TY - JOUR
T1 - Perceptions of Barriers to Effective Obesity Care
T2 - Results from the National ACTION Study
AU - Kaplan, Lee M.
AU - Golden, Angela
AU - Jinnett, Kimberly
AU - Kolotkin, Ronette L.
AU - Kyle, Theodore K.
AU - Look, Michelle
AU - Nadglowski, Joseph
AU - O'Neil, Patrick M.
AU - Parry, Thomas
AU - Tomaszewski, Kenneth J.
AU - Stevenin, Boris
AU - Lilleøre, Søren Kruse
AU - Dhurandhar, Nikhil V.
N1 - Funding Information:
Funding agencies: Novo Nordisk, Inc. Disclosures: LMK reports nonfinancial support from Novo Nordisk during the conduct of the study and personal fees from Ethicon, Fractyl, Gelesis, GI Dynamics, Janssen, Merck, Novo Nordisk, Rhythm, and Zafgen outside the submitted work. AG reports personal fees and nonfinancial support from Novo Nordisk during the conduct of the study and personal fees from Health Scripts (Orexigen) and Novo Nordisk outside the submitted work. KJ is on the advisory group for the obesity study referenced in the paper. She also works for the Integrated Benefits Institute (IBI), a nonprofit membership association; funder of this research, Novo Nordisk, is on IBI’s Board. RLK reports other support from Duke University and personal fees from Novo Nordisk during the conduct of the study and personal fees from Novo Nordisk outside the submitted work. TKK reports personal fees from Novo Nordisk during the conduct of the study and personal fees from Eisai and NutriSystem outside the submitted work. ML reports personal fees from Novo Nordisk during the conduct of the study and personal fees from Novo Nordisk outside the submitted work. PMO reports personal fees from Novo Nordisk during the conduct of the study; and grants and personal fees from Novo Nordisk, grants from Weight Watchers International, and personal fees from Janssen, Pfizer, and Medscape/WebMD outside the submitted work. KJT reports other support from Novo Nordisk during the conduct of the study. NVD reports personal fees from Novo Nordisk during the conduct of the study; personal fees from Novo Nordisk, Novartis, and American Egg Board; and grants from Vital Health Interventions outside the submitted work; in addition, Dr. Dhurandhar has several US and international patents issued. Clinical trial registration: ClinicalTrials.gov identifier NCT03223493. Additional Supporting Information may be found in the online version of this article. Received: 19 June 2017; Accepted: 26 September 2017; Published online 31 October 2017. doi:10.1002/oby.22054
Publisher Copyright:
© 2017 The Obesity Society
PY - 2018/1
Y1 - 2018/1
N2 - Objective: ACTION (Awareness, Care, and Treatment in Obesity maNagement) examined obesity-related perceptions, attitudes, and behaviors among people with obesity (PwO), health care providers (HCPs), and employer representatives (ERs). Methods: A total of 3,008 adult PwO (BMI ≥ 30 by self-reported height and weight), 606 HCPs, and 153 ERs completed surveys in a cross-sectional design. Results: Despite several weight loss (WL) attempts, only 23% of PwO reported 10% WL during the previous 3 years. Many PwO (65%) recognized obesity as a disease, but only 54% worried their weight may affect future health. Most PwO (82%) felt “completely” responsible for WL; 72% of HCPs felt responsible for contributing to WL efforts; few ERs (18%) felt even partially responsible. Only 50% of PwO saw themselves as “obese,” and 55% reported receiving a formal diagnosis of obesity. Despite HCPs' reported comfort with weight-related conversations, time constraints deprioritized these efforts. Only 24% of PwO had a scheduled follow-up to initial weight-related conversations. Few PwO (17%) perceived employer-sponsored wellness offerings as helpful in supporting WL. Conclusions: Although generally perceived as a disease, obesity is not commonly treated as such. Divergence in perceptions and attitudes potentially hinders better management. This study highlights inconsistent understanding of the impact of obesity and need for both self-directed and medical management.
AB - Objective: ACTION (Awareness, Care, and Treatment in Obesity maNagement) examined obesity-related perceptions, attitudes, and behaviors among people with obesity (PwO), health care providers (HCPs), and employer representatives (ERs). Methods: A total of 3,008 adult PwO (BMI ≥ 30 by self-reported height and weight), 606 HCPs, and 153 ERs completed surveys in a cross-sectional design. Results: Despite several weight loss (WL) attempts, only 23% of PwO reported 10% WL during the previous 3 years. Many PwO (65%) recognized obesity as a disease, but only 54% worried their weight may affect future health. Most PwO (82%) felt “completely” responsible for WL; 72% of HCPs felt responsible for contributing to WL efforts; few ERs (18%) felt even partially responsible. Only 50% of PwO saw themselves as “obese,” and 55% reported receiving a formal diagnosis of obesity. Despite HCPs' reported comfort with weight-related conversations, time constraints deprioritized these efforts. Only 24% of PwO had a scheduled follow-up to initial weight-related conversations. Few PwO (17%) perceived employer-sponsored wellness offerings as helpful in supporting WL. Conclusions: Although generally perceived as a disease, obesity is not commonly treated as such. Divergence in perceptions and attitudes potentially hinders better management. This study highlights inconsistent understanding of the impact of obesity and need for both self-directed and medical management.
UR - http://www.scopus.com/inward/record.url?scp=85033213264&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85033213264&partnerID=8YFLogxK
U2 - 10.1002/oby.22054
DO - 10.1002/oby.22054
M3 - Article
C2 - 29086529
AN - SCOPUS:85033213264
SN - 1930-7381
VL - 26
SP - 61
EP - 69
JO - Obesity
JF - Obesity
IS - 1
ER -