American Association of Clinical Endocrinologists and American College of Endocrinology Position Statement on the 2014 Advanced Framework for a New Diagnosis of Obesity as a Chronic Disease

W. Timothy Garvey, MD, FACE, Chair; Alan J. Garber, MD, PhD, FACE; Jeffrey I. Mechanick, MD, FACN, FACP, FACE, ECNU; George A. Bray, MD, MACE; Samuel Dagogo-Jack, MD, DM, FRCP, FACE; Daniel Einhorn, MD, FACP, FACE; George Grunberger, MD, FACP, FACE; Yehuda Handelsman, MD, FACP, FACE, FNLA; Charles H. Hennekens, MD, DrPH; Daniel L. Hurley, MD, FACE; Janet McGill, MD, FACE; Pasquale Palumbo, MD, MACP, MACE; Guillermo Umpierrez, MD, FACP, FACE


Endocr Pract. 2014;20(9):977-989. 

In This Article


  • Obesity is a chronic disease

  • Emergent Concept 1 (EC.1) from the American Association of Clinical Endocrinologists and the American College of Endocrinology (AACE/ACE) Consensus Conference on Obesity (CCO) calls for a new medically meaningful and actionable diagnosis of obesity

  • An advanced framework for further discussion and translation of EC.1 is provided

    • The definition of obesity requires anthropometric and clinical descriptors

    • The diagnosis and management of obesity requires a process of screening, evaluation of complications (using checklist), staging, and algorithmic management

  • This advanced framework has been approved by AACE and will be distributed to the wide array of stakeholders who attended the CCO for structured discussion and creation of a consensus diagnosis that is broadly actionable