Kang Jae-Heon, Lim Soo, Kang Jee-Hyun, Kim Yang-Hyun, Ko Hae-Jin, Ogawa Yoshihiro, Shimomura Iichiro, Ha YouSun, Wada Shogo, Yamauchi Toshimasa, Iwabu Masato
Department of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
J Diabetes Investig. 2025 Apr;16(4):707-714. doi: 10.1111/jdi.14387. Epub 2024 Dec 20.
This ACTION-IO sub-analysis compared attitudes of people with obesity (PwO) and healthcare professionals (HCPs) between South Korea/Japan and global.
Responses from overall (body mass index [BMI] ≥ 25 kg/m) and higher BMI (30.0-34.9 kg/m) groups were compared descriptively; t-and z-tests were used to test for statistical significant difference.
Total responses from South Korea/Japan vs global were as follows: overall (PwO: 3,501 vs 14,502; HCPs: 502 vs 2,785); higher BMI (PwO: 530 vs 7,460) groups. Compared to global, more South Korea/Japan-PwO considered improving existing health condition as top weight loss (WL) goal (overall: 37% vs 28%, higher BMI: 35% vs 26%; P < 0.05) and fear of weight regain as top WL barrier (overall: 52% vs 45%, higher BMI: 65% vs 42%; P < 0.05). Fewer South Korea/Japan-PwO reported discussing weight (overall: 25% vs 51%, higher BMI: 31% vs 54%; P < 0.05). More South Korea/Japan-HCPs felt PwO as themselves responsible for WL (74% vs 55%; P < 0.05). More than two-of-three South Korea/Japan-HCPs (vs four-of-five global) were motivated to help PwO in WL.
South Korea/Japan PwO had differences in their attitudes and behaviors toward obesity care. These findings support the need for increased public awareness of obesity as a disease and for HCPs to play active role initiating weight management dialogue.
本ACTION-IO子分析比较了韩国/日本与全球范围内肥胖人群（PwO）和医疗保健专业人员（HCPs）的态度。
对总体（体重指数[BMI]≥25kg/m²）和较高BMI（30.0 - 34.9kg/m²）组的回答进行描述性比较；使用t检验和z检验来检验统计学上的显著差异。
韩国/日本与全球的总回答情况如下：总体（PwO：3501对14502；HCPs：502对2785）；较高BMI（PwO：530对7460）组。与全球相比，更多韩国/日本的肥胖人群将改善现有健康状况视为首要减肥（WL）目标（总体：37%对28%，较高BMI：35%对26%；P<0.05），并将担心体重反弹视为首要减肥障碍（总体：52%对45%，较高BMI：65%对42%；P<0.05）。报告讨论体重的韩国/日本肥胖人群较少（总体：25%对51%，较高BMI：31%对54%；P<0.05）。更多韩国/日本的医疗保健专业人员认为肥胖人群应对减肥负责（74%对55%；P<0.05）。超过三分之二的韩国/日本医疗保健专业人员（相比全球五分之四）有动力帮助肥胖人群进行减肥。
韩国/日本肥胖人群在肥胖护理的态度和行为上存在差异。这些发现支持提高公众对肥胖作为一种疾病的认识以及医疗保健专业人员在启动体重管理对话中发挥积极作用的必要性。
