Abstract
Obesity is a complex disease that requires evidence-based treatments to be effectively managed. Despite extant literature detailing the benefits of treatment options currently available, there is a disconnect between established research and public discourse on the treatment of obesity. Due to the recent surge in popularity of highly efficacious incretin-based therapies, more patients are becoming aware of available treatment options and approaching healthcare providers to engage in conversations regarding weight management. Here, we provide details regarding patient preferences on certain terms related to weight management, and guidance for healthcare providers counseling patients through an obesity diagnosis. Given the evidence that individuals with obesity may have misunderstandings regarding the disease of obesity and the role of treatment options, we provide guidance on these complex topics. The authors of this perspective include researchers, clinicians, and a patient. The guidance provided herein is based on available literature, experience in clinical settings, and lived experience.
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References
Erlandson M, Ivey LC, Seikel K. Update on office-based strategies for the management of obesity. Am Fam Phys. 2016;94:361–8.
Desilver D. As obesity rates rise in the U.S. and worldwide, new weight-loss drugs surge in popularity. Pew Research Center. 2024. https://www.pewresearch.org/short-reads/2024/03/21/as-obesity-rates-rise-in-the-us-and-worldwide-new-weight-loss-drugs-surge-in-popularity/.
Scherer LD, Matlock DD, Allen LA, Knopke CE, Fitzgerald MD, Kini V, et al. Patient roadmaps for chronic illness: introducing a new approach for fostering patient-centered care. MDM Policy Pr. 2021;6:23814683211019947.
Bannuru RR. Introduction and methodology: standards of care in overweight and obesity—2025. BMJ Open Diab Res Care. 2025;13:e004928.
Bannuru RR. Weight stigma and bias: standards of care in overweight and obesity—2025. BMJ Open Diab Res Care. 2025;13:e004962.
AlArab N, Antoun J. Patients’ acceptance of obesity as a chronic disease: a qualitative study in Lebanon. BMJ Open. 2022;12:e059366.
Patton I, Salas XR, Hussey B, Poddar M, Sockalingam S, Twells L, et al. Patient perceptions about obesity management in the context of concomitant care for other chronic diseases. Obes Pillars. 2023;8:100089.
Pearl RL, Puhl RM. Weight bias internalization and health: a systematic review. Obes Rev. 2018;19:1141–63.
Ogden J, Sidhu S. Adherence, behavior change, and visualization: a qualitative study of the experiences of taking an obesity medication. J Psychosom Res. 2006;61:545–52.
Pashby R. Using trauma informed care when discussing weight in clinical practice. Academy of Nutrition and Dietetics; 2024. https://www.diabetesdpg.org/ddpg/resources/ddpg-webinars/ddpg-webinars-old/using-trama-informed-care-when-discussing-weight-in-clinical-practice.
Msier-Mills A, Vagwala M, Potter J, Elisseou S. Respecting body-size diversity in patients: a trauma-informed approach for clinicians. Perm J. 2023;28:206–11.
Sarwer DB, Schroeder K, Fischbach SR, Atwood SM, Heinberg LJ. Applying the principles of trauma-informed care to the evaluation and management of patients who undergo metabolic and bariatric surgery. Obes Surg. 2025;35:305–11.
People-First Language. Obesity Action Coalition. 2024. https://www.obesityaction.org/advocacy/what-we-fight-for/people-first-language/.
Puhl RM. What words should we use to talk about weight? A systematic review of quantitative and qualitative studies examining preferences for weight-related terminology. Obes Rev. 2020;21:e13008.
Lawrence SE, Puhl RM, Schwartz MB, Watson RJ, Foster GD. “The most hurtful thing I’ve ever experienced”: a qualitative examination of the nature of experiences of weight stigma by family members. SSM Qualitative Res Health. 2022;2:100073.
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All authors discussed the idea for the perspective. FANH led drafting of the outline and manuscript alongside SH and AR. KC and KS critically reviewed the outline and drafted article. All authors substantially contributed to the article and critically reviewed its contents.
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All authors report serving on the Communications Committee for the Obesity Society. FANH reports serving on the Obesity Society’s Finance Committee, consulting fees from WW, an honorarium for speaking from the American Academy of Pediatrics, institutional support to travel, and membership on the Obesity Action Coalition’s Membership and Access to Care committees, outside the scope of the submitted work. SH reports receiving support to attend the exam development meeting with the Commission on Dietetic Registration as a Subject Matter Expert in 2020 and being the past chair of the Early Career Committee of the Obesity Society. KDC reports being the immediate past chair of the Communications Committee for the Obesity Society.
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Heeren, F.A.N., Hales, S., Redelfs, A.H. et al. Counseling patients through an obesity diagnosis: a brief primer for healthcare providers. Int J Obes (2026). https://doi.org/10.1038/s41366-026-02020-7
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DOI: https://doi.org/10.1038/s41366-026-02020-7


