Dixon John B, Abdul Ghani Rohana, Sbraccia Paolo
Iverson Health Innovation Research Institute Swinburne University of Technology Melbourne Australia.
Department of Internal Medicine Faculty of Medicine Universiti Teknologi MARA Sungai Buloh Malaysia.
Obes Sci Pract. 2025 Jan 8;11(1):e70033. doi: 10.1002/osp4.70033. eCollection 2025 Feb.
Obesity is a disease with severe health impacts on individuals and economic impacts on society, yet healthcare practitioners (HCPs) and policy makers often fail to address it. This survey was conducted to examine current global obesity care and perceptions influencing care delivery among HCPs and healthcare decision makers (HC DMs).
A survey with a cross-sectional design was conducted among 1200 HCPs (primary care providers, endocrinologists, cardiologists, and nurses) and 414 HC DMs from eight countries across five continents. Respondents' perceptions of obesity, characteristics of patient populations, obesity management practices, and obesity-related healthcare policies were collected. Surveys were administered online from June-July 2023. All respondent data were anonymized.
Among HCPs, 26.4% and 29.0% of HC DMs considered obesity a chronic disease, and 44.6% of HCPs reported that obesity was recorded as a chronic disease in patients' medical records. The pattern of responses was consistent across countries and professional roles. Obesity care approaches focused on lifestyle concerns. HCPs and HC DMs appeared to overestimate the provision of obesity-related medical care for affected patients.
These results corroborate prior findings that many HCPs do not consider obesity a disease, which hinders initiation of appropriate treatment, and also highlight challenges in obesity management, including gaps in obesity guidelines and accessibility to healthcare. These findings may help guide education and outreach by health authorities as well as HCPs.
肥胖是一种对个人健康有严重影响且对社会有经济影响的疾病,但医疗从业者(HCPs)和政策制定者往往未能加以应对。开展这项调查是为了研究当前全球肥胖护理情况以及影响HCPs和医疗保健决策者(HC DMs)提供护理的认知因素。
对来自五大洲八个国家的1200名HCPs(初级保健提供者、内分泌学家、心脏病专家和护士)和414名HC DMs进行了一项横断面设计的调查。收集了受访者对肥胖的认知、患者群体特征、肥胖管理实践以及与肥胖相关的医疗政策。调查于2023年6月至7月在线进行。所有受访者数据均进行了匿名处理。
在HCPs中,26.4%的HC DMs认为肥胖是一种慢性病,44.6%的HCPs报告称肥胖在患者病历中被记录为慢性病。各国和各专业角色的回答模式一致。肥胖护理方法侧重于生活方式问题。HCPs和HC DMs似乎高估了为受影响患者提供的与肥胖相关的医疗护理。
这些结果证实了先前的研究结果,即许多HCPs不认为肥胖是一种疾病,这阻碍了适当治疗的启动,同时也凸显了肥胖管理中的挑战,包括肥胖指南的差距和医疗可及性问题。这些发现可能有助于指导卫生当局以及HCPs的教育和宣传工作。