Is Obesity a Disease? A Groundbreaking Consensus Emerges
For decades, the medical community has grappled with a contentious question: Is obesity a disease? The debate has now reached a pivotal moment, as 56 international experts convened by The lancet diabetes & Endocrinology have reached a consensus on defining obesity and establishing diagnostic criteria. This landmark decision, published on January 14, 2025, is poised to revolutionize how obesity is understood and treated worldwide.
“We expect this to be a revolution in the medical world,” says Jean-Pierre Després, a researcher at the University Institute of Cardiology and Pneumology of Quebec (IUCPQ) — Université Laval and a member of the expert panel. The group’s conclusions, supported by 75 medical organizations, mark a significant shift in the perception of obesity.
Traditionally, obesity has been defined as an excess of body fat that increases the risk of health problems, positioning it as a risk factor rather than a disease. Though, the expert panel has now distinguished between clinical obesity, recognized as a chronic disease, and preclinical obesity, which is not classified as a pathology.
The panel’s findings challenge the long-standing reliance on Body Mass Index (BMI) as the sole diagnostic tool. Instead, they propose a more nuanced approach, incorporating additional criteria to identify clinical obesity. This shift aims to address the complexities of the condition and improve patient outcomes.
Key Takeaways from the Consensus
Table of Contents
- Redefining Obesity: A New Approach to Diagnosis and Treatment
- A New Era in Obesity Treatment: Quebec’s Push for Multidisciplinary Care and Accessible Medications
- the Barriers to Accessible Care
- The Health Risks of Clinical Obesity
- A Call for Multidisciplinary Solutions
- The Path Forward
- Sleep Apnea in Children: More Than Just Snoring
- hypertension: A Silent Threat
- Kidney Damage: A Growing Concern
- Chronic Pain and Poor leg Alignment
- Key Health risks in Children: A Summary
- Why Early Intervention Matters
- A Call to Action
- Hypertension: A Silent Threat
- Kidney Damage: A Consequence of Unmanaged Health Issues
- Chronic Pain and Poor Leg Alignment: A vicious Cycle
- The Importance of Early Intervention
- Multidisciplinary Care: A Holistic Approach
- Conclusion
| Aspect | Details |
|————————–|—————————————————————————–|
| Definition | Obesity is now classified as a chronic disease (clinical obesity). |
| Diagnostic Criteria | Moves beyond BMI, incorporating additional health indicators. |
| Expert Consensus | Supported by 56 international experts and 75 medical organizations. |
| Impact | Expected to revolutionize medical approaches to obesity treatment. |
The implications of this consensus are profound. By redefining obesity as a chronic disease, the medical community can better address its root causes and develop targeted treatments.This shift also underscores the importance of moving beyond simplistic metrics like BMI, which frequently enough fail to capture the full scope of an individual’s health.
As Jean-pierre Després notes, “About half of the experts wanted this condition to be considered an illness.” This statement highlights the diversity of perspectives within the panel and the rigorous debate that preceded the final decision.
The publication of these findings marks a turning point in the fight against obesity, offering hope for more effective interventions and a deeper understanding of this complex condition.For those affected by obesity, this consensus represents a step toward better care and a brighter future.
Stay informed about the latest developments in health and medicine by exploring more insights from leading experts.
Redefining Obesity: A New Approach to Diagnosis and Treatment
Obesity is no longer just about body mass index (BMI). A groundbreaking shift in how we define and diagnose obesity is underway, emphasizing the importance of waist circumference and associated health dysfunctions. This new approach,championed by experts like Jean-Pierre Després,aims to better identify those at risk and prioritize treatment for those who need it moast.
The Limitations of BMI
For decades, BMI has been the go-to metric for diagnosing obesity. Though, experts argue that it’s an outdated and misleading measure. “the BMI is rubbish because it does not distinguish between a high weight determined by a large muscle mass and a high weight linked to excess body fat,” says Jean-Pierre Després, a leading expert in the field. He points to the example of Laurent Duvernay-Tardif, a former NFL player who would have been classified as obese based on his BMI despite being in peak physical condition.In Quebec, approximately 30% of adults have a BMI of 30 or more, according to Statistics Canada. But this number doesn’t tell the whole story. The new diagnostic criteria aim to address these shortcomings by incorporating additional measures.
A New Diagnostic Framework
To confirm excess adipose tissue, experts now recommend measuring both BMI and waist circumference. Abdominal fat, in particular, is considered “hazardous for health,” insists després. The commission has set thresholds for problematic waist circumference at 102 cm for men and 88 cm for women.
However, a high BMI or waist circumference alone isn’t enough to diagnose clinical obesity. Patients must also exhibit at least one of 18 dysfunctions in adults or 13 in children and adolescents directly related to their obesity. These include conditions like heart failure and fatty liver disease.
Patients without these dysfunctions are classified as having preclinical obesity. “These people must be monitored,” says Després. This group may include individuals with a BMI slightly below 30 but whose waist circumference exceeds the established thresholds. Després describes a typical case: “Think of the 60-year-old man, sedentary all his life, who has lost muscle mass, has small legs, and a hard belly.”
