The Influence of Physician Acknowledgment of Patients' Weight Status on Patient Perceptions of Overweight and Obesity in the United States

Rm, Post; Mainous, Arch G.; Gregorie, Seth H.; Knoll, Michele E.; Díaz, Vanessa A.; Saxena, Sonia

doi:10.1001/archinternmed.2010.549

Cited by 141 publications

(146 citation statements)

References 29 publications

(32 reference statements)

Supporting

Mentioning

135

Contrasting

Unclassified

Order By: Relevance

“…On one hand, when analyzing 2005-2008 National Health and Nutrition Examination Survey data, Post and colleagues observed that patients who were told by their physician they were overweight or obese were more likely to perceive themselves as that weight status, have more desire to lose weight, and were more likely to attempt weight loss. 33 On the other hand, studies suggest that primary care physician visits are less than ideal for addressing weight management. 27,28 These studies identify low expectations for patients to modify behaviors, lack of physician training, inadequate resources to support the patients, perceptions that obesity is a behavioral problem caused by sedentary behavior, and belief among physicians that obesity treatment is ineffective.…”

Section: Discussionmentioning

confidence: 99%

Facilitating Factors and Barriers to Weight Management in Women: Physician Perspectives

Walker¹,

Kusch²,

Fink³

et al. 2018

Journal of Patient-Centered Research and Reviews

View full text Add to dashboard Cite

Journal of Patient-Centered Research and Reviews ( JPCRR) is a peerreviewed scientific journal whose mission is to communicate clinical and bench research findings, with the goal of improving the quality of human health, the care of the individual patient, and the care of populations. Recommended CitationWalker RE, Kusch J, Fink JT, Nelson DA, Morris G 3rd, Skalla J, Cisler RA. Facilitating factors and barriers to weight management in women: physician perspectives. J Patient Cent Res Rev. 2018;5:18-27. doi: 10.17294/2330-0698 4,5 For women, prevalence of overweight and obesity has varied from 64.1% to 65.8% to 63.7% in 2007-2008, 2009-2010, and 2011-2012, respectively. 4-6 Addressing overweight and obesity in both men and women has been a challenge for medical and public health practice, but perhaps more so in women given the race-by-sex differences observed for these conditions. 5,6 Using national data from 2011-2012, Ogden and colleagues reported age-adjusted overweight and obesity prevalence of 69.2%, 78.6%, PurposeThe complexity of addressing overweight and obesity in women has been an ongoing public health and health care challenge. While the mechanism for addressing overweight and obesity in women remains unclear, it has been speculated that disparities in overweight and obesity by race and gender contribute to the complexity. The purpose of the present study was to examine perceptions of primary care physicians when discussing weight management with their patients. MethodsWe conducted focus group discussions exploring facilitators and barriers to discussing weight management and weight loss among women patients. Participants included 18 family medicine and internal medicine physicians who were recruited using a snowball sampling technique from two large urban institutions. Focus group discussions were transcribed verbatim. Responses were then codified and analyzed in frequency of occurrence using specialized computer software. ResultsNine themes emerged from group discussions. These recurring themes reflected three overarching critical points: 1) potential utility of the primary care setting to address weight management; 2) the importance of positive patient-provider communication in supporting weight loss efforts; and 3) acknowledgement of motivation as intrinsic or extrinsic, and its role in obesity treatment. ConclusionsPhysician perceptions of their own lack of education or training and their inability to influence patient behaviors play crucial roles in discussing weight management with patients. (J Patient Cent Res Rev.

show abstract

Section: Discussionmentioning

confidence: 99%

Facilitating Factors and Barriers to Weight Management in Women: Physician Perspectives

Walker¹,

Kusch²,

Fink³

et al. 2018

Journal of Patient-Centered Research and Reviews

View full text Add to dashboard Cite

show abstract

“…In addition, obesity may not be the most appropriate frame to use to generate engagement. Obesity is a pejorative term, and although the public is concerned about obesity, adults often fail to recognize that they (79) or their children (68) share this problem. Thus, obesity is not seen as a personal threat, which is one of the characteristics that is likely to prompt action.…”

Section: Discussionmentioning

confidence: 99%

The Response of the US Centers for Disease Control and Prevention to the Obesity Epidemic

Dietz

2015

Annu. Rev. Public Health

View full text Add to dashboard Cite

The recognition of the obesity epidemic as a national problem began in 1999 with the Centers for Disease Control and Prevention's (CDC's) publication of a series of annual state-based maps that demonstrated the rapid changes in the prevalence of obesity. Increasing rates of obesity had been noted in earlier CDC studies, but the maps provided evidence of a rapid, nationwide increase. The urgent need to respond to the epidemic led to the identification of state targets and the first generation of interventions for obesity prevention and control. The CDC's role was to provide setting-and intervention-specific guidance on implementing these strategies, and to assess changes in targeted policies and behaviors. The CDC's efforts were augmented by Congressional funding for community initiatives to improve nutrition and increase physical activity. Complementary investments by Kaiser Permanente, the Robert Wood Johnson Foundation, and the Institute of Medicine improved the evidence base and provided policy recommendations that reinforced the need for a multisectoral approach. Legislative, regulatory, and voluntary initiatives enacted by President Obama's administration translated many of the strategies into effective practice. Whether current efforts to address obesity can be sustained will depend on whether they can be translated into greater grass-roots engagement consistent with a social movement.

show abstract

“…2,4,5 Physician acknowledgement of patients' overweight status and advice to lose weight increase the accuracy of patient weight perceptions, attempts to lose weight, and weight loss. [6][7][8] However, advice is delivered in only 13% of visits with overweight patients. 9,10 Physicians also rarely provide guidance on how to achieve weight loss.…”

Section: Introductionmentioning

confidence: 99%

Electronic Tools to Assist with Identification and Counseling for Overweight Patients: a Randomized Controlled Trial

et al. 2012

View full text Add to dashboard Cite

The Influence of Physician Acknowledgment of Patients' Weight Status on Patient Perceptions of Overweight and Obesity in the United States

Abstract: Among patients who were overweight or obese, patient reports of being told by a physician that they were overweight were associated with more realistic perceptions of the patients' own weight, desire to lose weight, and recent attempts to lose weight.

Cited by 141 publications

References 29 publications

Facilitating Factors and Barriers to Weight Management in Women: Physician Perspectives

Facilitating Factors and Barriers to Weight Management in Women: Physician Perspectives

The Response of the US Centers for Disease Control and Prevention to the Obesity Epidemic

Electronic Tools to Assist with Identification and Counseling for Overweight Patients: a Randomized Controlled Trial

Contact Info

Product

Resources

About