Alatawi Amirah M, Alanazi Mansuor A, Almohammadi Maram Ati
Department of Family and Community Medicine, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia.
Training Department, Academic Affairs and Training Administration, Ministry of Health, Tabuk, Saudi Arabia.
Front Endocrinol (Lausanne). 2024 Nov 22;15:1456086. doi: 10.3389/fendo.2024.1456086. eCollection 2024.
Obesity is one of the most prevalent and relevant health problems in Saudi Arabia and requires urgent attention. Family physicians are the first point of contact and one of the most important starting points for the successful treatment of being overweight or obese.
This study aimed to assess the knowledge, beliefs, and practices of primary care physicians in promoting healthy lifestyles and physical activity among obese patients.
This cross-sectional study included family physicians who were board-certified or registered in a family medicine training program and working at government family healthcare centers in Tabuk. A predesigned structured questionnaire was distributed either in a printed form or as an online survey.
The study included 83 family physicians. Of these, 84.1% agreed that overweight and obese patients should be screened for dyslipidemia, and 67.5% agreed to offer advice on weight control even if the patient did not ask for it, demonstrating what family medicine physicians thought of physical inactivity (97.6%). Assessment of the obesity counseling practices of family medicine physicians revealed that approximately three-fourths (75.9%) always calculated the body mass index (BMI) of patients during obesity management, while comprehensive counseling regarding physical activity was higher (81.9%). The system for providing educational materials as part of managing overweight or obesity was found to be inadequate as 25.3% had never done so. The family medicine physicians had sufficient knowledge and positive beliefs about obesity management but also improper counseling practices. A lack of training and poor patient compliance with management plans are the main barriers to controlling obesity levels.
肥胖是沙特阿拉伯最普遍且相关的健康问题之一，需要紧急关注。家庭医生是超重或肥胖患者成功治疗的首要接触点和最重要的起点之一。
本研究旨在评估基层医疗医生在促进肥胖患者健康生活方式和体育活动方面的知识、信念和实践。
这项横断面研究纳入了在家庭医学培训项目中获得委员会认证或注册并在塔布克政府家庭医疗中心工作的家庭医生。预先设计的结构化问卷以纸质形式或在线调查的方式发放。
该研究纳入了83名家庭医生。其中，84.1%的人同意应为超重和肥胖患者筛查血脂异常，67.5%的人同意即使患者未主动要求也提供体重控制建议，这表明了家庭医学医生对缺乏体育活动的看法（97.6%）。对家庭医学医生肥胖咨询实践的评估显示，在肥胖管理期间，约四分之三（75.9%）的人总是计算患者的体重指数（BMI），而关于体育活动的全面咨询比例更高（81.9%）。作为管理超重或肥胖一部分的教育材料提供系统被发现不足，因为25.3%的人从未这样做过。家庭医学医生对肥胖管理有足够的知识和积极的信念，但咨询实践也存在不当之处。缺乏培训和患者对管理计划的依从性差是控制肥胖水平的主要障碍。
