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Reframing obesity

Ideas in real time

What you see here is a live collection of the contributions people are leaving in the installation: ideas, questions, proposals, and reflections on how exposome research can better serve society.

This space is constantly evolving: contributions will be published as they come in and will later be curated to group themes, clarify messages, and highlight shared patterns and priorities.

The goal is to turn these collective inputs into a set of recommendations to be shared with decision-makers and policy leaders, helping bring research beyond academia and connect it with everyday life.

Thank you for being part of this process. Every idea counts.

Low Cost
Easy to implement
High Cost,
Easy to implement
High Cost
Hard to implement
Low Cost
Hard to implement
Low Cost
Easy to implement

Recent evidence shows BMI poorly tracks with management response. Better metric as the WHTR, easy and practical tool, outperforms BMI as a screening, early risk detection & tracking

Adjusting your way of moving and eating to your stage of life. For example choosing and performing a specific sport such as weight lifting at a younger age and excelling in it. Later maintaining this at an adjusted pace when you’re getting older

Decisionmaking based on regional information to adapt responses to local needs

Exercise! Aerobic and resistance exercise

Promote social interaction

One of the first points to deliver is that health is about everyone and regardless of weight. This way everyone would be involved into prevention because it’s about us all

Listening to the voices of the people living with obesity

I think obesity can be both managed & prevented with healthy lifestyle habits

Inclusive + non-stigmatising language in research, in policy, in practice

Serious games for children to teach healthy lifestyle & eating habits

Good communication understand your audiences / patients take time with your patients

home-based counselling through specialised coaches. Help families to connect to regional sportsclubs

Random bursts of physical activity (e.g. 10 squats while watching TV)

Exercise (low to moderate intensity)

charlas para población general / presentations for the general public

Psychological support + recognition to prevent people struggling in silence

Prevent: look at the early life. Make a positive, healthy and familiar environment for children. Avoid stress, inadequate caregivers’ cares and unhealthy food. Management: multidisciplinary actions

Facilitate data sharing between researchers & health authorities

Lived-experience participation in research design

Lifecourse research starting with pregnancy

Better information on life style

meaningful PPIE (public and patient involvement and engagement)

We need to understand how food impacts health outcomes… To preserve the health and the planet!

I think that research on obesity treatment can focus more on measuring lifestyle improvement to see if lifestyle actually improves after the intervention, eg. by using EMA / ESM

Involving patients

Change priorities (and funding) obesity rather than its consequences

Raising awareness in organised schools sessions

Youth workers for CYP 12-25Y with obesity –> mental health support motivation

Eat more whole food and stay active, love yourself and be happy 🙂

Mindful eating, regular exercise, less stress, more fun

Let’s talk about life not weight

Promote sustainable healthy habits over time. Early diagnostics for obesity, pre-diabetes metabolic for a multidimensional approach, education on nutrition and lifestyle since childhood

Accessibiiity of free sports class

Multidisciplinary team. Disseminate health-related topics. Make professionals more accessible. More empathy with patients.

Making physical activity more accessible, and cities more walkable. Education at schools.

Utilizing AI to better understand data and research. Introduce new policies for fast food channels. Reduce lost of healthy food

Teaching lessons about healthy eating in schools

Support evidence-based privacy-first digital obesity systems for adolescents with obesity –> funded + sustained by public funds rather than commercial companies

Nule (weight provided)

Healthy diet, physical activity, stress reduction, healthy & active social life, good genes

Obesity is a public health problem. We need more secure food. We need more time to exercise. We need to educate children in early childhood. We need stabilised work and life balance. We need politicians awared of obesity and life long complications

Improve national preventive health policies, incentivise knowledge on the benefits of physical activities and diet in schools

More physical activity with better access

Eat healthy diet (real food) from childhood

(arrow down) ultraprocessed food (arrow up) time and space for physical activity, in daily life (arrow up) promote bike utilization

Mandatory secondary school home economics

Make movement a huge part of your daily routine even if it’s just 15 minutes a day

Ensure all global citizens have access to free drinking water

Patients’s individual handling (therapies: surgery, endoscopy, therapies) depending on characteristics and expectations

