Cepni Aliye B, Nadeem Fatima K, Ledoux Tracey A, Johnston Craig A
Department of Health and Human Performance, University of Houston, Houston, TX, USA (ABC, TAL, CAJ).
C.T Bauer College of Business, University of Houston, Houston, TX, USA (FKN).
Am J Lifestyle Med. 2025 Jan 8:15598276241309248. doi: 10.1177/15598276241309248.
Obesity is a significant global public health concern, and health care providers play a crucial role in addressing it by offering healthy lifestyle counseling and weight management support. Evidence demonstrates that even brief counseling on healthy behaviors can lead to meaningful changes and sustained weight management. However, weight consultations are often underutilized in primary care due to various barriers, including biases against patients with obesity, misconception of physicians with obesity, or concerns about stigmatizing them by initiating discussions about weight. This paper explores the impact of biases, misconceptions, and stigma on the communication and treatment of patients with obesity and proposes strategies to overcome these challenges. Practical solutions include fostering inclusive health care environments for individuals of all body sizes and utilizing the 5A model (Ask, Assess, Advise, Agree, Assist) to guide respectful and effective weight management conversations.
肥胖是一个重大的全球公共卫生问题，医疗保健提供者通过提供健康的生活方式咨询和体重管理支持，在解决这一问题方面发挥着关键作用。有证据表明，即使是关于健康行为的简短咨询也能带来有意义的改变和持续的体重管理。然而，由于各种障碍，包括对肥胖患者的偏见、医生对肥胖的误解，或担心因发起关于体重的讨论而给他们带来污名化，体重咨询在初级保健中常常未得到充分利用。本文探讨了偏见、误解和污名对肥胖患者沟通和治疗的影响，并提出了克服这些挑战的策略。实际的解决方案包括为各种体型的人营造包容的医疗保健环境，并利用5A模型（询问、评估、建议、商定、协助）来指导尊重且有效的体重管理对话。
