Perceptions, attitudes, and barriers to obesity management in Spain: Results from the spanish cohort of the international ACTION-IO observation study
Keywords: 
Obesity
Weight loss
ACTION-IO
Perceptions
Barriers
Obesity management
Spain
Issue Date: 
2020
Publisher: 
MDPI AG
ISSN: 
2077-0383
Note: 
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Citation: 
Salvador, J. (Javier); Vilarrasa, N. (Nuria); Poyato, F. (Francisco); et al. "Perceptions, attitudes, and barriers to obesity management in Spain: Results from the spanish cohort of the international ACTION-IO observation study". Journal of clinical medicine. 9 (9), 2020, 2834
Abstract
The prevalence of obesity is rapidly rising in Spain. The Awareness, Care and Treatment in Obesity Management—An International Observation (ACTION-IO) study (NCT03584191) was an international cross-sectional survey conducted to identify the perceptions, attitudes, behaviors, and barriers to obesity management for people with obesity (PwO) and healthcare professionals (HCPs); results from Spain are presented. In Spain, 1500 PwO (body mass index ≥30 kg/m2 based on self-reported height and weight) and 306 HCPs (in direct patient care for ≥2 years) completed the survey. Fewer PwO (59%) than HCPs (93%) agreed that obesity is a chronic disease. Most PwO (80%) assumed complete responsibility for their own weight loss, whilst 19% of HCPs placed the responsibility on PwO. One-fifth of PwO stated they began struggling with weight before age 15. The mean delay in discussing weight for the first time with an HCP was 6 years. Only 24% of HCPs thought their patients were motivated to lose weight, whilst 45% of PwO reported being motivated. Of the 67% of PwO who had discussed their weight with an HCP in the last 5 years, 66% had been formally diagnosed with obesity. Our Spanish dataset reveals discrepancies in the perceptions and attitudes between PwO and HCPs, thus highlighting the need to improve education about obesity and its clinical management.

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