Multimodal programms in hospital

Giving more nutrition education on different subjects such as eating disordes, basic nutritional components for the public health. Simple brochure to encourage the people to making the healthy choice in their life. Broucher like cartoons or story book in basic concepts

Lifestyle first

Be aware of stigma. Patient central care

Multidisciplinary approach (psychology, physiology, nutritionist, medical) protect muscle + lose fat only. Protein is the key for all weight management treatments

Invest in pre-conception care

We need to be more honest to the patients. That they become realistic about their diseases. That they can make a better sence of what they need

More relevant can be: often things are very much tied to a specific time; as you get older science doesn’t naturally grow with us. Data changes with life; patients are often shocked when we miss updates.

work with local community leaders / faith groups to promote health education

Easy, scalable, accurate, personal and precise data for phenotyping / stratification

Prevent: genetic screening (parents) – carriers, pre-natal genetic diagnosis. Manage: education – diferences between general vs rar MC4R pathway diseases. Targetted treatment – treat the cause not the symptoms

Work with schools. Work with influencers (nutrition, lifestyle, bring examples)

Lifestyle intervention

Work with top notch celebrities outside of usa to legitimate obesity medications

Increase the awareness of obesity during childhood (starting, from primary school – eating class / training)

Prevent: make healthy choices better available (food related: vegetables and fruit vs cookies)

Amplify nutrition style suggestions to patients throw materials, patient societies involvement, etc.

Hyperphagia recognition. HCPs should be more educated + sensitive to that topic

Obesity is major public health issue. I think you must also target poor countries

Bring back community. This will make spaces safer, people more active and improve wellbeing for all ages

Educate and train families (kids & parents) at school, work on healthy habits, what obesity is (chronic condition)

Accept obesity and overweigth are diseases. Personalised treatment per patient according to needs

The policies governing obesity are redundant. It’s time that obesity be redefined as the greatests impediment to human race.

Education about the complexity involved in weight management starting early (schools) Prevention starts with education

Animal protection. Education of children from early age

Shift focus of policy from treatment to prevention. More financial resources for prevention, more attention

High Cost,
Easy to implement

Improving economic status of communities and country overall so people can eat healthy without worrying

Traducción al español

30% fiber 30% protein 3 power training per week 2 kiwi in the dinner sartines

Find influential people, reliable, respectable, qualified people on a marketing campaign acknowledging the point where obesity becomes a disease and should be treated as such, not a discipline, willpower plan, maturation problem

Do more research on prevention. We need to be more proactive, rather than waiting and intervening when people are diagnosed and implement drugs

Adopting a healthy lifestyle with a diet rich in protein content – to preserve and increase muscle mass also perform a lot of exercise

Holistic healhcare

More less beverages with sugar, do more physical activity, make favorite hobby, breath full of oxigen

More funds for long-term projects. Less complicated exhaustive administrative work to make it easier to create, develop, and implement research projects

Start from childhood so it dependent on education at kindergarden

Equal access to care, facilities, etc. Better understanding of obesity, communication, treatment from general HCPs, GPs. Public institution initiatives (school food, physical activiites). Policy making

Gamification of dietari and metabolic self-monitoring

We should conduct more cohort studies to understand predicting factors of obesity

Multidimensional support (psychiatrist, nutrition, physical activity, geneticists)

Physical activities (arrow up) Sugar (arrow down) Beverages drink (arrow down) Optimal nutrition

Reduce national taxation for individual achieving their CDM goals

To have a better understanding of the impact of sweeteners on cardiovascular health, particularly in obesity situation

Better use of cost-effectiveness analysis to prioritise resource allocation

Use retail data

Prevention of lean mass with nutritional approaches

Have better nutritional support since early age

More attention to emotions of patients

Restrict stigma of obesity. Educate patient and doctors. Speak about obesity in public especially media!

Less cost for the medication

Not your fault! Just move go out!

Create awareness to general public on why weight loss needs to be managed by HCP (obesity itself less recognised by general public)

More education

Cooking lessons

Include weekly class at schools on cooking, food seasonality, healthy diet for healthier bodies (not thin!)

