Why This Matters
The American Academy of Pediatrics recently released new guidelines for treating childhood “obesity.”
At WithAll, we see these guidelines as failing kids for two simple reasons. First, the guidelines alarmingly do not mention, much less caution pediatricians about, eating disorders and disordered eating. Many kids are highly likely to feel shame or self-doubt when they sense an adult is judging or criticizing their weight or food relationship. These are the kids that are more likely to develop disordered eating or eating disorders because of perceived adult judgment(s). Every pediatrician must approach weight or body conversations with this awareness, or they will cause irreparable harm. The AAP guidelines make absolutely no mention of this reality.
Second, the guidelines continue the failed effort of focusing on BMI, percentiles, or numbers—as a proxy for real health—with a false belief that doing so will reduce rates of unhealthy excess weight. How many billions of dollars and years will we continue down this path that does not work? Research has time and time again shown when we focus on weight and diet instead of health and well-being, we create harm not health.
At WithAll, we are working to raise awareness of what the AAP has done and failed to do with these guidelines. Our kids deserve and need better. WithAll’s full response can be found here.
Although the AAP’s approach is disheartening, we can take action to speak out. And we can advocate for our own children by talking to their doctor about avoiding a harmful focus on BMI, weight, and percentiles.
