BMJ  2006;332:1412 (17 June), doi:10.1136/bmj.332.7555.1412

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Expanding definitions of obesity may harm children

Byron Bay, Australia

The first 150 words of the full text of this article appear below.

A new and expanded definition of childhood overweight and obesity expected later this year is causing concerns that many healthy children may be unnecessarily labelled as having a disease.

A powerful "expert committee" in the United States has tentatively decided to reclassify children who are currently called "at risk of overweight" and refer to them in the future as "overweight." Those familiar with these definitions say that such a change could lead to a dramatic expansion of prevalence estimates, with 25% of American toddlers and almost 40% of children aged 6 to 11 years portrayed as having a medical condition called "overweight and obese."

The influential expert committee was convened by the American Medical Association and federal government agencies and includes representatives from leading professional organisations. It looks set to make changes to the current terminology, despite serious concerns expressed in a memo to the expert committee from two senior . . . [Full text of this article]

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