Genetics Institute, Carmel Medical Center, Haifa, Israel; The Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Genetics Institute, Carmel Medical Center, Haifa, Israel.
Patient Educ Couns. 2022 Mar;105(3):497-501. doi: 10.1016/j.pec.2021.09.031. Epub 2021 Sep 29.
To evaluate the preferences of individuals with overweight and obesity regarding the optimal approach for discussing the excess weight during medical appointments.
The cross-sectional study was conducted by distribution of an anonymous questionnaire in social media platforms during September 2020, aiming for respondents with body mass index over 25 kg/m.
The questionnaire was completed by 1697 participants, mostly female. Only 14.5% agreed that the weight issue should be brought up at medical appointments, while 69.3% preferred health practitioners to ask for a preliminary agreement to talk about the excess weight. The participants were frequently advised to lose weight without them wanting to talk about this (65.0%), when the reason for their appointment was irrelevant to the excess weight (60.4%), and without receiving any effective and practical tools on losing weight (60.1%).
Health practitioners should ask the patient for a preliminary permission to discuss the issue of excess weight during medical appointments.
Discussing the subject of weight during medical appointments should be done in a sensitive and respectful manner. Health practitioners should learn more about the numerous reasons for obesity, the adverse effects of weight stigmatization, and the practical tools to lose weight.
评估超重和肥胖个体对于在医疗预约期间讨论超重问题的最佳方式的偏好。
这项横断面研究于 2020 年 9 月通过在社交媒体平台上分发匿名问卷进行，目标受访者的身体质量指数（BMI）超过 25kg/m²。
共有 1697 名参与者完成了问卷，其中大多数为女性。仅有 14.5%的参与者同意在医疗预约时提出体重问题，而 69.3%的参与者则更倾向于健康从业者在讨论超重问题前先征得初步同意。参与者经常在不希望讨论这个问题的情况下被建议减肥（65.0%），而预约的原因与超重无关（60.4%），且没有收到任何有效和实用的减肥工具（60.1%）。
健康从业者应在医疗预约期间询问患者是否同意讨论超重问题。
在医疗预约期间讨论体重问题应采用敏感和尊重的方式。健康从业者应更多地了解肥胖的众多原因、体重歧视的不良影响以及实用的减肥工具。
