Docs Who Lift De-Emphasizing BMI, Prioritizing Health: What’s New in the ACE Obesity Guidelines
Oct 13, 2025
Discover the shift towards a person-centered approach in obesity care as experts break down the new ACE Algorithm. They explore the importance of a staging system that personalizes treatment and the significant role of lifestyle factors like resistance training and sleep. Learn about realistic weight loss targets and how they correlate with health impacts. Insightful discussions on medication selection and understanding obesity's complex nature make this a must-listen for professionals and patients alike.
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De-Emphasize BMI, Focus On Health
- ACE shifts from a BMI-only model to person-centered, complication-centric obesity care.
- Clinicians should prioritize overall health, clinical harms, and empathy over BMI alone.
ABCD Staging Links Adiposity To Complications
- ACE uses an ABCD staging to combine adiposity and related complications into severity stages.
- Stage 1 = obesity without complications, Stage 3 = at least one severe obesity-related complication needing aggressive therapy.
Use 5/10/15% Targets To Judge Response
- Use weight-loss response thresholds to guide therapy: <5% at 3–6 months = incomplete, 10% = good, ≥15% = excellent.
- Prioritize clinical response (disease improvements) over raw percent weight change.