9 More Truths About Eating Disorders
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1 Weight is influenced by multiple factors, including biological, psychological, behavioral,
social, and economic factors.
2 There is a complex relationship between weight and health that is different for each
person. Body mass index is an imprecise proxy measure of adiposity and is not a direct
measure of health.
3 Weight is sensitive and personal, as it is determined and experienced uniquely for each
individual and, when appropriate to do so, should be approached thoughtfully and
respectfully. At the same time, weight is a highly politicized issue with social and economic
linkages that intersect with social inequalities.
4 Weight bias and weight-based discrimination are prevalent and have pervasive negative
consequences for health, social relationships, education, employment, and income. Weight
bias is one facet of the cultural appearance ideals that emphasize and idealize thinness
and are implicated in the development and maintenance of disordered eating behavior.
5 All people, irrespective of their weight, deserve equitable treatment – in healthcare
settings and society. Weight bias and weight-based discrimination are never acceptable.
6 Weight is assessed by objective physical measurement; whereas, the threshold of body mass
index used to classify obesity is based on arbitrary medical convention. Eating disorders
are defined by thoughts, feelings and behaviors, and obesity is not an eating disorder.
7 Accurate judgments about a person's cognitions, personality, or behaviors cannot be
made on the basis of their weight and appearance, and eating disorders cannot be
diagnosed on the basis of a person's weight or appearance. Eating disorders affect
people across the weight spectrum.
8 Dietary restriction can increase the risk for developing an eating disorder and can be
harmful for many individuals across the weight spectrum. This risk must be considered
during discussions and interventions relating to diet and weight.
9 Positive body image, regardless of weight, protects against disordered
eating and other mental health problems and is associated with better
physical health outcomes.