Not all is GLP-1. Industry need to understand

Behaviour change. Dietitian is not just for diet list, we suggest medical nutrition therapy for obesity

Better awareness of possible medical treatments

Start to promote lifetime engagement interfaces which give ownership, incentive and education to everybody. This starts thorugh enabling patients of general public to have access to the impact, results of trials and what questions are being asked. To buy them in it must be relevant to societal outcomes to. AI is an opportunity to 100x these personalization and data combination

Active lifestyle

Healthier population = happier population

Cheaper healthy food + easy

Invest on obesity education iin countries with high obesity rate & limited access to treatment

Cover obesity drugs widely

Dietitian collaboration

Improve screening & diagnosis of obstructive slepp apnea in people living with overweight & obesity

High Cost
Hard to implement

Health policies, childhood education, body composition screening

More bold combination therapy with multiple pathways interaction

Policy interventions to improve the walkability of neighbourhoods / environments

Work with community to find what works for them. Nothing for them without them

Science is never follow the mainstream

Activate brown fat in adult humans. Improve mitochondrial function of adipose tissue in humans with obesity

Public health policies. Nutrition literacy

Integrate in front of food labelling to Turkey

Combination therapies represent a hihgly promising strategy for obesity treatment and could be further expanded to the chronic diseases. For obesity research exploring mechanisms beyond licretins particulary targets inflamation and oxidative stress beyond incretine therapies could be relevant

The Turkish government including the minister of national education and of health have all acted differently from political parties, they are concerned about an economic crisis in Turkey

Mandatory weight management clinics with incentives (economy, vouchers, etc)

Clear & consistent measurement of outcomes: in research, in practice, across population

To try to minimize advertisement and selling of unhealthy food such as sweets, fast food, and untra-processed food, sweet beverages

Prevention: policy strategies // Management: clear and unique guidelines including transition

WGS(whole genome sequencing?) for everyone

Exercise and nutrition for the muscle support

CRISPR gene editing for monogenic obesity

  • Healthcare literacy and advocacy. Without access, it is a lost cause.
  • Diet and exercise guidance with rapid progression to medication.
  • See above re affordability

More focus on mental health -> less risk of obesity. Maybe incorporate more psychologists into the field?

You must listen the patient and think what is the best option to him/her

Don’t be fighting with diets. Avoid a sedentary lifestyle. Don’t fight with the weight on a scale. Build muscle mass. The management of obesity has to be multidisciplinary and individualised.

From a dietitian’s point of view I would have a “precision nutrtion passport” for every patient so I have to focus only on daily education and a shame-free behavioural moves adapted to emotional and mental health state

Better management / treatment and access to healthcare providers for all age groups

Healthy nutrition for seniors. To ensure that seniors have access to food

Whole family care. Access to prevention care in healthcare systems.

Educate parents x adolescents to prevent disease

Help. Not blame. Accessible healthcare for all

Provide patients with access to the most advanced medications at the government’s expense

Healthier diet (access to dietician digitally)

Time, strehgth, patience

Nule (smell smoke)

Better counselling

Sugar tax on industry “food law”

Vulnerable adolescents: hard to eat healthy. Listen to their voice

Obesity is not policy alone (everybody does a part but it requires a system change. Policy is slow. We need to be fast)

Lifestyle intervention with pharmaceutical treatment. Digital solutions & personalized care

System changes. Healthier food. Education. More prevention. Better pharmacology availability

Less access to junk food

Prevent obesity from childhood – healthy food at school, info for parents. Focus at workplaces, room for exercise, walks during workday. Healthy food price reduction

Good data

Less processed food x more regulations on food quality. Earlier diagnosis, screening, prevention, treatment

Going back to traditions, no more easy lifestyle. Home-made cooking, simple is not better

Change the narrative about obesity – how to talk to people. Obesity clinics

Avoid diet indoctrination and educate on healthy diets

Re-defining educational system – from primary school

Personalizar el tratamiento basado en evidencia actual

Diagnosis of patient-centric obesity

Recognise, make policy and act on data & heterogeneity

Early childhood education about healthy living

Low Cost
Hard to implement

It is mandatory to stablish real recommendations at the clinical care level about nutrition and physical activity, rather than pharmacological estrategies only. Clinical doctors are not trained enough in nutritional and physical activity education for patients.

