ABCD: Adiposity-Based Chronic Disease
Adiposity-based chronic disease (ABCD) is the new diagnostic term for obesity proposed in a position statement, March 2017, by American Association of Clinical Endocrinologists (AACE) and the American College of Endocrinology (ACE).
Transitioning the term obesity to ABCD is an effort to shift the emphasis from a medical diagnostic model based exclusively on body mass index (BMI) to one that recognizes the pathophysiological effects of excess weight as well. Also, it avoids the stigma of the currently used terms: overweight, obesity,and excessive fat, which have fostered discrimination toward patients during the past 50 years.
In addition, according to a related article in Medscape, the United States is in the midst of an obesity epidemic. This problem is complicated, prevalent, and not adequately addressed by current interventions.
Adiposity-Based Chronic Disease – The Aim
Ultimately, the aim for updating the term obesity to Adiposity-based chronic disease (ABCD) is to improve care for people who suffer from it.
ICD-10 (The International Statistical Classification of Diseases and Related Health Problems) coding has not been updated. But, watch for this term to take its place in the medical language lexicon and eventually in the ICD-10 codes.
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