Telling overweight patients they are obese could be seen as “derogatory”, a health watchdog has warned.
A quarter of adults in Britain are now obese, a figure that is due to more than double by 2050. But public health workers have been told that patients may respond better if they are encouraged to achieve a “healthier weight” rather than being labelled obese, under draft guidance issued by the National Institute for Health and Clinical Excellence (NICE).
The advice is included in NICE’s paper entitled Obesity: Working with Local Communities and urges health professionals to use “appropriate language” to help obese patients.
Obesity is a medical term, defined as having a body mass index (BMI) of 30 or more. BMI is calculated by dividing one's weight in kilograms by the square of one's height in metres.
But the guidance states that “the term ‘obesity’ may be unhelpful”, because “while some people may like to ‘hear it like it is’, others may consider it derogatory.”
The advice prompted opposition from some health campaigners.
Tam Fry, of the National Obesity Forum, told the Daily Telegraph: “This is extremely patronising. They should be talking to people in an adult fashion.
“There should be no problem with using the proper terminology. If you beat around the bush then you muddy the water.
“Obesity is a well defined, World Health Organisation standard that everybody can understand.”
Squeamishness over use of the word is not new. When the National Child Measurement Programme was launched in 2008, Department of Health officials decided against using the words “fat” or “obese” in letters to parents.
Such fears of upsetting people are not shared by Anne Milton, the Public Health Minister. Two years ago she said that people should be told they were “fat” rather than “obese” because she felt the word was more hard-hitting.
• If you were obese, would you want to be told?
• Do you think the new guidance is patronising?