Terms to use with Children – Overweight or Obese
There has been some debate going on in regards to the terms that should be used to indicate a child’s weight status.
For adults the categories are Underweight, Overweight and Obese, but these terms have been avoided in children.
Some doctors have avoided the blunt terms in particular “obese.” Instead, they refer to children many would consider too fat as being “at risk for overweight,” and “overweight” for those others would consider obese. These fuzzier labels let pediatricians “off the hook” when counseling patients who need to lose weight.
Dr. Reginald Washington, a committee spokesman and member of the American Academy of Pediatrics stated that the reason for not using the actual terms has been of “fear that we’re going to stigmatize children, we’re going to take away their self-esteem, we’re going to label them.”
Recommendations
A committee of medical experts American Medical Association and funded by federal health officials including the Centers for Disease Control and Prevention recommended that the terms overweight or obese be applied to children.
The recommended terms are more accurate, but don’t mean that doctors need to be insensitive about using the terms.
The recommendations were endorsed by most of the organizations on the committee, including the American Academy of Pediatrics, the American Dietetic Association, the American Academy of Child and Adolescent Psychiatry and the American College of Preventive Medicine.
The CDC will consider whether to adopt the recommendations.
Reason for Concern – More Obese and Overweight Children
About 17% of U.S. children are obese and one-third are overweight, using the committee’s recommended definitions. Those numbers are rising, putting children at risk for diabetes, high blood pressure, cholesterol problems and other ailments more commonly found in adults.
Source:
Associated Press. June 12, 2007. Expert panel says to call kids ‘obese.’ USA Today.
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