MedPage Today May 27, 2023
Kim Dennis, MD

— The AAP obesity guidelines stand to worsen stigma and mental health

On January 9 of this year, the American Academy of Pediatricians (AAP) published their “Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity.” With this guidance, the AAP is advising doctors and other providers that the “monitoring” and “watchful waiting” approaches are no longer valid.

In a stark shift from previous recommendations, the focus of the new guidance is unabashedly on weight loss and body mass index (BMI) instead of health. The new recommendations call for a more aggressive approach to weight loss, including the use of weight loss medications like the GLP-1 agonists for adolescents based solely on weight status — regardless...

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