Introdução: A obesidade é um problema de saúde pública, de etiologia multifatorial, relacionada à incidência de comorbidades, como as doenças cardiovasculares - causa número um de mortes, globalmente. Contudo, os tratamentos para reverter essa condição não surtem efeito em longo prazo, fazendo com que novas intervenções para seu tratamento sejam utilizadas, como a abordagem Health at Every Size® (HAES®), que ainda mostra resultados inconclusivos quanto à melhora no perfil lipídico relacionado às doenças cardiovasculares. Objetivo: Analisar os efeitos de uma nova intervenção interdisciplinar baseada na abordagem HAES®, sobre o perfil lipídico relacionado às doenças cardiovasculares em mulheres obesas. Métodos: Estudo quantitativo, baseado em ensaio clínico randomizado controlado com duração de sete meses. Noventa e sete participantes foram recrutadas, após aprovação nos critérios de inclusão e exclusão da amostra, e foram aleatoriamente dividas nos grupos \"Intervenção\" ou \"Controle\", cujas atividades conduzidas tiveram os princípios da abordagem HAES® como norteadores. Participantes do grupo \"Intervenção\" realizaram cinco oficinas filosóficas, aconselhamento nutricional quinzenalmente e atividade física três vezes por semana. Já as participantes do grupo \"Controle\" participaram bimestralmente de palestras relativas à filosofia, nutrição e atividade física. A coleta e análise foram realizadas antes e depois da intervenção para os seguintes parâmetros: triglicérides, colesterol total, colesterol não-HDL, colesterol-VLDL, colesterol-LDL e colesterol-HDL. Variáveis foram comparadas antes e depois da intervenção usando Teste T de Student. Resultados: Foram observadas reduções para colesterol total, colesterol LDL e colesterol NHDL em ambos os grupos. Já para colesterol VLDL e triglicerídeos, houve aumento nos níveis observados. Quanto ao colesterol HDL, o grupo \"Intervenção\" teve uma diminuição após o estudo, ao passo que o grupo \"Controle\" teve um aumento no mesmo. Contudo, para todas as variáveis observadas, não houveram diferenças estatisticamente significativas. Conclusão: a intervenção por si não foi suficientemente eficaz para provocar mudanças no perfil lipídico. / Introduction: Obesity is a public health problem, with multifactorial etiology, related to the incidence of comorbidities, such as cardiovascular diseases - the number-one cause of death globally. However, treatments to reverse this condition have no long-term effect, and new interventions to treat obesity are formulated, such as the Health at Every Size® (HAES®) approach, which still shows inconclusive results regarding the improvement in metabolic profile related to cardiovascular diseases. Objective: To analyze the effects of a new interdisciplinary intervention based on the HAES® approach on biochemical markers related to cardiovascular diseases in obese women. Methods: Prospective, quantitative study based on a randomized controlled clinical trial lasting seven months. Ninety-seven participants were recruited, after approval in the inclusion and exclusion criteria of the sample, and were randomly assembled into the \"Intervention\" or \"Control\" groups, whose activities had the principles of the HAES® approach as guides. Participants in the Intervention group held five philosophical workshops, nutritional counseling every two weeks and physical activity three times a week. The participants of the \"Control\" group participated bimonthly in lectures related to philosophy, nutrition and physical activity. Data collection and analysis were performed before and after the intervention for the following parameters: triglycerides, total cholesterol, non-HDL cholesterol, VLDL-cholesterol, LDL-cholesterol and HDL-cholesterol. Variables were compared before and after the intervention using Student\'s t-test. Results: Reductions were observed for total cholesterol, LDL cholesterol and NHDL-cholesterol in both groups. On the other hand, for VLDL-cholesterol and triglycerides, there was an increase in the levels observed. As for HDL-cholesterol, the \"Intervention\" group had a decrease after the study, whereas the \"Control\" group had an increase in the same. However, for all observed variables, there were no statistically significant differences. Conclusion: The intervention itself was not effective enough to cause changes in the lipid profile.

