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Perceptions of barriers to effective obesity management in Canada: Results from the ACTION study.
Sharma, Arya M; Bélanger, André; Carson, Veronica; Krah, Jodi; Langlois, Marie-France; Lawlor, Diana; Lepage, Suzanne; Liu, Aiden; Macklin, David A; MacKay, Noel; Pakseresht, Arash; Pedersen, Sue D; Ramos Salas, Ximena; Vallis, Michael.
Afiliação
  • Sharma AM; Department of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
  • Bélanger A; Le Groupe de Médecine Familiale Valcartier, Courceiette, Quebec, Canada.
  • Carson V; Novo Nordisk Canada Inc., Mississauga, Ontario, Canada.
  • Krah J; Obesity Canada, Niagara Region, Ontario, Canada.
  • Langlois MF; Division of Endocrinology, University of Sherbrooke, Sherbrooke, Quebec, Canada.
  • Lawlor D; Obesity and Bariatric Surgery, Halifax, Nova Scotia, Canada.
  • Lepage S; Private Health Plan Strategist, Kitchener, Ontario, Canada.
  • Liu A; Novo Nordisk Canada Inc., Mississauga, Ontario, Canada.
  • Macklin DA; University of Toronto, Toronto, Ontario, Canada.
  • MacKay N; Cowan Insurance Group, Brantford, Ontario, Canada.
  • Pakseresht A; Novo Nordisk Canada Inc., Mississauga, Ontario, Canada.
  • Pedersen SD; C-ENDO Diabetes and Endocrinology Clinic, Calgary, Alberta, Canada.
  • Ramos Salas X; Obesity Canada, Edmonton, Alberta, Canada.
  • Vallis M; Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Clin Obes ; 9(5): e12329, 2019 Oct.
Article em En | MEDLINE | ID: mdl-31294535
ABSTRACT
Obesity is a chronic disease with a significant and growing impact on Canadians. The "Awareness, Care and Treatment In Obesity MaNagement" (ACTION) Study investigated perceptions, attitudes and perceived barriers to obesity management among Canadian people with obesity (PwO), healthcare providers (HCPs) and employers. In this study adult PwO (body mass index ≥30 kg/m2 , based on self-reported height/weight), HCPs (physicians and allied HCPs managing PwO) and employers (≥20 employees; offering health insurance), completed online surveys between 3 August and 11 October 2017 in a cross-sectional design. Survey respondents (N = 2545) included 2000 PwO, 395 HCPs and 150 employers. Obesity was viewed as a "chronic medical condition" by most PwO (60%), HCPs (94%) and employers (71%) and deemed to have a large impact on overall health (74%, 78%, 81%, respectively). Many PwO (74%) believed weight management was their own responsibility. While PwO (55%) reportedly knew how to manage their weight, only 10% reported maintaining ≥10% weight reduction for >1 year. Despite low success rates, the most commonly reported effective long-term weight loss methods tried and/or recommended were "improvements in eating habits" (PwO 38%; HCP 63%) and "being more active" (PwO 39%; HCP 54%). PwO and HCPs reported very different perceptions of the quality and content of their interaction during obesity management discussions. These findings highlight the communication gaps and misunderstanding between PwO, HCPs and employers. This underscores the importance of, and need for, evidence-based management of obesity and a collaborative approach and understanding of the complex nature of this chronic disease.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Manejo da Obesidade Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Manejo da Obesidade Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Ano de publicação: 2019 Tipo de documento: Article