Text Link

Learn more about the results we get at Within

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.

Learn more about the results we get at Within

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.

Fighting fatphobia in healthcare (Part 2): IAEDP urges AAP to revise harmful guidelines for childhood “obesity”

In part two of Fighting Fatphobia in Healthcare, we explain more reasons why the International Association of Eating Disorder Professionals (IAEDP) believes new guidelines for treating childhood obesity—put out by the American Academy of Pediatrics (AAP)—will do more harm than good.

With the health and well-being of all children at heart, we at Within and other IAEDP member organizations are committed to working together with the AAP to revise their guidelines for childhood “obesity” and fighting the fatphobia that’s driving these unconscionable guidelines.

Last updated on 
January 8, 2024
Fighting fatphobia in healthcare
In this article

Concerns with the AAP's position

However well-intentioned they were meant to be, the AAP's guidelines should be addressed. The IAEDP has a few specific concerns and plans for correcting them.

Unsubstantiated claims
Dangerous side effects and unsafe outcomes
Concerning conflicts of interest

Fighting fatphobia and negligence in healthcare

What’s really driving these AAP guidelines for childhood “obesity?” Fatphobia and weight discrimination in the health care system. These hurtful attitudes can result in weight gain and increased risk of developing eating disorders and other health issues often blamed on weight. (6)

The AAP is reckless and uniform in making recommendations that fly in the face of practices that medical professionals who treat eating disorders know to be dangerous and deadly. This is negligence.

{{link-bank-one-column}}

Where do we go from here?

Within Health and other IAEDP members are committed to raising awareness of fatphobia and weight stigma in healthcare, calling out harmful practices, and increasing access to and providing weight-inclusive healthcare for all.

This includes addressing the AAP about the grave danger presented by its guidelines and imploring the organization to revise them.

We are just beginning this critical opposition work. For the physical and mental health and well-being of everyone fatphobia and weight stigma have harmed, we will persist.

Disclaimer about "overeating": Within Health hesitatingly uses the word "overeating" because it is the term currently associated with this condition in society, however, we believe it inherently overlooks the various psychological aspects of this condition which are often interconnected with internalized diet culture, and a restrictive mindset about food. For the remainder of this piece, we will therefore be putting "overeating" in quotations to recognize that the diagnosis itself pathologizes behavior that is potentially hardwired and adaptive to a restrictive mindset.

Disclaimer about weight loss drugs: Within does not endorse the use of any weight loss drug or behavior and seeks to provide education on the insidious nature of diet culture. We understand the complex nature of disordered eating and eating disorders and strongly encourage anyone engaging in these behaviors to reach out for help as soon as possible. No statement should be taken as healthcare advice. All healthcare decisions should be made with your individual healthcare provider.

Resources

  1. Fildes, A., Charlton, J., Rudisill, C., Littlejohns, P., Prevost, A. T., & Gulliford, M. C. (2015). Probability of an Obese Person Attaining Normal Body Weight: Cohort Study Using Electronic Health Records. American Journal of Public Health, 105(9), e54–e59. 
  2. Strohacker, K., Carpenter, K. C., & McFarlin, B. K. (2009). Consequences of Weight Cycling: An Increase in Disease Risk? International Journal of Exercise Science, 2(3), 191–201. 
  3. Neumark-Sztainer, D., Wall, M., Larson, N.I., Eisenberg, M., Loth, K. (2011). Dieting and Disordered Eating Behaviors from Adolescence to Young Adulthood: Findings from a 10-Year Longitudinal Study. Journal of the American Dietetic Association, (111)7, 1004-1011.  
  4. Chastain, R. (January 14, 2023). Serious Issues with American Academy of Pediatrics Guidelines for Higher Weight Children and Adolescents. Weight and Health Newsletter. 
  5. Chastain, R. (January 12, 2023). Special Edition: Dangerous New Guidelines from American Academy of Pediatrics for Higher Weight Children. Weight and Health Newsletter. 
  6. Puhl, R., Suh, Y. (2015). Stigma and Eating and Weight Disorders. Current Psychiatry Reports, 17, 10. 
  7. Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity. (2023, January 9). American Academy of Pediatrics. Accessed November 2023.

