Health at Every Size

Health at Every Size Special Interest Group

The Health at Every Size (HAES) SIG represents the members of the Academy for Eating Disorders who have a particular interest in addressing eating and weight problems across the weight spectrum, with an emphasis on quality of life, pleasurable physical activity, eating attuned to hunger and satiety cues, satisfying interpersonal relationships, and skills to cope with discrimination. The HAES model replaces traditional weight-focused interventions with a focus on the day-to-day decisions that lead to an experience of self-care, and on an acceptance of the body weight resulting from engaging in sustainable practices.

Tenets of the Health at Every Size SIG include:

  • Health enhancement—attention to emotional, physical and spiritual well-being without focus on weight loss or achieving a specific “ideal weight”
  • Size and self-acceptance—respect and appreciation for the wonderful diversity of body shapes and sizes (including one's own!), rather than the pursuit of an idealized weight or shape
  • The pleasure of eating well—eating based on internal cues of hunger, satiety, and appetite, rather than on external food plans or diets
  • The joy of movement—encouraging all physical activities for the associated pleasure and health benefits, rather than following a specific routine of regimented exercise for the primary purpose of weight loss
  • An end to weight bias—recognition that body shape, size and/or weight are not evidence of any particular way of eating, level of physical activity, personality, psychological issue or moral character; confirmation that there is beauty and worth in EVERYbody

SIG History

Ellen Shuman led the first AED HAES SIG meeting at the 2003 Conference in Denver on May 30, 2003. At the meeting in Denver, participants agreed that the HAES SIG's purposes are to:

  • Create a network of professionals interested in HAES
  • Share resources and current developments in the field
  • Promote research on non-weight loss focused treatments as alternatives to traditional interventions
  • Educate the public and other clinicians about HAES interventions
  • Collaborate with other SIGs and the broader organization of AED for the purposes of eating disorder prevention in the form of activism, position papers, and workshops at the annual conference

Additional Meetings

We have met at each ICED since 2003 and have also held SIG meetings via teleconference. At each meeting we have discussed how to support members' work in more traditional settings and make positive change.

Health at Every Size Resources
Updated Spring 2017

BOOKS (select list - the websites have a more inclusive and exhaustive list):

  • Body Respect - Linda Bacon & Lucy Aphramor
  • Beyond a Shadow of a Diet- Judith Matz and Ellen Frankel
  • Health at Every Size - Linda Bacon
  • Secrets of Feeding a Healthy Family - Ellyn Satter (esp. Part 1: How to Eat)
  • Your Child’s Weight: Helping without Harming - Ellyn Satter
  • Body of Truth - Harriet Brown
  • What’s Wrong with Fat?- Abigail Saguy
  • Fat! So? - Marilyn Wann
  • Wellness not Weight - Ellen Glovsky
  • Intuitive Eating - Evelyn Tribole & Elyse Resch
  • Fat: The Owner’s Manual - Ragen Chastain
  • Healthy Bodies: Teaching kids what they need to know - Kathy Kater

RESEARCH: (select articles/chapters)

Bacon, L., & Aphramor, L. (2011). Weight science: Evaluating the evidence for a paradigm shift. Nutrition Journal, 10, 9. doi:10.1186/1475-2891-10-9

Calogero R.M., Tylka T.L., & Mensinger, J.L. (2016). Scientific weightism: A view of mainstream weight stigma research through a feminist lens. In T-A. Roberts, N. Curtin, L. Cortina, and L. E. Duncan (Eds.), Best Practices on Building a Psychological Science of Gender. New York, NY: Springer.

Fothergill, E., Guo, J., Howard, L., Kerns, J. C., Knuth, N. D., Brychta, R., Chen, K. Y., Skarulis, M. C., Walter, M., Walter, P. J. and Hall, K. D. (2016), Persistent metabolic adaptation 6 years after “The Biggest Loser” competition. Obesity, 24, 1612–1619. doi:10.1002/oby.21538

Mensinger, J.L., Calogero, R.M., Stranges, S., & Tylka, T.L. (2016). A weight-neutral versus a weight-loss approach to health and well-being in women with high BMI: A randomized controlled trial. Appetite, 105, 364-374. doi:10.1016/j.appet.2016.06.006 (PMID: 27289009)

Tomiyama, A. J., Hunger, J. M., Nguyen-Cuu, J., & Wells, C. (2016). Misclassification of cardiometabolic health when using body mass index categories in NHANES 2005-2012. International Journal of Obesity. doi:10.1038/ijo.2016.17

Tylka, T. L., Annunziato, R. A., Burgard, D., Danielsdottir, S., Shuman, E., Davis, C., & Calogero, R. M. (2014). The weight-inclusive versus weight-normative approach to health: Evaluating the evidence for prioritizing well-being over weight loss. Journal of Obesity, 2014(Article ID 983495), 983495. doi:10.1155/2014/983495

WEBSITES:

SOCIAL MEDIA:

  • Megan Jayne Crabbe, @bodyposipanda, www.bodyposipand.com
  • Virgie Tovar, @virgietovar, www.virgietovar.com
  • The Body is Not an Apology, @thebodyisnotanapology, www.thebodyisnotanapology.com
  • The Fat Nutritionist, @fatnutritionist, www.fatnutritionist.com
  • Jess Baker - The Militant Baker, @themilitantbaker, www.themilitantbaker.com
  • Julie Dillion, @foodpeacedietitian, Podcast: Love, Food
  • Recovery Warriors, @recovrywarriors
  • The Body Positive, @thebodypositive
  • Ericka Hart, @ihartericka
  • Jessica Vanderleahy, @jessicavanderleahy, @projectwomankind
  • Isabel Foxen Duke, @isabelfoxenduke
  • Be Nourished, @benourishedpdx
  • Curvy Yoga, @curvyyoga
  • Bo Stanley, @bostanley
  • Bo Stanley, @bostanley
  • Body Image Movement, @bodyimagemovement
  • Style Like U, www.youtube.com/user/stylelikeu, The What’s Underneath Project

Facebook

  • Health at Every Size Therapists and Nutritionists (for professionals)
  • Health at Every Size (OK for clients)

PODCASTS

  • Dietitians Unplugged
  • Life. Unrestricted
  • The Love, Food Podcast by Julie Duffy Dillon
  • Food Psych

ORGANIZATIONS:

Presentations at ICED

We have done a panel presentation with the Prevention SIG, presented our own panel presentations, and continue to contribute information about empirical support for HAES approaches, practical clinical issues, and public health approaches.

 

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