Kaplan Lee M, Golden Angela, Jinnett Kimberly, Kolotkin Ronette L, Kyle Theodore K, Look Michelle, Nadglowski Joseph, O'Neil Patrick M, Parry Thomas, Tomaszewski Kenneth J, Stevenin Boris, Lilleøre Søren Kruse, Dhurandhar Nikhil V
Massachusetts General Hospital, Boston, Massachusetts, USA.
NP from Home, LLC, Munds Park, Arizona, USA.
Obesity (Silver Spring). 2018 Jan;26(1):61-69. doi: 10.1002/oby.22054. Epub 2017 Oct 31.
ACTION (Awareness, Care, and Treatment in Obesity maNagement) examined obesity-related perceptions, attitudes, and behaviors among people with obesity (PwO), health care providers (HCPs), and employer representatives (ERs).
A total of 3,008 adult PwO (BMI ≥ 30 by self-reported height and weight), 606 HCPs, and 153 ERs completed surveys in a cross-sectional design.
Despite several weight loss (WL) attempts, only 23% of PwO reported 10% WL during the previous 3 years. Many PwO (65%) recognized obesity as a disease, but only 54% worried their weight may affect future health. Most PwO (82%) felt "completely" responsible for WL; 72% of HCPs felt responsible for contributing to WL efforts; few ERs (18%) felt even partially responsible. Only 50% of PwO saw themselves as "obese," and 55% reported receiving a formal diagnosis of obesity. Despite HCPs' reported comfort with weight-related conversations, time constraints deprioritized these efforts. Only 24% of PwO had a scheduled follow-up to initial weight-related conversations. Few PwO (17%) perceived employer-sponsored wellness offerings as helpful in supporting WL.
Although generally perceived as a disease, obesity is not commonly treated as such. Divergence in perceptions and attitudes potentially hinders better management. This study highlights inconsistent understanding of the impact of obesity and need for both self-directed and medical management.
“肥胖管理中的意识、关怀与治疗行动”（ACTION）研究了肥胖人群（PwO）、医疗保健提供者（HCPs）和雇主代表（ERs）对肥胖相关的认知、态度和行为。
采用横断面设计，共有3008名成年肥胖人群（根据自我报告的身高和体重计算BMI≥30）、606名医疗保健提供者和153名雇主代表完成了调查。
尽管多次尝试减肥，但只有23%的肥胖人群报告在过去3年中体重减轻了10%。许多肥胖人群（65%）认识到肥胖是一种疾病，但只有54%的人担心自己的体重可能会影响未来健康。大多数肥胖人群（82%）觉得自己“完全”有责任减肥；72%的医疗保健提供者觉得自己有责任推动减肥工作；很少有雇主代表（18%）觉得自己哪怕有部分责任。只有50%的肥胖人群认为自己“肥胖”，55%的人报告接受过肥胖的正式诊断。尽管医疗保健提供者表示愿意进行与体重相关的谈话，但时间限制使这些工作未得到优先处理。只有24%的肥胖人群在最初的体重相关谈话后安排了随访。很少有肥胖人群（17%）认为雇主提供的健康福利对支持减肥有帮助。
尽管肥胖通常被视为一种疾病，但人们通常并未如此对待。认知和态度上的差异可能会阻碍更好的管理。本研究强调了对肥胖影响的理解不一致，以及自我管理和医疗管理的必要性。
