Should patients with chronic disease be told to gain weight?
The answer to this question is not straightforward. According to a study published in the American Journal of Medicine, the obesity paradox and selection bias suggest that there are benefits to maintaining a healthy weight in some patients with chronic diseases. However, the U.S. Preventive Services Task Force, American Association of Clinical Endocrinologists, and American College of Endocrinology all recommend that patients with obesity receive medical care to help manage their conditions. Additionally, the USPSTF and other organizations have recommended behavioral weight loss interventions to reduce the risks of obesity-related morbidity and mortality. Finally, screening for and management of obesity in adults is also recommended, as is noninvasive ventilatory correction in patients with acute ischemic stroke. Ultimately, patients with chronic diseases should consult with their healthcare provider to determine if gaining weight is appropriate for their condition. 