Ross Emily
Hospital Medicine, Aberdeen Royal Infirmary, Aberdeen, GBR.
Cureus. 2025 May 7;17(5):e83632. doi: 10.7759/cureus.83632. eCollection 2025 May.
Rising rates of obesity have caused much concern in recent years. However, research has consistently proven that when other variables are controlled, increased body size is not associated with morbidity or mortality and that intentional weight loss causes more harm than good. In response to this, many have urged a weight-neutral approach to health promotion. This would focus on increasing physical activity and cardiorespiratory fitness, metrics that do impact morbidity and mortality, regardless of change in body weight. This study used a survey to discover what primary care clinicians know about physical activity and obesity with regard to health promotion and if their practice is in line with current guidelines. It found that the majority still hold the popular belief that weight loss is necessary to improve the health of overweight and obese individuals, and that they continue to recommend weight loss to their patients. This exploratory study identified that the knowledge and practice of general practitioners (GPs) in the National Health Service (NHS) Grampian are not in line with current research and guidance about weight loss and health. Further research is recommended to establish the wider applicability of these findings and to further investigate how these misconceptions influence practice.
近年来，肥胖率不断上升引发了诸多关注。然而，研究一直证明，在控制其他变量的情况下，体重增加与发病率或死亡率并无关联，而且刻意减肥弊大于利。对此，许多人敦促采取一种不关注体重的健康促进方法。这将侧重于增加身体活动和心肺适能，这些指标确实会影响发病率和死亡率，而与体重变化无关。本研究通过一项调查来了解基层医疗临床医生在健康促进方面对身体活动和肥胖的了解程度，以及他们的做法是否符合当前指南。研究发现，大多数人仍然持有一种普遍观念，即减肥对于改善超重和肥胖个体的健康是必要的，并且他们继续向患者推荐减肥。这项探索性研究表明，国民保健服务（NHS）格兰扁地区的全科医生（GPs）的知识和做法与当前关于减肥和健康的研究及指导不一致。建议进一步开展研究，以确定这些发现的更广泛适用性，并进一步调查这些误解如何影响实践。
