{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T02:04:36Z","timestamp":1791338676304,"version":"4.3.1"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    For decades, clinicians have diagnosed obesity using body mass index (BMI). In January 2025, the updated Lancet guideline recommended the use of anthropometric index in addition to BMI. It also recommended routine treatment for clinical obesity, that is those with organ dysfunction or activity limitations, but for preclinical obesity, only treatment based on individual risk\u2013benefit assessment. The objective of this study is to evaluate how the guideline could change obesity management on a national level. In this cross\u2010sectional study, we projected the 2025 Lancet guideline onto the 2021\u20132023 National Health and Nutrition Examination Survey (NHANES), a nationally representative population survey. We characterised the change in treatment recommendation that would occur if the Lancet guideline replaced current treatment guidelines. According to the Lancet guideline, the national prevalence of obesity was about 39.6 (1.8) %. The addition of the anthropometric index did not alter obesity diagnosis in most participants, as 96.8 (0.5) % of participants with a BMI &gt;\u200930\u2009kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    also had elevated waist circumference. Approximately 80.3 (1.2) % of participants with obesity were classified as having clinical obesity. There is a large discrepancy between current medical guidelines and the Lancet guideline. Approximately 41.3%\u2009\u00b1\u20091.2% of people who fit the indication for pharmaceutical treatment do not have clinical obesity, according to the Lancet guideline. Although the Lancet guideline would not alter obesity diagnosis for most people, it would encourage providers to take a more individual\u2010based and multi\u2010organ approach to managing obesity.\n                  <\/jats:p>","DOI":"10.1111\/cob.70050","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T01:45:03Z","timestamp":1762393503000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of the\n                    <scp>2025<\/scp>\n                    Lancet Diagnostic Criteria on Obesity Treatment in the United States"],"prefix":"10.1111","volume":"16","author":[{"given":"Maryna","family":"Chumakova","sequence":"first","affiliation":[{"name":"Department of Surgery East Carolina University  Greenville North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5374-7090","authenticated-orcid":false,"given":"Francis M.","family":"Finucane","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Medicine, Nursing, and Health Sciences University of Galway  Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u2010Jun","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California Los Angeles (UCLA)  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4195-2481","authenticated-orcid":false,"given":"Yen\u2010Yi","family":"Juo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Allina Health Surgical Specialists, Allina Health System  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/GUTJNL\u20102013\u2010304701"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(11)60105\u20100"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.120.316101"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/JAMAONCOL.2018.5639"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/JAMANETWORKOPEN.2021.3520"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.171016"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000480404"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/AMAJETHICS.2023.550"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/FENDO.2022.889785"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/IJO.2015.243"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/JHBS.21991"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20108587(24)00316\u20104"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20108587(25)00159\u20107"},{"key":"e_1_2_9_15_1","unstructured":"\u201cEthics 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https:\/\/www.niddk.nih.gov\/health\u2010information\/weight\u2010management\/prescription\u2010medications\u2010treat\u2010overweight\u2010obesity#who."},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.SOARD.2022.08.013"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/S41598\u2010020\u201068265\u2010Y"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/BMJ.311.7017.1401"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.7326\/M14\u20102525"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/S41598\u2010025\u201090877\u20105"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.003619"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1210\/ENDREV\/BNAA004"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1038\/S41366\u2010023\u201001425\u2010Y"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102458\u201014\u2010143"},{"key":"e_1_2_9_27_1","unstructured":"\u201cEASO Response to the Lancet Commission Report on Obesity Diagnosis and Management\u2014EASO \u201daccessed September 28 2025 https:\/\/easo.org\/easo\u2010response\u2010to\u2010the\u2010lancet\u2010commission\u2010report\u2010on\u2010obesity\u2010diagnosis\u2010and\u2010management\/."}],"container-title":["Clinical 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