Defining disease or delaying care? A conceptual and clinical appraisal of the Lancet obesity framework
Recommendations
As issued by the authors
Endocrine Society (ES) paused before fully endorsing the Commission's consensus (unstandardized anthropometric measurement, increased resource use, limited subcutaneous vs visceral fat distinction, insufficient long-term data)
Harmonization with established staging systems (EOSS, EASO)
Explicit measurement protocols
Age-, sex-, and ancestry-specific thresholds
Integration of mental health and patient-reported outcomes
Policies that prevent unintended care restrictions
Original publication
Defining disease or delaying care? A conceptual and clinical appraisal of the Lancet obesity framework. J Clin Endocrinol Metab. Published 2 April 2026. doi:10. 1210/ clinem/ dgag097
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