Real and imagined overweight and obesity, and resulting weight-reduction ef
forts, are associated with the development of a variety of health problems
and eating disorders. For many years, research and practice in the field of
weight management have been based largely on a unidimensional, simplistic,
weight-loss paradigm. The long-term success rate for persons using this pa
radigm has been low. This article presents a multidimensional paradigm that
focuses on all aspects of the prevention, treatment, and management of wei
ght-related problems. The goal is to stimulate a shift from the unidimensio
nal to a more multidimensional approach in weight-management interventions.
The paradigm presents weight management as a continuum on which 5 prominen
t points are identified: formulation of reasonable weight goals, prevention
of unnecessary weight gain or loss, weight loss when necessary, prevention
of relapse, and acceptance of an overweight/obese physique when necessary.
The intrapersonal characteristics and skills associated with this continuu
m, namely, self-esteem, body image, self-efficacy, locus of control, motiva
tion, stress management, problem solving and decision making, and assertive
ness, as well as the role of stage of change and environmental influences o
n weight management, are examined. Issues concerning the different dimensio
ns of the paradigm are discussed as are challenges and applications for res
earchers and practitioners in the field of weight management.