Introdução: A obesidade é um problema de saúde pública, de etiologia multifatorial, relacionada à incidência de comorbidades, como as doenças cardiovasculares - causa número um de mortes, globalmente. Contudo, os tratamentos para reverter essa condição não surtem efeito em longo prazo, fazendo com que novas intervenções para seu tratamento sejam utilizadas, como a abordagem Health at Every Size® (HAES®), que ainda mostra resultados inconclusivos quanto à melhora no perfil lipídico relacionado às doenças cardiovasculares. Objetivo: Analisar os efeitos de uma nova intervenção interdisciplinar baseada na abordagem HAES®, sobre o perfil lipídico relacionado às doenças cardiovasculares em mulheres obesas. Métodos: Estudo quantitativo, baseado em ensaio clínico randomizado controlado com duração de sete meses. Noventa e sete participantes foram recrutadas, após aprovação nos critérios de inclusão e exclusão da amostra, e foram aleatoriamente dividas nos grupos \"Intervenção\" ou \"Controle\", cujas atividades conduzidas tiveram os princípios da abordagem HAES® como norteadores. Participantes do grupo \"Intervenção\" realizaram cinco oficinas filosóficas, aconselhamento nutricional quinzenalmente e atividade física três vezes por semana. Já as participantes do grupo \"Controle\" participaram bimestralmente de palestras relativas à filosofia, nutrição e atividade física. A coleta e análise foram realizadas antes e depois da intervenção para os seguintes parâmetros: triglicérides, colesterol total, colesterol não-HDL, colesterol-VLDL, colesterol-LDL e colesterol-HDL. Variáveis foram comparadas antes e depois da intervenção usando Teste T de Student. Resultados: Foram observadas reduções para colesterol total, colesterol LDL e colesterol NHDL em ambos os grupos. Já para colesterol VLDL e triglicerídeos, houve aumento nos níveis observados. Quanto ao colesterol HDL, o grupo \"Intervenção\" teve uma diminuição após o estudo, ao passo que o grupo \"Controle\" teve um aumento no mesmo. Contudo, para todas as variáveis observadas, não houveram diferenças estatisticamente significativas. Conclusão: a intervenção por si não foi suficientemente eficaz para provocar mudanças no perfil lipídico. / Introduction: Obesity is a public health problem, with multifactorial etiology, related to the incidence of comorbidities, such as cardiovascular diseases - the number-one cause of death globally. However, treatments to reverse this condition have no long-term effect, and new interventions to treat obesity are formulated, such as the Health at Every Size® (HAES®) approach, which still shows inconclusive results regarding the improvement in metabolic profile related to cardiovascular diseases. Objective: To analyze the effects of a new interdisciplinary intervention based on the HAES® approach on biochemical markers related to cardiovascular diseases in obese women. Methods: Prospective, quantitative study based on a randomized controlled clinical trial lasting seven months. Ninety-seven participants were recruited, after approval in the inclusion and exclusion criteria of the sample, and were randomly assembled into the \"Intervention\" or \"Control\" groups, whose activities had the principles of the HAES® approach as guides. Participants in the Intervention group held five philosophical workshops, nutritional counseling every two weeks and physical activity three times a week. The participants of the \"Control\" group participated bimonthly in lectures related to philosophy, nutrition and physical activity. Data collection and analysis were performed before and after the intervention for the following parameters: triglycerides, total cholesterol, non-HDL cholesterol, VLDL-cholesterol, LDL-cholesterol and HDL-cholesterol. Variables were compared before and after the intervention using Student\'s t-test. Results: Reductions were observed for total cholesterol, LDL cholesterol and NHDL-cholesterol in both groups. On the other hand, for VLDL-cholesterol and triglycerides, there was an increase in the levels observed. As for HDL-cholesterol, the \"Intervention\" group had a decrease after the study, whereas the \"Control\" group had an increase in the same. However, for all observed variables, there were no statistically significant differences. Conclusion: The intervention itself was not effective enough to cause changes in the lipid profile.

