Faculty of Health and Medicine, Health Innovation One, Sir John Fisher Drive, Lancaster University, Lancaster, LA1 4AT, UK.
Department of Paediatrics, Blackpool Victoria Hospital, Whinney Heys Rd, Blackpool, FY3 8NR, UK.
Curr Obes Rep. 2021 Sep;10(3):274-281. doi: 10.1007/s13679-021-00441-1. Epub 2021 May 18.
Initial conversations about weight with patients are important to set the tone for future dialogue and management of obesity. There is often reluctance in raising the topic of overweight or obesity in consultations. We aimed to evaluate literature to discover the perceived barriers to optimal discussion about weight status and preferred weight-based terminology for adults, adolescents and parents of younger children.
Fear of offending patients, insufficient training and lack of knowledge of referral pathways were identified as factors hindering healthcare professionals' ability to discuss weight with patients. Neutral terms, such as 'weight', were preferred by patients, with 'fat' and 'obese' viewed as undesirable and stigmatising words. There is a need for greater support and provision of specific training, including education on communicating weight status, for those involved in the management of obesity. More research is necessary to assess the impact of interventions to improve initial discussions with patients about weight.
与患者初次讨论体重对于未来的对话和肥胖管理非常重要。在咨询中,通常不愿意提及超重或肥胖的话题。我们旨在评估文献,以发现对最佳体重状态讨论的感知障碍,以及成人、青少年和幼儿父母首选的基于体重的术语。
担心冒犯患者、培训不足以及对转诊途径缺乏了解被认为是阻碍医疗保健专业人员与患者讨论体重的因素。患者更喜欢使用中性术语,如“体重”,而“脂肪”和“肥胖”被视为不受欢迎和污名化的词。那些参与肥胖管理的人需要更多的支持和特定培训,包括沟通体重状况的教育。需要进行更多的研究来评估改善与患者初次讨论体重的干预措施的影响。