One of the most challenging and, perhaps, polarising concepts for Dietitians at this time would be the emergence of weight neutral approaches to dietary management. For an outcome focussed profession, trained in the quantitative skills of energy requirement calculations and “diet plans”, the potential change in this focus to a weight neutral approach can be one that is either readily embraced or rejected as a “step too far”. Weight loss currently remains the primary recommendation for health improvement in individuals with high body mass index (BMI) despite limited evidence of long-term success. Weight neutral approaches have now emerged as a result of building evidence that “dieting” with a weight loss goal does not result in significant health improvements, regardless of weight changes. (1,2) and that dieting as a weight loss strategy proves unsuccessful in terms of long term maintenance.
