Healthcare professionals' perceptions and experiences of obesity and overweight and its management in primary care settings: a qualitative systematic review.
Laura JeffersJillian MannerRuth JepsonJohn McAteerPublished in: Primary health care research & development (2024)
Four themes were identified: conflicting discourses surrounding obesity, medicalisation of obesity, organisational factors, and lack of patient knowledge and motivation. Conflicting discourses around obesity refers to the differing views of HCPs regarding what it means to have and treat obesity. Medicalisation of obesity considers whether obesity should be treated as a medical condition. Organisational factors were identified as knowledge, resources and time that affected HCPs' ability to provide care to overweight or obese. Finally, the review discovered that patients required their own knowledge and motivation to lose weight. This review has highlighted the need to provide safe, non-judgemental spaces for HCPs and patients to discuss weight and weight loss. This is essential to the therapeutic relationship and the provision of effective obesity management.
Keyphrases
- weight loss
- bariatric surgery
- weight gain
- metabolic syndrome
- roux en y gastric bypass
- insulin resistance
- healthcare
- primary care
- type diabetes
- gastric bypass
- high fat diet induced
- systematic review
- end stage renal disease
- prognostic factors
- body mass index
- glycemic control
- adipose tissue
- ejection fraction
- physical activity
- chronic kidney disease
- skeletal muscle
- peritoneal dialysis
- meta analyses
- chronic pain
- pain management