Reactions from the Medical Community
The new definition has been met with enthusiasm by many in the medical field. Dr. Marie-philippe Morin, a clinician-researcher at IUCPQ-Université Laval, is particularly pleased. “They must be treated and have access to care and services like any other illness,” she emphasizes. “Currently, this is not the case.”
One major hurdle is the lack of coverage for obesity medications like Ozempic and Wegovy under Quebec’s drug insurance plan. this leaves many patients without access to possibly life-changing treatments.
Key Takeaways
| Aspect | Details |
|————————–|—————————————————————————–|
| BMI Limitations | Does not differentiate between muscle mass and fat. |
| Waist Circumference | Thresholds: 102 cm (men), 88 cm (women). |
| Clinical Obesity | Requires BMI/waist circumference + associated dysfunction. |
| Preclinical Obesity | High waist circumference without associated dysfunctions. |
| Treatment Access | Obesity medications like Ozempic and Wegovy are not covered in Quebec. |
moving Forward
This new approach to diagnosing obesity represents a significant step forward in addressing a complex and multifaceted health issue. By focusing on waist circumference and associated health problems, experts hope to better identify those at risk and provide targeted care.
As Dr. Morin notes,“They must be treated and have access to care and services like any other illness.” With continued advocacy and policy changes, the hope is that more patients will gain access to the treatments they need to lead healthier lives.
For more information on obesity and its associated health risks, visit Statistics Canada and explore resources from IUCPQ-Université Laval.
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What are your thoughts on this new approach to diagnosing obesity? Share your opinions in the comments below or join the conversation on social media.
A New Era in Obesity Treatment: Quebec’s Push for Multidisciplinary Care and Accessible Medications
In a groundbreaking move, pediatric endocrinologist Dr. Mélanie Henderson of the Sainte-Justine University Hospital Center (CHU) has highlighted the importance of a “clearer definition” of obesity to guide the Régie de l’assurance santé du Québec in covering medications for obesity treatment. “We hope that this would be accessible, not to everyone, but to the subgroup of people who will really benefit from it and for whom it will make a big difference for their health,” she explains.
This shift comes as part of a broader effort to address the growing obesity epidemic in Quebec, where access to specialized care remains a significant challenge. Dr.Julie St-Pierre, a pediatrician and obesity specialist, emphasizes that this development is a crucial “argument” in favor of managing patients with clinical obesity and preclinical obesity through multidisciplinary teams. however, she notes that such teams are currently too few in number across the province.
the Barriers to Accessible Care
For many families, the lack of private insurance creates insurmountable obstacles. “If your parents don’t have insurance, it’s practically impossible to have access to a nutritionist and a kinesiologist,” laments Dr. St-Pierre, who is also the founder of Approach 180, an interdisciplinary initiative focused on obesity prevention and management.
This sentiment is echoed by Dr. Morin, who believes that the recent publication of clearer guidelines has broader implications.“For their insurability, for example, or even the stigma linked to weight, this has a benefit,” she says, referring to individuals with a high BMI who may not yet have associated health problems.
The Health Risks of Clinical Obesity
Obesity is not just a number on the scale; it is a complex condition associated with a range of serious health issues. Experts have identified several dysfunctions linked to clinical obesity in both adults and children:
Adults
- Heart failure
- Sleep apnea
- Hypertension
- Fatty liver disease
- Chronic urinary incontinence
- Significant mobility limitations in daily activities
These conditions underscore the urgent need for thorough care strategies that go beyond weight management alone.
A Call for Multidisciplinary Solutions
The push for multidisciplinary care is gaining momentum, with advocates like Dr. St-Pierre calling for increased resources and support. Such teams would include specialists like nutritionists,kinesiologists,and mental health professionals,ensuring a holistic approach to obesity treatment.
| Key Takeaways |
|——————–|
| Clearer definitions of obesity will guide insurance coverage for medications. |
| multidisciplinary teams are essential but currently under-resourced in Quebec. |
| Lack of private insurance limits access to critical care providers like nutritionists and kinesiologists. |
| Obesity is linked to severe health risks, including heart failure, sleep apnea, and mobility limitations. |
The Path Forward
As Quebec grapples with the obesity crisis, the focus is shifting toward accessible care and stigma reduction. By redefining obesity and advocating for multidisciplinary approaches, healthcare professionals hope to create a system that prioritizes patient well-being over bureaucratic hurdles.
For those affected by obesity, the message is clear: change is on the horizon. But it will require collective action—from policymakers, healthcare providers, and the community—to ensure that no one is left behind.
What are your thoughts on the need for multidisciplinary care in obesity treatment? Share your insights and join the conversation below.
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This article is based on insights from Dr. Mélanie Henderson, Dr. Julie St-Pierre, and Dr. Morin, as well as the latest developments in Quebec’s healthcare system.The Hidden health Risks Facing Children: A Closer Look at Sleep Apnea,Hypertension,kidney Damage,and Chronic Pain
Children are ofen seen as the picture of health,but beneath the surface,they can face a range of serious health challenges.From sleep apnea to hypertension, kidney damage, and chronic pain linked to poor leg alignment, these conditions can have long-lasting impacts if left unaddressed.