Introdução: Novas condutas terapêuticas e de prevenção frente à obesidade tornam-se objetos de estudo, entre elas a abordagem Health at Every Size® (HAES®). A abordagem HAES® aponta para o prazer em comer como crucial para a promoção de saúde e sustentabilidade no tratamento. A condenação cultural do prazer em paralelo à negligência do prazer no tratamento da obesidade forma um cenário de crítica, em que a mulher obesa é alvo de múltiplas desvantagens, entre elas a culpabilização do comer. Assumimos, para este estudo, a importância de aprofundar-se nas relações entre novas perspectivas no cuidado à mulher obesa e o estímulo ao prazer em comer. Objetivos: Investigar as percepções de mulheres na condição de obesidade acerca do prazer em comer antes e após uma intervenção interdisciplinar, não prescritiva e pautada na abordagem do HAES®. Métodos: Estudo qualitativo a partir de um ensaio clínico randomizado controlado com seguimento de sete meses nos anos de 2015 e 2016. Incluiu 97 mulheres na condição de obesidade de 25 a 50 anos de idade, com índice de massa corporal entre 30 e 39,9Kg/m², sendo alocadas em dois grupos: Intervenção e Controle. Ao final do estudo, 39 mulheres concluíram no grupo Intervenção (62,90 por cento ) e 19 concluíram no Controle (54,28 por cento ). Para os dois grupos, as atividades tiveram como linha condutora a abordagem do HAES®. O grupo Intervenção trouxe uma proposta original, com oferta de atividade física 3 vezes na semana, acompanhamento nutricional individual e oferta de discussões no formato de cinco oficinas filosóficas. O grupo Controle baseou-se ao modelo tradicional de aplicação da abordagem HAES®, com palestras expositivas bimestrais. A construção dos dados ocorreu a partir de grupos focais. Para análise das transcrições dos grupos, foi realizado o método de Análise de Conteúdo, sendo construídos temas pela técnica de Cutting e Sorting, os quais fundamentaram a argumentação teórica neste estudo. Resultados: Vinte e três temas sobre as percepções do prazer em comer das mulheres estudadas foram construídos. Após a intervenção, foram construídos de maneira significativa para o grupo Intervenção temas sobre maior autocontrole e reflexão sobre os próprios desejos; sensação de empoderamento para escolher o que e quando comer; aumento do prazer em comer acompanhada; aumento do prazer em comer comidas feitas por si própria; aumento dos discursos sobre comer sem culpa; diminuição da sensação de não sentir prazer e ainda diminuição do comer por emoções como ansiedade. Conclusão: A nova intervenção proposta promoveu efeitos positivos na relação das mulheres com o prazer em comer, evidenciando a desculpabilização do prazer em comer e melhora de outros aspectos da prática alimentar, como a comensalidade. Percebemos que este efeito se deu sobretudo a partir do estímulo a um processo reflexivo sobre corpo, comida e saúde, ficando claro que o prazer em comer sem culpa é um desfecho necessário quando falamos da saúde da mulher obesa / Introduction: New therapies and prevention practices directed to obesity become objects of study. The Health at Every Size® (HAES®) approach is one of them. The HAES® approach indicate the pleasure in eating as crucial for health promotion and sustainability of treatments. The cultural condemnation of pleasure and its disregard in the treatment of obesity created a critic scenario in which the obese woman is target of multiple disadvantages, such as blame for eating. We assume, for this study, the importance to deepen the relationship between new approaches to the care of obese woman and the encouragement of pleasure of eating. Objectives: To investigate obese women perceptions about the pleasure of eating, before and after an interdisciplinary, non-prescriptive and based on HAES® approach intervention. Methods: Qualitative study branch of a randomized controlled clinical trial, conducted over seven months in 2015 and 2016. It included 97 obese women, with 25 to 50 years old, with a body mass index between 30 and 39, 9 kg/m². The women were randomized to two groups: intervention and control. At the end, 39 women concluded in the Intervention Group (62.90 per cent ) and 19 in Control Group (54.28 per cent ). The two groups received activities based on HAES® approach. The Intervention Group, however, brought an original proposal, with physical activity 3 times a week, individual nutritional counseling and philosophical discussions in form of workshops. The Control Group received traditional model of HAES® approach application, with bimonthly expository lectures. The data construction occurred from Focus Groups. Analysis of the Focus Groups transcripts was conducted with Analysis of Content method, in which themes were built of Cutting and Sorting technique, and were used to theoretical arguments that substantiated this study. Results: Twenty-three themes about the perceptions of pleasure in eating of the studied women were built. After the intervention, more significantly for the Intervention Group, themes manifested greater self-control on the own desires; increased hunger and satiety response; sense of empowerment to choose what and when to eat; increase of the pleasure in eating accompanied; increase of the pleasure in eating food made by herself; increase of speeches about \"eat without guilt\"; decreased perception of not feeling pleasure and even decreased eating by emotions such as anxiety. Conclusion: The new proposed intervention promoted positive effects on women\'s relationship with pleasure in eating, showing decrease of guilt on pleasure in eating and improvements of other aspects of the eating practices, such as commensality. We realize that this effect occurred mainly due to stimulus to a reflection about body, food and health, becoming clear that the pleasure in eating without guilt is a necessary outcome when we talk about obese woman health

