We must change the paradigm of childhood obesity from watchful waiting to proactive treatment.
.” To be sure, pediatricians must approach children and families with empathy and sensitivity. According to the AAP, research shows that when administered by trained professionals with active family involvement, behavioral interventions have “no evidence of harm and can result in less disordered eating.”
In my view, medicalizing obesity is key to reducing stigma. If obesity is seen solely as choice, then patients are blamed for their illness. On the other hand, if it is seen as the consequence of multiple factors for which a combination of lifestyle modification and medical treatments are needed, obesity can be regarded just as we do other chronic illnesses such as diabetes or heart disease. The AAP guidance reinforces this point and emphasizes the importance of insurance coverage for obesity treatment. Insurance plans often restrict such coverage to patients unless they are also being treated for another disease.
That’s a huge time commitment for parents and other caregivers who are working full-time jobs, and that’s assuming they are able to obtain this type of multi-specialty treatment and have it paid for by their insurance. It’s unrealistic to expect that this gold-standard care will become widely available anytime soon. And many families might struggle with the recommendations because they lack access to affordable healthy food and safe places to exercise. The obesity epidemic is a societal crisis that requires major policy changes.Still, I think the AAP’s new stance is a much-needed reminder of the lifelong consequences of obesity and the need to address it in childhood.
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