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Updated: Apr 20, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Obesity is always a clinically relevant chronic disease.
Lorenzo M Donini1, Maria D Ballesteros-Pomar2, John A Batsis3
1Department of Experimental Medicine, Sapienza University, Rome, Italy. lorenzomaria.donini@uniroma1.it.
Obesity management is evolving with new drugs, prompting discussions on recognizing obesity as a disease and refining diagnostic criteria. This analysis compares key statements on obesity diagnosis and treatment timing.
Area of Science:
- Endocrinology
- Metabolic Diseases
- Public Health
Background:
- Recent advancements in pharmacological treatments have increased interest in obesity.
- This has led to debates regarding obesity's disease status and diagnostic criteria.
Purpose of the Study:
- To critically analyze statements from the European Association for the Study of Obesity (EASO) and the Lancet Diabetes Endocrinology Commission.
- To discuss discrepancies and potential misunderstandings in obesity diagnosis and treatment guidelines.
Main Methods:
- Comparative analysis of EASO and Lancet Diabetes Endocrinology Commission statements.
- Discussion of Body Mass Index (BMI) limitations and the role of body composition.
- Examination of obesity as a chronic disease considering biological, psychological, and social factors.
Main Results:
- Current BMI metrics for obesity diagnosis have limitations.
- Visceral fat and body composition assessment are crucial for accurate obesity diagnosis.
- Obesity should be consistently viewed as a clinically relevant chronic disease.
Conclusions:
- Revising obesity diagnostic criteria beyond BMI is necessary.
- Integrating body composition analysis will improve patient stratification and treatment.
- Acknowledging obesity as a chronic disease is vital for comprehensive management and patient care.
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