Introdução: Novas condutas terapêuticas e de prevenção frente à obesidade tornam-se objetos de estudo, entre elas a abordagem Health at Every Size® (HAES®). A abordagem HAES® aponta para o prazer em comer como crucial para a promoção de saúde e sustentabilidade no tratamento. A condenação cultural do prazer em paralelo à negligência do prazer no tratamento da obesidade forma um cenário de crítica, em que a mulher obesa é alvo de múltiplas desvantagens, entre elas a culpabilização do comer. Assumimos, para este estudo, a importância de aprofundar-se nas relações entre novas perspectivas no cuidado à mulher obesa e o estímulo ao prazer em comer. Objetivos: Investigar as percepções de mulheres na condição de obesidade acerca do prazer em comer antes e após uma intervenção interdisciplinar, não prescritiva e pautada na abordagem do HAES®. Métodos: Estudo qualitativo a partir de um ensaio clínico randomizado controlado com seguimento de sete meses nos anos de 2015 e 2016. Incluiu 97 mulheres na condição de obesidade de 25 a 50 anos de idade, com índice de massa corporal entre 30 e 39,9Kg/m², sendo alocadas em dois grupos: Intervenção e Controle. Ao final do estudo, 39 mulheres concluíram no grupo Intervenção (62,90 por cento ) e 19 concluíram no Controle (54,28 por cento ). Para os dois grupos, as atividades tiveram como linha condutora a abordagem do HAES®. O grupo Intervenção trouxe uma proposta original, com oferta de atividade física 3 vezes na semana, acompanhamento nutricional individual e oferta de discussões no formato de cinco oficinas filosóficas. O grupo Controle baseou-se ao modelo tradicional de aplicação da abordagem HAES®, com palestras expositivas bimestrais. A construção dos dados ocorreu a partir de grupos focais. Para análise das transcrições dos grupos, foi realizado o método de Análise de Conteúdo, sendo construídos temas pela técnica de Cutting e Sorting, os quais fundamentaram a argumentação teórica neste estudo. Resultados: Vinte e três temas sobre as percepções do prazer em comer das mulheres estudadas foram construídos. Após a intervenção, foram construídos de maneira significativa para o grupo Intervenção temas sobre maior autocontrole e reflexão sobre os próprios desejos; sensação de empoderamento para escolher o que e quando comer; aumento do prazer em comer acompanhada; aumento do prazer em comer comidas feitas por si própria; aumento dos discursos sobre comer sem culpa; diminuição da sensação de não sentir prazer e ainda diminuição do comer por emoções como ansiedade. Conclusão: A nova intervenção proposta promoveu efeitos positivos na relação das mulheres com o prazer em comer, evidenciando a desculpabilização do prazer em comer e melhora de outros aspectos da prática alimentar, como a comensalidade. Percebemos que este efeito se deu sobretudo a partir do estímulo a um processo reflexivo sobre corpo, comida e saúde, ficando claro que o prazer em comer sem culpa é um desfecho necessário quando falamos da saúde da mulher obesa / Introduction: New therapies and prevention practices directed to obesity become objects of study. The Health at Every Size® (HAES®) approach is one of them. The HAES® approach indicate the pleasure in eating as crucial for health promotion and sustainability of treatments. The cultural condemnation of pleasure and its disregard in the treatment of obesity created a critic scenario in which the obese woman is target of multiple disadvantages, such as blame for eating. We assume, for this study, the importance to deepen the relationship between new approaches to the care of obese woman and the encouragement of pleasure of eating. Objectives: To investigate obese women perceptions about the pleasure of eating, before and after an interdisciplinary, non-prescriptive and based on HAES® approach intervention. Methods: Qualitative study branch of a randomized controlled clinical trial, conducted over seven months in 2015 and 2016. It included 97 obese women, with 25 to 50 years old, with a body mass index between 30 and 39, 9 kg/m². The women were randomized to two groups: intervention and control. At the end, 39 women concluded in the Intervention Group (62.90 per cent ) and 19 in Control Group (54.28 per cent ). The two groups received activities based on HAES® approach. The Intervention Group, however, brought an original proposal, with physical activity 3 times a week, individual nutritional counseling and philosophical discussions in form of workshops. The Control Group received traditional model of HAES® approach application, with bimonthly expository lectures. The data construction