Obesity

Defining disease or delaying care? A conceptual and clinical appraisal of the Lancet obesity framework

J Clin Endocrinol MetabPublished Scientific statement

Recommendations

As issued by the authors

  1. 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)

  2. Harmonization with established staging systems (EOSS, EASO)

  3. Explicit measurement protocols

  4. Age-, sex-, and ancestry-specific thresholds

  5. Integration of mental health and patient-reported outcomes

  6. 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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