Reducing weight bias in obesity management, practice and policy

Authors

  • J Hellig Cape Town Bariatric Clinic, Life Kingsbury Hospital, Cape Town, South Africa
  • C Nieuwoudt Registered dietitian, Zuid-Afrikaans Hospital, Pretoria, South Africa https://orcid.org/0009-0003-2428-823X
  • M Conradie-Smit Division of Endocrinology, Department of Medicine, Stellenbosch University and Tygerberg Academic Hospital, Cape Town, South Africa
  • W May Cape Town Bariatric Clinic, Life Kingsbury Hospital, Cape Town, South Africa

DOI:

https://doi.org/10.7196/SAMJ.2025.v115i9b.3598

Keywords:

obesity, bias, Guideline, South Africa

Abstract

RECOMMENDATIONS

1. HCPs should assess their own attitudes and beliefs regarding obesity and consider how their attitudes and beliefs may influence care delivery (Level 1a, Grade A).

2. HCPs should recognise that internalised weight bias (bias towards oneself) in PLWO can affect behavioural and health outcomes (Level 2a, Grade B).

3. HCPs should avoid using judgemental words (Level 1a, Grade A), images (Level 2b, Grade B)[2] and practices (Level 2a, Grade B)[13] when working with PLWO.

4. We recommend that HCPs avoid making assumptions that an ailment or complaint a patient presents is related to their body weight (Level 3, Grade C).

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2025-11-04

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Obesity Guideline

How to Cite

1.
Hellig J, Nieuwoudt C, Conradie-Smit M, May W. Reducing weight bias in obesity management, practice and policy. S Afr Med J [Internet]. 2025 Nov. 4 [cited 2025 Nov. 12];115(10b):e3598. Available from: https://samajournals.co.za/index.php/samj/article/view/3598