occurred from Focus Groups. Analysis of the Focus Groups transcripts was conducted with Analysis of Content method, in which themes were built of Cutting and Sorting technique, and were used to theoretical arguments that substantiated this study. Results: Twenty-three themes about the perceptions of pleasure in eating of the studied women were built. After the intervention, more significantly for the Intervention Group, themes manifested greater self-control on the own desires; increased hunger and satiety response; sense of empowerment to choose what and when to eat; increase of the pleasure in eating accompanied; increase of the pleasure in eating food made by herself; increase of speeches about \"eat without guilt\"; decreased perception of not feeling pleasure and even decreased eating by emotions such as anxiety. Conclusion: The new proposed intervention promoted positive effects on women\'s relationship with pleasure in eating, showing decrease of guilt on pleasure in eating and improvements of other aspects of the eating practices, such as commensality. We realize that this effect occurred mainly due to stimulus to a reflection about body, food and health, becoming clear that the pleasure in eating without guilt is a necessary outcome when we talk about obese woman health

Health curriculum traditionally (re)produces obesity discourse, a fusion of biomedical and moral perspectives of weight and fat. This weight-centered approach to bodies may perpetuate weight stigmatization, indirectly supports a culture of thinness, and contradicts other health messages concerning bodies. A Health At Every Size® (HAES®) approach is an alternative, multidimensional health-centered approach that can reconcile the incongruent messages in obesity and eating disorder discourses and may reduce weight stigmatization. The purpose of this study was to develop and evaluate a college personal health curriculum module to promote healthy bodies of all sizes. Discourse positions of teaching assistants were explored through interviews and provided an understanding of their values and teaching methods regarding weight and health. A HAES®-based curriculum module was developed for college personal health classes at a Midwestern university. Quasi-experimental design was used to compare attitudes toward HAES® principles among students who received the alternative, HAES®-based curriculum module versus those receiving a traditional weight management curriculum. Pre- and posttest attitudes of students and teaching assistants were assessed using the Health and Weight Attitudes Scale developed for this study. Teaching assistants provided evaluation of the HAES® module in a focus group. While teaching assistants' discourse positions varied, most used obesity discourse to talk and teach about bodies and weight. Alternative discourses were most common when teaching assistants discussed eating disorders or body image. Students' attitudes at pre-test were slightly positive and did not differ significantly between comparison and intervention groups. Intervention group students' attitudes were significantly more positive than comparison group students' attitudes at posttest. Intervention group teaching assistants reported primarily positive experiences with the module. Teaching assistants rely primarily on obesity discourse to teach about weight and bodies but are receptive and positive when offered an alternative method. A HAES® curriculum module can increase positive attitudes of students and teaching assistants toward promotion of size acceptance and multidimensional health for people of all sizes.

Traditional weight loss interventions based on the principle “eat less, move more” often lead to weight regain in the long-term. The Health-At-Every-Size® (HAES®) is an alternative intervention that focuses on self-acceptance, intuitive eating, and physical activity for overall well-being. However, evidence on the effectiveness of HAES® in terms of weight loss remains sparse and the existing systematic reviews did not compare the short-term versus long-term effects. The aim of this systematic review was to assess the effectiveness of HAES® on short- and long-term weight loss in people with obesity and overweight. Five scientific databases were searched and 11 papers met the inclusion criteria. These studies were conducted in Canada, United States, Brazil, and the United Kingdom, only with female participants, and in a group-setting. Six out of ten studies with short-term follow-ups (<1y) and four out of seven studies with long-term follow-ups (>1y) reported significant weight reductions in the HAES®-group compared to the pre-intervention baseline. There were no consistent weight reduction effects when HAES® was compared to control groups (waiting list, social support, or traditional dieting). Interestingly, some studies found significant benefits of HAES® on health-outcomes, eating behaviors, or psychological functioning. In conclusion, there is only modest evidence that HAES® facilitates weight loss short-term or long-term. However, there are behavioral and psychological benefits of HAES®, which suggests that combining this method with traditional weight loss interventions could result in optimal outcomes.