FAQs

Further reading

Black History Month spotlight: Mamie Phipps Clark—Redefining equality in a segregated world

Scientific studies are often considered the closest thing to objective truth. And not without reason. To be...

Is fasting an eating disorder?

Eating disorders like anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED) are...

How to maintain a healthy eating schedule in college

College can be one of the most exciting transitions in a person’s life. For many, it provides the first...

What is neuroplasticity?

The ability to change and adapt is often considered essential to mental health. But it’s also a critical...

Fighting fatphobia in healthcare (Part 2): IAEDP urges AAP to revise harmful guidelines for childhood “obesity”

In part two of Fighting Fatphobia in Healthcare, we explain more reasons why the International Association...

Fighting fatphobia in healthcare (Part 1): IAEDP addresses harmful AAP guidelines for childhood “obesity”

In its new guidelines for the evaluation and treatment of children and adolescents with "obesity," the...

How to treat eating disorders at home

Eating disorders are serious mental health conditions that affect millions of people around the world. In...

What is fatphobia?

In a world that's long been deeply influenced by the ideals of diet culture, people with certain body...

Different types of hunger

Hunger is a complex and multifaceted physical sensation that is felt in the body. Understanding the types...

Fasting vs. anorexia

Fasting and intermittent fasting (IF) are popular methods of energy consumption that limit eating to...

Tirzepatide for weight loss (Mounjaro)

Tirzepatide (Mounjaro) was approved in 2022 by the Food and Drug Administration (FDA) for treating type 2...

What are atypical eating disorders?

Anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED) are among some of the most...

Challenges in BIPOC eating disorders: Prevalence, bias, and treatment barriers

It is a common misconception that eating disorders like anorexia nervosa (AN), bulimia nervosa (BN), and...

How do eating disorders affect the heart?

Eating disorders such as anorexia nervosa (AN), binge eating disorder (BED), and bulimia nervosa (BN) can...

"You're not sick enough": Eating disorder misconceptions

Eating disorders are treatable conditions that people can fully recover from if they get help...

How the gut and brain are connected

Medical experts have long been exploring the relationship between the gut and your physical health, mental...

Eating disorder symptoms

Just as every person is different, so is every experience of an eating disorder. Different conditions can...

The relationship between grief and eating disorders

Experiencing a significant loss, whether you lose a loved one, relationship, passion, job, or home, can...

What causes eating disorders?

When you or one of your loved ones is suffering from an eating disorder, it may be tempting to look for...

What are the different types of eating disorders?

There are many different types of eating disorders, each with its own unique set of challenges in treatment.

Diabetes and eating disorders

Diabetes and eating disorders are both serious conditions that can negatively affect a person’s physical...

Effects of eating disorders on your health

Conditions like bulimia nervosa (BN), anorexia nervosa (AN), binge eating disorder (BED), and other eating...

Disordered eating vs. eating disorder

While disordered eating and an eating disorder share many risk factors, signs...

Eating disorders in the military population

Eating disorders affect the military population, due in part to the...

How long can you go without food?

Just how long can the body go without food? And what are the implications...

How do I know if I have an eating disorder?

Following a balanced way of eating that provides the body with the fuel and...

Unpacking the fear of eating in front of others

For many of us, sharing meals with others or going out to eat are the primary ways...

The differences between bulimia nervosa and anorexia nervosa

Bulimia nervosa (BN) and anorexia nervosa (AN) are two of the most well-known eating disorders, but many...

Sleep and eating disorders

Sleeping and eating share a very intimate relationship, as they are both essential...

Bulimia vs binge eating: the differences between eating disorders

Bulimia nervosa (BN) and binge eating disorder (BED) are two different eating disorders...

What causes an eating disorder: A biopsychosocial perspective

Eating disorders are complex and severe psychiatric illnesses that can have many causes. The biopsychosocial..

Signs a loved one may be at risk of an eating disorder relapse

Recovery is a lifelong process for those who have struggled or...

8 eating disorder myths

Eating disorders like anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED) are...