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Clin Obes. 2019 Oct;9(5):e12329. doi: 10.1111/cob.12329. Epub 2019 Jul 11.

Perceptions of barriers to effective obesity management in Canada: Results from the ACTION study.

Author information

1
Department of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
2
Le Groupe de Médecine Familiale Valcartier, Courceiette, Quebec, Canada.
3
Novo Nordisk Canada Inc., Mississauga, Ontario, Canada.
4
Obesity Canada, Niagara Region, Ontario, Canada.
5
Division of Endocrinology, University of Sherbrooke, Sherbrooke, Quebec, Canada.
6
Obesity and Bariatric Surgery, Halifax, Nova Scotia, Canada.
7
Private Health Plan Strategist, Kitchener, Ontario, Canada.
8
University of Toronto, Toronto, Ontario, Canada.
9
Cowan Insurance Group, Brantford, Ontario, Canada.
10
C-ENDO Diabetes and Endocrinology Clinic, Calgary, Alberta, Canada.
11
Obesity Canada, Edmonton, Alberta, Canada.
12
Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

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.

KEYWORDS:

ACTION study; Canada; obesity management; perception

PMID:
31294535
PMCID:
PMC6771494
DOI:
10.1111/cob.12329
[Indexed for MEDLINE]
Free PMC Article

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