Salvador Javier, Vilarrasa Nuria, Poyato Francisco, Rubio Miguel Ángel
Department of Endocrinology and Nutrition, University Clinic of Navarra, 31008 Pamplona, Spain.
CIBER Physiopathology of Obesity and Nutrition (CIBERobn), 28029 Madrid, Spain.
J Clin Med. 2020 Sep 2;9(9):2834. doi: 10.3390/jcm9092834.
The prevalence of obesity is rapidly rising in Spain. The Awareness, Care and Treatment in Obesity Management-An International Observation (ACTION-IO) study (NCT03584191) was an international cross-sectional survey conducted to identify the perceptions, attitudes, behaviors, and barriers to obesity management for people with obesity (PwO) and healthcare professionals (HCPs); results from Spain are presented. In Spain, 1500 PwO (body mass index ≥30 kg/m based on self-reported height and weight) and 306 HCPs (in direct patient care for ≥2 years) completed the survey. Fewer PwO (59%) than HCPs (93%) agreed that obesity is a chronic disease. Most PwO (80%) assumed complete responsibility for their own weight loss, whilst 19% of HCPs placed the responsibility on PwO. One-fifth of PwO stated they began struggling with weight before age 15. The mean delay in discussing weight for the first time with an HCP was 6 years. Only 24% of HCPs thought their patients were motivated to lose weight, whilst 45% of PwO reported being motivated. Of the 67% of PwO who had discussed their weight with an HCP in the last 5 years, 66% had been formally diagnosed with obesity. Our Spanish dataset reveals discrepancies in the perceptions and attitudes between PwO and HCPs, thus highlighting the need to improve education about obesity and its clinical management.
肥胖症在西班牙的患病率正在迅速上升。肥胖管理中的认知、护理与治疗——一项国际观察研究（ACTION-IO）（NCT03584191）是一项国际横断面调查，旨在确定肥胖症患者（PwO）和医疗保健专业人员（HCPs）对肥胖管理的认知、态度、行为和障碍；本文展示了西班牙的研究结果。在西班牙，1500名肥胖症患者（根据自我报告的身高和体重计算，体重指数≥30kg/m²）和306名医疗保健专业人员（直接参与患者护理工作≥2年）完成了调查。认为肥胖是一种慢性病的肥胖症患者（59%）少于医疗保健专业人员（93%）。大多数肥胖症患者（80%）认为自己对体重减轻负有全部责任，而19%的医疗保健专业人员认为责任在于肥胖症患者。五分之一的肥胖症患者表示他们在15岁之前就开始受体重问题困扰。首次与医疗保健专业人员讨论体重问题的平均延迟时间为6年。只有24%的医疗保健专业人员认为他们的患者有减肥的动力，而45% 的肥胖症患者表示有动力。在过去5年中与医疗保健专业人员讨论过体重问题的67%的肥胖症患者中，66%被正式诊断为肥胖症。我们的西班牙数据集揭示了肥胖症患者和医疗保健专业人员在认知和态度上的差异，从而突出了改善肥胖症及其临床管理教育的必要性。
