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Weight Science: Evaluating the Evidence for a Paradigm Shift

Overview of attention for article published in Nutrition Journal, January 2011
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#2 of 1,422)
  • High Attention Score compared to outputs of the same age (99th percentile)


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Readers on

760 Mendeley
3 CiteULike
1 Connotea
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Weight Science: Evaluating the Evidence for a Paradigm Shift
Published in
Nutrition Journal, January 2011
DOI 10.1186/1475-2891-10-9
Pubmed ID

Linda Bacon, Lucy Aphramor


Current guidelines recommend that "overweight" and "obese" individuals lose weight through engaging in lifestyle modification involving diet, exercise and other behavior change. This approach reliably induces short term weight loss, but the majority of individuals are unable to maintain weight loss over the long term and do not achieve the putative benefits of improved morbidity and mortality. Concern has arisen that this weight focus is not only ineffective at producing thinner, healthier bodies, but may also have unintended consequences, contributing to food and body preoccupation, repeated cycles of weight loss and regain, distraction from other personal health goals and wider health determinants, reduced self-esteem, eating disorders, other health decrement, and weight stigmatization and discrimination. This concern has drawn increased attention to the ethical implications of recommending treatment that may be ineffective or damaging. A growing trans-disciplinary movement called Health at Every Size (HAES) challenges the value of promoting weight loss and dieting behavior and argues for a shift in focus to weight-neutral outcomes. Randomized controlled clinical trials indicate that a HAES approach is associated with statistically and clinically relevant improvements in physiological measures (e.g., blood pressure, blood lipids), health behaviors (e.g., eating and activity habits, dietary quality), and psychosocial outcomes (such as self-esteem and body image), and that HAES achieves these health outcomes more successfully than weight loss treatment and without the contraindications associated with a weight focus. This paper evaluates the evidence and rationale that justifies shifting the health care paradigm from a conventional weight focus to HAES.

Twitter Demographics

The data shown below were collected from the profiles of 479 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 760 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 9 1%
Australia 7 <1%
United Kingdom 5 <1%
Canada 3 <1%
Brazil 2 <1%
Israel 1 <1%
India 1 <1%
Malaysia 1 <1%
Germany 1 <1%
Other 2 <1%
Unknown 728 96%

Demographic breakdown

Readers by professional status Count As %
Student > Master 136 18%
Student > Bachelor 122 16%
Student > Ph. D. Student 91 12%
Researcher 67 9%
Other 50 7%
Other 160 21%
Unknown 134 18%
Readers by discipline Count As %
Psychology 132 17%
Medicine and Dentistry 130 17%
Nursing and Health Professions 115 15%
Social Sciences 73 10%
Agricultural and Biological Sciences 60 8%
Other 92 12%
Unknown 158 21%

Attention Score in Context

This research output has an Altmetric Attention Score of 1110. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 November 2022.
All research outputs
of 22,563,608 outputs
Outputs from Nutrition Journal
of 1,422 outputs
Outputs of similar age
of 178,370 outputs
Outputs of similar age from Nutrition Journal
of 1 outputs
Altmetric has tracked 22,563,608 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,422 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 35.7. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 178,370 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them