Sleep Apnea in Children: More Than Just Snoring
Sleep apnea is frequently enough associated with adults, but it’s a growing concern among children. This condition, characterized by interrupted breathing during sleep, can lead to poor sleep quality, daytime fatigue, and even behavioral issues. Studies suggest that untreated sleep apnea in children can also contribute to developmental delays and learning difficulties.
hypertension: A Silent Threat
While hypertension is typically considered an adult condition, it’s increasingly being diagnosed in children.Factors like obesity, poor diet, and lack of physical activity are major contributors. Left unchecked, high blood pressure can damage blood vessels and increase the risk of heart disease later in life.
Kidney Damage: A Growing Concern
Kidney damage in children can stem from various causes, including congenital abnormalities, infections, or chronic conditions like diabetes. Early detection is crucial, as kidney damage can progress silently, leading to long-term complications such as kidney failure.
Chronic Pain and Poor leg Alignment
chronic pain linked to poor leg alignment is another issue affecting children. Misaligned legs can lead to uneven weight distribution,causing pain in the knees,hips,and lower back. Over time,this can result in chronic discomfort and mobility issues.
Key Health risks in Children: A Summary
| Condition | Key Symptoms | Potential Long-Term Effects |
|—————————–|——————————————-|——————————————|
| Sleep Apnea | Snoring, daytime fatigue, behavioral issues | Developmental delays, learning difficulties |
| Hypertension | Frequently enough asymptomatic, high blood pressure | Heart disease, vascular damage |
| Kidney Damage | Swelling, fatigue, changes in urination | Kidney failure, chronic kidney disease |
| Chronic Pain (Leg Alignment) | Knee, hip, or back pain, limping | Mobility issues, chronic discomfort |
Why Early Intervention Matters
Addressing these health risks early is critical. Regular check-ups, a balanced diet, and an active lifestyle can go a long way in preventing or managing these conditions. Parents and caregivers should also be vigilant about symptoms and seek medical advice when needed.
A Call to Action
If your child shows signs of sleep apnea, hypertension, kidney damage, or chronic pain, don’t wait. Consult a healthcare professional to explore diagnostic and treatment options.Early intervention can make all the difference in ensuring a healthy future for your child.
By staying informed and proactive, we can help children overcome these challenges and thrive. Let’s prioritize their health today for a brighter tomorrow.
With adults, but it is increasingly being recognized as a significant issue in children as well. This condition, characterized by repeated interruptions in breathing during sleep, can lead to a host of problems, including poor sleep quality, daytime fatigue, and even behavioral issues. In severe cases,untreated sleep apnea can contribute to cardiovascular problems and impaired growth.
Hypertension: A Silent Threat
Hypertension, or high blood pressure, is another condition that is often overlooked in children. While it is indeed more commonly associated with adults, children—especially those who are overweight or obese—can also develop hypertension. Left untreated, it can lead to serious complications such as heart disease, kidney damage, and stroke later in life. Early detection and management are crucial to preventing these long-term consequences.
Kidney Damage: A Consequence of Unmanaged Health Issues
Kidney damage in children can result from a variety of factors, including chronic conditions like hypertension and diabetes. The kidneys play a vital role in filtering waste from the blood, and any impairment can lead to a buildup of toxins in the body. Over time, this can progress to chronic kidney disease, which may require dialysis or a kidney transplant.
Chronic Pain and Poor Leg Alignment: A vicious Cycle
Chronic pain,especially in the legs,can be linked to poor leg alignment or structural issues such as flat feet or knock knees.These conditions can cause discomfort, limit physical activity, and even lead to further complications like joint damage or arthritis. Addressing these issues early through physical therapy, orthotics, or othre interventions can help alleviate pain and improve mobility.
The Importance of Early Intervention
The key to managing these health risks lies in early detection and intervention. Regular check-ups with a pediatrician can help identify potential issues before they become severe. Parents should also be vigilant about symptoms such as snoring, fatigue, high blood pressure readings, or persistent pain in thier children.
Multidisciplinary Care: A Holistic Approach
Just as with obesity, addressing these health risks in children often requires a multidisciplinary approach. This might include:
- Pediatricians for overall health monitoring
- Sleep specialists for diagnosing and treating sleep apnea
- Cardiologists for managing hypertension
- Nephrologists for kidney health
- Physical therapists for addressing chronic pain and alignment issues
By bringing together a team of specialists, healthcare providers can offer comprehensive care that addresses the root causes of these conditions and helps children lead healthier, more active lives.
Conclusion
Children’s health is complex and multifaceted, and conditions like sleep apnea, hypertension, kidney damage, and chronic pain can have serious implications if not addressed early. By prioritizing regular check-ups,early intervention,and multidisciplinary care,we can help ensure that children grow up healthy and strong.
What steps do you think parents and healthcare providers should take to better address these hidden health risks in children? Share your thoughts and join the conversation below.
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This article highlights the importance of early detection and multidisciplinary care in addressing hidden health risks in children.For more details,consult your pediatrician or visit trusted health resources.
