Beyond BMI: Weight Inclusive Women’s Healthcare – Lisa Erlanger

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Exploring the Essential Features of “Beyond BMI: Weight Inclusive Women’s Healthcare – Lisa Erlanger”

As media coverage and medical talks are saturated with talk of “obesity” and the newly approved weight loss methods, patients and advocates are also speaking up about the harms of the BMI and weight stigma, leaving you to wonder how best to serve your larger-bodied patients. In this presentation, we will explore the impact of and alternatives to the dominant weight-centric model of care. We will examine the correlations between weight and health, explore the direct and indirect effects of anti-fat bias on health and analyze the effects of anti-fat bias on weight-related research. Using cases, questions for reflection, presentation of data, and analysis of actual research, we’ll look at specific diseases in larger-bodied patients.  You will leave with concrete ideas for reducing stigma in your practice and for providing evidence-based, anti-bias care to patients of all sizes. 

Speaker

Lisa Erlanger, MDRelated seminars and products

University of Washington — The Emily Program

 
Lisa Erlanger, MD, is a board-certified family physician whose practice focuses on primary care of larger-bodied individuals, and medical care of eating disorders and mental health concerns. As a Clinical Professor of Family Medicine, she teaches courses including patient-centered care and communication, and ecology of health and medicine. She speaks nationally about weight stigma, weight inclusive primary care and eating disorders. Dr. Erlanger is a Certified Body Trust (R) Provider through Be Nourished in Portland, OR. She believes all people deserve trauma informed, gender affirming, weight inclusive health care.

Speaker Disclosures:
Financial: Dr. Lisa Erlanger has an employment relationship with the University of Washington School of Medicine. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Lisa Erlanger is a member of the Society of Teachers of Family Medicine, the International Association for Eating Disorders, and the Association for Size Diversity and Health.

Objectives

1. Examine the history of the BMI and its impact on healthcare.
2. Evaluate the relationships among weight, weight stigma and health.
3. Critically interpret weight-related interventions and research through an anti-bias lens.
4. Apply evidence-based practices to improve the health of patients of all size.

Outline

Introduction

• Relevance to personal and professional practice
• Framing the conundrum of increasing focus on weight/spending on weight loss with increasing population weight
• Patient and provider frustration
• Clinical Case (for use throughout the presentation for reflection and clinical application)

Weight centric vs weight inclusive Care

• Deconstructing focus on weight
• History of BMI, including its accuracy at measuring adiposity
• Correlation with health, roots in racism, impacts
• Harms of weight-focus/anti-fat bias: definition of stigma, stereotype threat, prevalence in healthcare, analyzing impact on health and healthcare

Does intentional weight loss improve health? 

• Addressing diets
• GLP-1s
• Bariatric surgery
• Risks of intentional weight loss, including weight cycling, disordered eating, undernourishment

Evidence-based approach to reading weight-centric research

• Apply analysis to studies of weight loss medications and surgery.

Counseling patients who want to lose weight or with weight-correlated conditions.

• Weight inclusive care as a method of improving health for all patients.  
• Principles, evidence, approach.  
• Combating stereotype threat in the office, practical applications.

Resources

• Disease specific weight inclusive care
• Community and further learning

Conclusion

• Limitations
• Key points
• Action steps

Target Audience

• Nurses
• Advanced Practice Nurses
• Nurse Practitioners
• Midwives
• Clinical Nurse Specialists
• Physician Assistants
• Physicians

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