This project focuses on persistent gaps in philosophies of the body: the enduring mindbody divide in accounts of phenomenology, the unfulfilled promises of representing and inhabiting the body in online and virtual spaces, and the difference between health as quantified in medical discourse versus health as lived experience. These tensions are brought to light through the electronic food journal genre where the difficulty in capturing pre-noetic, outsideconsciousness aspects of experience and embodied health are thrown into relief against circulating cultural discourses surrounding health, body size, self-surveillance, and self-care. The electronic food journal genre serves as a space for users to situate themselves and their daily practices in relation to medicalization, public policy, and the conflation of health and body size. These journals form artifacts reflecting life writing practices in digital spaces that model compliant self-surveillance as well as transgressive self-care. The journals instantiate the mind-body-technology interactivity of extended cognition, but also point toward a rupture in the feedback loops that promise to integrate pre-noetic aspects of being and experience. By exploring the tensions inherent in these online food journaling spaces, this project concludes by offering a PEERS heuristic/heuretic for assessing theories and technologies of embodiment and health for their ability to access what resides in the "remainder" of current embodiment philosophy and to identify the aspects of lived experience left unattended in USDA health policy, food journaling interfaces, and embodiment philosophy. The PEERS model can be used to evaluate existing technologies for their capacity to map true mind-body-technology interactivity and to build new theory that accounts for a fuller, more nuanced approach to understanding embodied reality and embodied health.

This study conducted a cross-sectional study amongst students at the University of Central Florida (UCF) that assessed degree of belief in Health at Every Size (HAES) and an accompanying Trust in Doctors to see if there was a significant relationship between the two variables. The HAES survey was constructed specifically for the use in this research and was constructed in a 0-10-point Likert scale in order to establish a gradient of belief in HAES. To identify degree of trust in doctors, a pre-established item-bank was drawn from and coupled with the piloted survey. The sample size included 400 UCF students which was gathered using digital surveys, which allowed for swift gathering of data. The data collected indicated a significant association between the varying levels of trust in doctors and the performance on the HAES spectrum. We found that while trust increased, scores on the HAES spectrum decreased. Thus, we were able to reject the null hypothesis and assume the relationship to be significant. Further testing heralded there to be no significant difference between STEM majors and non-STEM majors when assessing for both trust in doctors and belief in HAES. This study serves as groundwork for future assessment of belief in HAES as the movement evolves or devolves. Further, this survey fills a gap in the literature that assesses perception of HAES and trust in doctors as it pertains to young adults (18-24-years old).

No description available.

Övervikt och obesitet ökar världen över vilket leder till att sjuksköterskan regelbundet kommer möta dem som patienter i sitt omvårdnadsarbete. Personer med övervikt och obesitet upplever ofta fördomar från både samhället och sjukvården vilket kan leda till stigmatisering och skuldkänslor. Forskning visar på att den viktnedgångmetod som används av sjukvården inte fungerar för alla och att metabolism påverkades av att öka och minska mycket i vikt. Studiens syfte var att undersöka om Health At Every Size kunde användas som ett alternativt förhållningssätt vid omvårdnad av personer med övervikt och obesitet för att fokusera på vilka små och hållbara livsstilsförändringar patienten är kapabel att utföra istället för att sätta mål som patienten inte kan uppnå. Metoden som användes var en allmän litteraturstudie som genomfördes med en induktiv ansats. Resultatet identifierade fyra teman, effekter på ätande, effekter på måendet, effekter på kroppen och mötet med vården. HAES-metoden ledde till att personer med övervikt och obesitet fick förbättrad kroppsbild och ökade deras upplevelse av hälsa och gjorde mer hälsosamma val i sin kost och motion. Deltagare gick inte ner i vikt men de gick inte heller upp i vikt. Mer kvalitativ forskning krävdes inom området för att kunna göra en bättre bedömning om personernas uppfattning av HAES-metoden och forskning under längre tid krävdes för att kunna se långsiktiga slutresultat. / Overweight and obesity are on the rise worldwide which means that nurses will regularly encounter larger patients in their caring work. People with overweight or obesity often experience prejudice from both society and medical staff, which can lead to stigmatisation and feelings of guilt. Research shows that the weight loss methods endorsed by medical professionals does not work for everyone and that metabolism rates were effected by radical changes in weight. The aim of the review was to illustrate Health At Every Size (HAES) as an alternative approach when caring for patients with overweight or obesity in order bring focus to all the gradual lifestyle changes that the patient can do rather than setting unrealistic goals.  The method uses was a general literature study with an inductive approach. The result identified four themes, effects on eating, effects on general wellbeing, effects on the body and meeting healthcare. Use of the HAES-model led to that people with overweight and obesity generally had a positive effect on body image, felt a greater sense of wellbeing, developed better eating habits and felt less threatened by physical exercise. The method did not lead to any weight loss but neither did participants gain weight. The majority of articles found used a quantitative approach and more qualitative research is needed on the subject in order to gain a better understanding of patients’ experiences of the approach and the field in all requires more longitudal research in order to better see the long term effects.