Need for a Paradigm Shift in Adult Overweight and Obesity Management

Obesity, an Under-Diagnosed and Under-Treated Condition

Recognition of the magnitude and impact of obesity as a major health problem by physicians, the general population and policy makers lies at the foundation of developing effective strategies to successfully implement medical interventions in the management of both overweight and obesity. Despite the evident physical changes imposed by excess weight, surprisingly clear opportunities for overweight and obesity diagnosis as well as treatment are being missed with approximately less than 40% of primary care physicians computing their patients’ BMIs [1] . Moreover, only about one third of obese patients recall their doctor counselling them about losing weight, even though patients whose doctors discuss the problem with them are more likely to do something about it [1].

New EASO Position Statement now available via Obesity Facts

The Ethics of Childhood Obesity Treatment


With the American Medical Association’s recent declaration that obesity is a serious disease [1] , a critical consideration of the ethics of treating childhood obesity is especially timely. Although data suggest that the childhood obesity epidemic has stabilized in some countries [2] , the levels remain too high; 18–49% of European children are overweight [3] .  Consequently there is an immense and urgent need for the effective treatment of this complex disease. Unfortunately, the most recent Cochrane review concludes that, although familybased interventions can reduce excess weight in children and adolescents, long-term, effective and sustainable interventions for childhood obesity have yet to be identified.

Read the full paper – COTF Ethics Sept 2014