Health
New guidelines highlight the complexities of childhood obesity
“Physicians are not immune to the social weight bias that pervades our culture,” says Rebecca Poole, professor and associate director of the Rudd Center for Food Policy and Health at the University of Connecticut. This bias is seldom, if ever, addressed in medical school training.”
In this context, AAP’s continued dependence on BMI is troubling to some. Unpredictable individual metabolic health and may be stigmatized.
“I wish the AAP hadn’t used BMI as a marker,” said Dr. Amin. “BMI doesn’t take into account a child’s health. It’s just a number.” “We have a lot of patients with relatively high BMIs,” she said. They are just big.
Dr. Jason Nagata, an adolescent medicine specialist at UCSF Benioff Children’s Hospital San Francisco, said it’s important to remember how sensitive the discussion between doctors and patients about weight and body shape is. He also expressed concern that practices such as using people-first language, while important, are not enough.
“As an eating disorder specialist, I get so many referrals on the same story: teenagers who were previously overweight or obese, were advised to lose weight by their pediatrician or their parents, and lost weight to extremes. I did,” said Dr. Nagata. Said.he has been working on research showing that Eating disorders such as fasting and vomiting Common in obese children. Even when parents and doctors put people first and pay attention to discussions that focus on health, not weight, children still say, “I’m overweight, I need to lose weight.” He warned that he might only hear it.
Dr. Miller echoed that assessment, saying, “Weight talk can lead to eating disorders in children.” “At the same time, we encourage children to have a challenging relationship with their bodies,” she said. and prepare for it, increasing your risk of other serious medical conditions.”
Implications of new guidelines for next pediatrician visit
Experts say the AAP’s recommendations may take time to change the way pediatricians deliver care on a daily basis.
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