In the new guidelines, the physician group steps away from “watchful waiting” and encourages earlier, more aggressive interventions with a supportive “whole child” approach in mind.
across the US live with obesity. Obesity can lead to not only serious short-and long-term health consequences, but children with obesity often face harsh, unfair stigma from family, friends and even the doctors who treat them.
The “whole child” approach represents a perspective shift in how doctors look at obesity. Rather than placing blame on the child or pointing to one cause, the “whole child” approach fosters a supportive atmosphere that tries to give kids and their parents the tools they need to succeed. It also acknowledges that obesity is complex and for many kids, the cause is often tied to factors beyond their sole control like a lack of nutritious food or a safe place to get outside.
The guidelines emphasize lifestyle changes to be the most effective for younger children. “The goal is to help patients make changes in lifestyle, behaviors or environment in a way that is sustainable and involves families in decision-making at every step of the way,” she wrote. Beyond lifestyle treatments, the new guidelines recommend doctors consider weight loss drugs for teens older than 12 and evaluate teens older than 13 with severe obesity for surgery. While some embrace these treatments as another way for teens to take control of their health, various health organizations and parents are weary of more aggressive options like weight loss drugs and surgery—and their effects on children’s body image and mental health.
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