) 1. Randomized controlled clinical trials indicate that a HAES approach is associated with statistically and clinically relevant improvements in physiological measures (e.g., blood pressure, blood lipids), health behaviors (e.g., eating and activity habits, dietary quality), and psychosocial outcomes (such as self-esteem and body image), and that HAES achieves these health outcomes more successfully than weight loss treatment and without the contraindications associated with a weight focus. A growing trans-disciplinary movement called Health at Every Size (HAES) challenges the value of promoting weight loss and dieting behavior and argues for a shift in focus to weight-neutral outcomes. This concern has drawn increased attention to the ethical implications of recommending treatment that may be ineffective or damaging. Concern has arisen that this weight focus is not only ineffective at producing thinner, healthier bodies, but may also have unintended consequences, contributing to food and body preoccupation, repeated cycles of weight loss and regain, distraction from other personal health goals and wider health determinants, reduced self-esteem, eating disorders, other health decrement, and weight stigmatization and discrimination. This approach reliably induces short term weight loss, but the majority of individuals are unable to maintain weight loss over the long term and do not achieve the putative benefits of improved morbidity and mortality. #PARADIGM SHIFT ISO#Find out how these shifts could come about with “Keeping Up with Additive Manufacturing” and “Remote Quality Management System Audits: An ISO 9001 Auditor’s Perspective and Lessons Learned.Current guidelines recommend that "overweight" and "obese" individuals lose weight through engaging in lifestyle modification involving diet, exercise and other behavior change. This month’s Quality looks at two potential paradigm shifts in our industry concerning additive manufacturing and audits. This shift to a less Earth-centric outlook has-again, with help from the progress of technology-led to a view of the universe that includes not only our own solar system, but also an understanding of seemingly infinite galaxies, empirical evidence of black holes, and the brain-swooshing size of the Universe and how tiny we are in it. Then, about five-hundred years ago, Copernicus came along and modeled a Universe that placed the Sun at the center. For a very long time and a long time ago, science placed the Earth at the center of the universe. These shifts are not only evident in the practical applications of technology in our lives, but in how we view the world around us. Trades can now be made directly from the investor online, from anywhere, in a matter of seconds. With its progress into the digital age, snail mail and fax machines have been replaced by email and pdfs, most notably executed from a smart phone from anywhere, as opposed to the confines of an office. In fact, because these shifts happen at such a fundamental level, they do more than merely influence these industries, but change and evolve them at their core.įor instance, technology has had, and continues to have, a tremendous effect on the way we live or lives, particularly in the way we do our jobs. While Kuhn’s observations and work were focused on the experimental practices of science, these shifts have influenced a number of industries, including business, education, psychology, technology, and life itself. A paradigm shift, identified and coined by American physicist and philosopher Thomas Kuhn, is a fundamental change in the approach, concepts, and assumptions of a practice. ![]()
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