Influences on overvatness and obesity: ethical issues

INFLUENCES ON OVERVATNESS AND OBESITY: ETHICAL ISSUES
The paradigm arising from previous models of obesity assumes that if an overfat person consults a professional or commercial weight loss organisation, he or she will be given a set of instmctions which, if followed, will lead to an ideal body weight. Failure to achieve this is often attributed to sloth, gluttony or a lack of willpower. Under the new ecological approach presented here, it is acknowledged that an individual's equilibrium point is determined by a variety of influences, many of which are beyond his or her control. To lose body fat may be extremely difficult for people with the biological and environmental cards stacked against them. To achieve ideal body weight may be virtually impossible. So it becomes unethical to use extreme cases of weight loss and unrealistic goals of achievement as selling points for commercial weight loss programs. These are likely to give false expectations which may lead to cycles of failure, guilt and low self-esteem which can only be expected to magnify obesity and eating disorders.
Re-defining the problem. As a working definition of obesity based on this new approach to the problem, we might consider the following:
Obesity and overfatness result from the combined influences of the environment, behaviour and biology on increasing fat intake and reducing fat utilisation. Changes in body fat levels from their equilibrium or 'settling point' are moderated by physiological adjustments which temper the impact of fat/energy balance on body fat change.

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