Dietary advice in clinical practice: the views of general practitioners in Europe

Brotons, Carlos; Ciurana, Ramon; Piñeiro, Rosa Ruiz; Kloppe, Pilar; Godycki-Ćwirko, Maciek; Sammut, Mario R.

doi:10.1093/ajcn/77.4.1048s

Cited by 50 publications

(23 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, a noticeable gap exists between the physicians' attitudes and knowledge regarding weight management and their current practices. This is demonstrated by the fact that only one-third of respondents would identify their patients' weight problems on regular basis despite that the majority agreed to advice about weight loss spontaneously, similar to what has been found in an earlier study (33) . Physicians also seemed to identify weight problems as part of chronic disease care more often than for screening purposes.…”

Section: Discussionsupporting

confidence: 80%

See 1 more Smart Citation

Study of the knowledge, attitudes and practices of physicians towards obesity management in primary health care in Bahrain

Al-Ghawi

Uauy

2009

Public Health Nutr.

View full text Add to dashboard Cite

Aim: To examine the opinions of physicians in Bahrain regarding their role in obesity control, and to evaluate their knowledge, attitudes and practices towards obesity prevention and management in primary health care. Design: A cross-sectional survey of physicians in Bahrain. A single-stage cluster sample was used, which included twelve health centres and 107 physicians. Ninety-seven physicians participated in the study with a 90 % response rate. A self-administered questionnaire was used to measure physicians' knowledge and practices, their perceived role and potential limitations. Correction for design effect and finite population were considered in the analysis. Results: The majority of physicians in Bahrain (92 %) were aware of the obesity epidemic and 60 % of them felt capable of assuming a major role in obesity control, regardless of their negative views towards the success rates of weight management. Only 36 % agreed that they had effective weight-management practices. They were knowledgeable about weight-loss goals and showed a reasonable level of obesity identification, especially as part of chronic disease care (71 %). Physicians reported a high rate of utilization of various weight-loss strategies, except for pharmacotherapy and surgery. The major barriers identified in patient care included time constraints (91 %), lack of specialty clinics (81 %), absence of guidelines (78 %) and an inadequate number of dietitians (71 %). Sixty-four per cent reported that training in lifestyle counselling and behaviour modification are important requirements. Conclusions: Physicians in Bahrain showed a reasonable level of interest in participating in obesity prevention and management. It seems that there would be a good opportunity for better practice if physicians were supported with appropriate training and the constraints of their working environment were adequately addressed.

show abstract

Section: Discussionsupporting

confidence: 80%

“…This may have overestimated the actual practice as it is difficult to assume with certainty that measured weight was used to calculate BMI and was followed by the appropriate action. This should be considered when comparing these findings with results from developed countries, whose physicians reported measuring BMI less frequently (33) .…”

Section: Discussionmentioning

confidence: 90%

Study of the knowledge, attitudes and practices of physicians towards obesity management in primary health care in Bahrain

Al-Ghawi

Uauy

2009

Public Health Nutr.

View full text Add to dashboard Cite

show abstract

“…The results of EUROPREV research, aimed to access GP's knowledge and attitudes in implementing preventive and health promotion activities and to describe tools used by European GPs in advising patients about dietary practice, showed that 56% of GPs believe that the implementation of these activities is difficult and 58% are skeptical about helping patients achieve or maintain normal weight (Brotons et al, 2003). Other surveys have shown similar results (Grant et al, 1998;McAvoy et al, 1999).…”

Section: Discussionmentioning

confidence: 88%

Empowering general practitioners in nutrition communication: individual-based nutrition communication strategies in Croatia

Pavleković

Brborović

2005

Eur J Clin Nutr

View full text Add to dashboard Cite

Background: There are a number of factors influencing individual food habits and the prerequisite for effective national strategy development is reorganization of factors aggravating or facilitating this dynamic process. Aims: The aims of this paper are to present a Croatian contextual framework influencing individual-based nutrition communication strategies and to identify important factors by general practitioners (GPs) and population. Methods: Two Croatian surveys are presented. The first one was carried out among GPs (random 425 GPs, all with office on lease) and the second on an adult population in Croatia (random 9060 respondents) answering the question: 'In the past year, has anyone advised you to change your behaviour?' Results: The Croatian case studies showed that GPs considered smoking and alcohol as more important public health issues than unbalanced nutrition and physical activity. GPs also recognized their role in individual work with patients in secondary and tertiary prevention, less in primary prevention or work with groups and the community. Among the obstacles in individualbased communication in daily work, they reported lack of time, lack of incentives, lack of knowledge and lack of family approach in nutrition consultation. They were more likely to advise the elderly, those with lower education, unemployed, overweight, those who lived alone and those who visited GP's office regularly. Differences in respondents' answers are determined by education and workplace.

show abstract

“…The participants expressed their minimal feedback as ''yeah, well, hmm'' (see Tables II and III). The feedback of the patient [11] might be a comment on not being able to exercise, a clarification, or short responses to indirect questions.…”

Section: Opening Themes Of Counselling Sessions and Participants' Feementioning

confidence: 99%

Dietary and physical activity counselling on Type 2 diabetes and impaired glucose tolerance by physicians and nurses in primary healthcare in Finland

Poskiparta

Kasila

Kiuru

2006

Scandinavian Journal of Primary Health Care

View full text Add to dashboard Cite

Dietary advice in clinical practice: the views of general practitioners in Europe

Abstract: GPs think that obesity is not easy to handle in practice. Most GPs have dietary tools in the office and think that nurses play an important role in advising patients.

Cited by 50 publications

References 3 publications

Study of the knowledge, attitudes and practices of physicians towards obesity management in primary health care in Bahrain

Study of the knowledge, attitudes and practices of physicians towards obesity management in primary health care in Bahrain

Empowering general practitioners in nutrition communication: individual-based nutrition communication strategies in Croatia

Dietary and physical activity counselling on Type 2 diabetes and impaired glucose tolerance by physicians and nurses in primary healthcare in Finland

Contact Info

Product

Resources

About