Patient Perspectives on Obesity Management: Need for Greater Discussion of BMI and Weight-Loss Options Beyond Diet and Exercise,Especially in Patients With Diabetes |
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| Institution: | 1. From Jackson Heights Medical Group P.C., Jackson Heights, New York;2. Division of Endocrinology, Diabetes, Bone and Mineral Disorders, Henry Ford Hospital, Detroit, Michigan.;1. From the Endocrinology Unit, Hospital Central de la Fuerza Área del Perú (HCFAP), Lima-Perú;2. Asociación para la Prevención, Educación e Investigación en Diabetes (Aprediab) Lima-Perú;3. Statistic Unit, Instituto Nacional de Enfermedades Neoplásicas;4. Michigan Center for Diabetes Translational Research, University of Michigan, Ann Arbor, Michigan.;1. From Consultant Endocrinologist, King Edward Memorial Hospital, Bermuda;2. Honorary Senior Lecturer in Medicine, University of Glasgow, Glasgow, United Kingdom;3. Medical Student, King Edward Memorial Hospital, Bermuda.;1. From the Division of Endocrinology and Metabolism, Department of Internal Medicine, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Chonbuk National University, Medical School, Jeonju, South Korea.;1. Western Michigan University, Public health Program, 200 Ionia Ave, NW, 4th Floor, Grand Rapids, MI 49503, USA;2. HepTREC, 141 Whitemarsh Rd, Ardmore, PA 19003, USA;3. Temple University, Department of Social and Behavioral Sciences, Risk Communication Laboratory, College of Public Health, Ritter Annex, Philadelphia, PA 19122, USA |
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| Abstract: | Objective: To identify perceptions of obesity management in patients with and without diabetes.Methods: A 48-question survey was administered in 2018 to our Endocrinology Clinic's adult patients with a body mass index (BMI) ≥30 kg/m2. Chi-squared or Fisher's exact tests were used to compare variables between groups.Results: Of 146 respondents, 105 had diabetes and 41 did not. Most respondents were female (61.4%), African American (66.4%), and with an income <$50,000 (58.6%). Those with diabetes had significantly greater comorbidities of hypertension, high cholesterol, and arthritis. Over 90% in both groups agreed that obesity is related to hypertension, diabetes, heart disease, and early death. Only 48% were aware of their BMI, and only 30.5% with diabetes and 41.5% without diabetes perceived themselves to be obese. Over 60% in each group reported discussion of diet and exercise with their providers, whereas few in both groups reported referral to a formal weight-loss program (18.9%) or to a specialty that manages obesity (4.2%), or discussion of anti-obesity medications (11.2%) or bariatric surgery (8.4%). Reported concerns with anti-obesity medications and bariatric surgery included lack of knowledge and side effects or complications.Conclusion: These findings revealed excellent patient awareness of obesity as a health problem but misperception of obese status and unawareness of BMI. Presence of diabetes and other comorbidities did not result in greater discussion of weight-loss methods beyond diet and exercise. Increased patient education and discussion of specific weight-loss services, anti-obesity medications, and bariatric surgery are needed.Abbreviations: BMI = body mass index; DM = diabetes mellitus; HbA1c = hemoglobin A1c; HCP = healthcare provider |
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