Dutch family doctors are increasingly emphasizing that weight is a medical signal, not simply a lifestyle choice, as the country grapples with rising rates of obesity and related health concerns. The shift in perspective comes as healthcare professionals seek to address the complex factors contributing to weight gain, moving beyond the traditional focus on diet and exercise.
According to recent guidance from the Netherlands’ Zorginstituut Nederland, obesity is now recognized as a disease, characterized by inflammation of fat tissue within the body, disrupting hormonal balances and overall physiological function. This acknowledgement is prompting a more comprehensive approach to treatment, involving collaboration between patients, general practitioners, and specialists.
“Your huisarts [family doctor] can determine if you have overweight or obesity and assess your risk of health problems,” the Zorginstituut Nederland states. The assessment isn’t solely based on Body Mass Index (BMI), but also considers waist circumference and other risk factors for conditions like type 2 diabetes and cardiovascular disease. A BMI of 25 or higher indicates overweight, while a BMI between 30 and 40 is classified as obesity, and a BMI of 40 or above is considered severe obesity.
The traditional view of weight as solely a matter of willpower is being challenged by medical professionals. Factors such as genetics, hormones, stress, medication, and underlying psychological issues are now understood to play significant roles. This understanding is crucial, as it moves the conversation away from blame and towards a more supportive and effective treatment approach.
Initial treatment typically involves a lifestyle program, known as GLI, which focuses on healthy eating, increased physical activity, and stress management techniques. These programs are often conducted in group settings, providing participants with peer support and guidance. Yet, doctors acknowledge that lifestyle changes alone may not be sufficient for everyone.
For individuals who struggle to achieve sustainable weight loss through lifestyle modifications, medication or surgical intervention may be considered. The decision regarding the most appropriate treatment is made in consultation with a physician, taking into account the patient’s individual circumstances and health status. The Thuisarts.nl website emphasizes that patients should discuss treatment options with their doctor, practice nurse, or a specialist to determine the best course of action.
The growing awareness of the multifaceted nature of weight is also prompting a reevaluation of societal attitudes towards obesity. Experts note that discrimination against individuals with obesity is often unconscious and pervasive, contributing to stigma and hindering access to appropriate care.
As of February 7, 2026, healthcare providers are encouraging patients to schedule appointments to discuss weight concerns and explore available treatment options. The emphasis is on a holistic approach that addresses the underlying medical and psychological factors contributing to weight gain, rather than simply focusing on superficial changes.
