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What a picture of the modern world

Obese patients are the most likely to disagree with their doctors when given lifestyle and weight loss guidance, a study has found.

Researchers found patients tend to associate excess weight with factors that they cannot control, such as genetics and hormones.

Doctors, on the other hand, tend to attribute it to controllable factors, such as diet and physical activity.

Dr Laëtitia Gimenez, the lead author, said: “These disagreements could degrade the quality of the patient-physician relationship.

“Our study provides an opportunity for GPs to reflect on how they communicate with overweight and obese patients, particularly with regard to lifestyle and weight-related advice and interventions taking into account the patient’s representations.”

The people who are right are told not to be right in order to protect the feelz of those who are wrong.

Very modern….

18 thoughts on “What a picture of the modern world”

  1. Doctors have been parroting disastrous diet advice for decades, which has contributed enormously to the epidemic of fat, sick people.

    So no, not right. Not at all.

  2. Our study provides an opportunity for climate scientists to reflect on how they communicate with a luxury-addicted society, particularly with regard to lifestyle and energy-related advice and interventions taking into account the society’s revealed choices at polling stations and supermarkets.

  3. Would help if the person giving life and diet advice didn’t bear more than a passing resemblance to a beached whale themselves…

  4. Obese patients are the most likely to disagree with their doctors when given lifestyle and weight loss guidance

    I doubt it. Nine out of ten obese patients might disagree with such advice but all thin patients would.

  5. Doctors have been parroting disastrous diet advice for decades, which has contributed enormously to the epidemic of fat, sick people.

    So no, not right. Not at all.

    This is a two fold problem though. The patients that won’t listen and come up with the usual bullshit about “muh genetics” or whatever are one problem, but the bigger problem for those that DO listen and DO want to lose weight is that the advise given is overly simplistic (along thelines of “Eat less, move more”) and fails for >90% of those that follow it, women especially.

    What does work (typically low-to-zero carbs and intermittent fasting) is treated as anathema.

    Working hard on a diet prescribed by your doctor and ending up fatter than you were when you started 6 months down the line would discourage the best among us and those that most need to lose weight tend to be emotional or comfort eaters.

    It’s a shit show all around.

  6. the advise given is overly simplistic (along thelines of “Eat less, move more”) and fails for >90% of those that follow it, women especially.

    Eat less, move more works fine for anyone with the mental strength and willpower to keep to it. I speak from personal experience, having done precisely that to shed approximately 40% of my starting body weight over the last couple of years.

    The most important part of this style of weight loss diet is to train yourself to keep putting less on your plate than before, once the target weight has been achieved.

  7. Most GPs are not dieticians, giving the obese just basic advice to eat less and exercise more.
    But without knowing the mix of carbs/protein/fat their patient consumes, that’s bound to fail to improve their health or reduce their weight.
    I’ve changed to a low carb diet, now eating all the things we’ve been told for years to avoid. Also reducing/eliminating vegetable oils (originally intended for machine lubrication, not consumption) and processed grains, etc. Try it, it works!

  8. Obese as decided by whom according to which criteria?

    And why is ‘obesity’ a problem if the alleged obese are content with their lives?

    And… when arrive the coming food shortages, who is going to survive best, fatties or skinnies?

  9. “Would help if the person giving life and diet advice didn’t bear more than a passing resemblance to a beached whale themselves…”

    My late mother once found herself being given weight advice by the practice nurse, who could best be likened to a barrel on stilts. And it wasn’t as if mother was fat, just a little over the “ideal” figure – and she was then in her 80’s, and not very mobile anyway…

    “Eat less, move more”

    And my (also) late father used to say “No fat people ever came out of Belsen”. Obviously wouldn’t get away with comments like that nowadays…

  10. It’s particularly egregious when your doctor prescribes some medicines that cause you to gain weight.

    On those odd occasions when you can get an appointment, you are likely to be seen by a nurse and not a GP, and nurses (along with receptionists) seem always to be on the plump side.

  11. “Obese patients are the most likely to disagree with their doctors when given lifestyle and weight loss guidance, a study has found.”

    I’ve a feeling they left out the very important word “unsolicited”

    Doubly so because the Hallowed NHS + assorted Busybodies have set a lower level to “obesity” that’s … well there’s enough been said about that one..

  12. Many years ago read an amusing children’s book called fattipuffs and thinifers that’s most probably considered highly offensive in this day and age
    Basically 2 countries one full of fat people and one full of thin people, go to war and the thin people win and impose their lifestyle on the conquered fat people

  13. The most important part of this style of weight loss diet is to train yourself to keep putting less on your plate than before, once the target weight has been achieved.

    Even modest amounts of carbs and seed oils will cause weight gain, so this is not a viable strategy except for a hair-shirted few. Nobody wants to go through life permanently hungry, and there’s no need for it.

    For all practical purposes someone on a carnivore diet can eat all they want and not get fat (or suffer the myriad metabolic disfunctions associated with the former: cancer, heart disease, dementia…)

    The sweet spot for most is perhaps ketovore: mostly (red) meat and animal fats, plus eggs and high-fat dairy; leavened by green vegetables, berries and nuts.

  14. I reduced the amount I ate to lose weight, with no other changes in diet or lifestyle. It worked fine and continues to do so.

    I’m not hungry any more than I used to be. I was a bit during the process of losing the weight (duh!) but it’s not an issue once a new stable point was reached.

    I know plenty of others who have done the same.

    The idea that you will be permanently hungry is a myth. How could it possibly be true that our bodies never adjust to changed circumstances? The evolutionary process would soon get rid of animals that could not survive a couple of lean years.

    It *does* take a couple of months of willpower.

    Basically you need to want to lose weight more than you want to eat. Most people don’t.

  15. “The most important part of this style of weight loss diet is to train yourself to keep putting less on your plate than before, once the target weight has been achieved.”

    Even modest amounts of carbs and seed oils will cause weight gain, so this is not a viable strategy except for a hair-shirted few. Nobody wants to go through life permanently hungry, and there’s no need for it.

    As Chester correctly states above, there’s no permanent hunger once you reach the target weight and you balance your intake.

    You can keep your fad diets. I’ll happily continue to eat bacon sarnies, as I did throughout my diet.

  16. The modern obesity pandemic started when it become unacceptable to shame chubbers. Personally I would make them run until their eyes bleed. And as for dietary advice, if that hole (mouth) is bigger than that hole (arse) you’ll put on weight; and vice-versa. I stand to be contradicted by anyone with a proper qualification, but to the best of my knowledge the human body has not yet developed the ability to produce fat from air/water.

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