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This review explores the limitations of current BMI-based diagnostic criteria for obesity and introduces a new definition and diagnostic framework proposed by the Commission on Clinical Obesity. The new criteria redefine obesity using clinical and biological markers and distinguish between clinical and preclinical obesity based on functional consequences and risk stratification. This approach aims to facilitate more accurate diagnoses, individualized treatment, and evidence-based health policies, while also addressing issues such as weight stigma and overdiagnosis. Further research is needed to validate this model and support its integration into clinical practice.<\/jats:p>","DOI":"10.3803\/enm.2025.2590","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T07:25:57Z","timestamp":1755674757000},"page":"517-522","update-policy":"https:\/\/doi.org\/10.3803\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["From Old to New: A Comprehensive Review of Obesity Diagnostic Criteria and Their Implications"],"prefix":"10.3803","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8535-0565","authenticated-orcid":true,"given":"Sangmo","family":"Hong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9415-9965","authenticated-orcid":true,"given":"Cheol-Young","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2119","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12551"},{"key":"ref2","first-page":"2162","volume-title":"Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021","year":"2024"},{"key":"ref3","first-page":"221","volume-title":"Definition and diagnostic criteria of clinical obesity","author":"Rubino","year":"2025"},{"key":"ref4","first-page":"1","volume-title":"Obesity: preventing and managing the global epidemic. 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