Regardless of the AAP's intentions, it's undeniable that things are about to get weird(er) for fat children. It also relies on the body mass index (BMI) for measurements (because better measurements are "expensive and difficult") and just, in general, is grounded in an idea of obesity as a chronic disease.
While the new instruction is not wholly alarming-it opens by encouraging health providers to consider the "complex genetic, physiologic, socioeconomic, and environmental contributors" of their patients-it does allow for consideration of weight loss medication for children as young as 12 and surgical interventions at 13. As if on cue, the day before the release of Aubrey Gordon's new book, “You Just Need to Lose Weight” and 19 Other Myths About Fat People, the American Academy of Pediatrics released a new recommendation on how to treat children it deemed obese.
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