Make nutritional labelling mandatory in advertising especially when children are targetted (Beautiful idea)

Seguir trabajando el stigma (Work on stigma)

To increase sport hours in the school. To improve diets info for general public. To promote exercise in companies

Healthy ageing to me means being able to be physically active and healthy to the best extent possible eg still being able to bike to church or playing ball with your (grand)children.

Mandatory education for parents + children on health choices (food, exercise, etc)

More data research / sources on the wider determinants of health. Linked data

Less eat ultra-processed food

The most important thing is health policies. Taxes of foods that causes obesity (like added sugger beverages or ultra-processed foods, packages foods) should be high. Areas for physical activity should be high

A relevant step towards optimizing obesity care is to determine precisely which factors modify the risk of developing obesity, in which tissues, and when whithin precision prevention framework.

Change your chronotype

Tax unhealthy foods & promote active transport

Education of child. Read more everything

Improve stigma sensitive communication skills in health care

Lifestyle interventions as first line treatment

New drug. Statin. NAD. Exercise. Diet

Change the political agenda to make healthcare a higher priority than food industry

More movement

Obligate physical exercise in childhood period while school

Remove social stigma. Make GLP-1 more accessible cost wise

Educate parents – break the cycle. Give parents support & empowerment to make a change on their child’s health outcomes, and in turn their own (cooking lessons, education, psychosocial support)

Restrict + regulate food advertising + marketing of unhealthy edible products

Make healthy food sexy

Always work with an integral team, the obesity management has to be made at least by obesity MD, psychologist, sports expert

Hollistic treatment

To prevent obesity do more exercise. Don’t listen food noise

Free sports programms (activities for every age group) or budget friendly

Conciousness about stigma, weight bias. Training

Prevention and give better programming in the hands

Reimbursed access across Europe to treat to target services. Start digital, escalate to medical + surgical care aa indicated by clinical response

Amor propio, encontrar personas que se acerquen a lo que tu buscas en tu cuidado, cambiar el entorno cuando no sea favorable, trabajo, amistades, familiar o buscar integrar a la familia a un nuevo estilo de vida

Formación en medicina culinaria

Less corruption

People do not have time for physical activity or exercise during their routine work day. Some physical exercise programmes might be included in routine work programmes. Like “lunch time” “10 minutes exercise” time.

Mejorar acceso a los alimentos originales. Educacion nutricional y emocional desde la escuela

Have school nutrition and cooking skills as a required subject for healthy and good diets

La obesidad requiere atención integral, que se base en evidencia, libre de estigma y con un acompañamiento empatico por parte del personal de salud y sus familiares y entorno

I want a treatment free with all my patients, individualized

We need multiview, and open minded view

For prevention: diet is important, do exercise, sleep well, no stress

Takle loneliness in society

Ban fast food

Breaking down stigma

Regulate food industry and school dietary policy

Promote healthy food & tax processed food

Tax suggar

Put nutritional info on front of packaging

Food law/taxes (ultraprocessed food, sugar, etc) similar to tabacco and alcohol

Standardized guidelines to support pre-conception antenatal & post partum nutrition

Frame it around what matters QoL

Openly speaking about obesity like disease

Easy access to healthy food

Ban suggar / Tax on suggar

Tax highly processed food and sweet drinks

Lifestyle & awareness

Simplify the registration process

Collaborate pharma + food industry in creating awareness (since childhood)

Having a healthier lifestyle

Better access and knowledge to physical exercise and good nutrition.

To make GLP-1 medication more affordable

On my practice, he aprendido a escuchar la necesidad de mis pacientes muy lejos de lo que yo creo que puede ser mejor para ellos (listen to patients)

School nutrition standards for all over the world. Specially for Turkey

Producing “simple” foods -> no need to add added sugar or palm oil on high fructose corn syrup in foods that can be produced otherwise. Make labels readible with clear ingredients, ones that regular consumers understand (example, no E)

Food shopping support – navigating healthier choices

Public health . Commercial SDH

Having a toolkit of interventions / management strategies to ensure choice / options to prevention

Sport more affordable. Proper diagnostics

Data & monitoring systems especially in LMICs!

Political considerations x marketing for social media and TV campaigns – ultraprocessed food especially on children to prevent obesity

Taxes on high fat, salt & sugar / UPF Products

Education on misinformation. Public + obesity-reduce stigma. Public on nutrition, diets and physical activiites. Myth busting