Evidence map›Paper›PMID 28952605›Full record

ReviewEuropean journal of clinical nutrition2017

Should Europe follow the US and declare obesity a disease?: a discussion of the so-called utilitarian argument.

S Vallgårda, M E J Nielsen, A K K Hansen, K Ó Cathaoir, M Hartlev, L Holm, B J Christensen, J D Jensen, T I A Sørensen, P Sandøe

Abstract readReview
PubMed Publisher
In one paragraph

Review in European journal of clinical nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Definition and diagnostic criteria of clinical obesity.The lancet. Diabetes & endocrinology · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. The role of philosophy and ethics at the edges of medicine.Philosophy, ethics, and humanities in medicine : PEHM · 2021
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Metabolically Healthy Obesity.Endocrine reviews · 2020
    Review
  16. Why primary obesity is a disease?Journal of translational medicine · 2019
    Review
  17. Defining obesity as a disease.European journal of clinical nutrition · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

S VallgårdaDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
M E J NielsenDepartment of Food and Resource Economics, University of Copenhagen, Copenhagen, Denmark.
A K K HansenThe SAXO Institute, University of Copenhagen, Copenhagen, Denmark.
K Ó CathaoirFaculty of Law, University of Copenhagen, Copenhagen, Denmark.
M HartlevFaculty of Law, University of Copenhagen, Copenhagen, Denmark.
L HolmDepartment of Food and Resource Economics, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-0667-7779
B J ChristensenDepartment of Food and Resource Economics, University of Copenhagen, Copenhagen, Denmark.
J D JensenDepartment of Food and Resource Economics, University of Copenhagen, Copenhagen, Denmark.
T I A SørensenDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
P SandøeDepartment of Food and Resource Economics, University of Copenhagen, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2013, the American Medical Association (AMA) decided to recognize obesity as a disease. One of the main arguments presented in favor of this was broadly 'utilitarian': the disease label would, it was claimed, provide more benefits than harms and thereby serve the general good. Several individuals and groups have argued that this reasoning is just as powerful in the European context. Drawing mainly on a review of relevant social science research, we discuss the validity of this argument. Our conclusion is that in a Western European welfare state, defining obesity as a disease will not on balance serve the general good, and that it is therefore more appropriate to continue to treat obesity as a risk factor. The main reasons presented in favor of this conclusion are: It is debatable whether a disease label would lead to better access to care and preventive measures and provide better legal protection in Europe. Medicalization and overtreatment are possible negative effects of a disease label. There is no evidence to support the claim that declaring obesity a disease would reduce discrimination or stigmatization. In fact, the contrary is more likely, since a disease label would categorically define the obese body as deviant.

Indexed as

Ethical TheoryEuropeHumansObesity, MorbidTerminology as TopicUnited States

Identifiers

PMID28952605

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.