Document Detail

Barriers to obesity treatment.
MedLine Citation:
PMID:  18395160     Owner:  NLM     Status:  MEDLINE    
Obesity, one of the most prevalent health problems in the Western world, is a chronic and progressive condition. Therefore, as with other chronic diseases, patients with obesity require lifelong treatment. Long-term efficacy and effectiveness of obesity treatments is notoriously poor. This may in part be attributable to the substantial barriers that undermine long-term obesity management strategies. These can include lack of recognition of obesity as a chronic condition, low socioeconomic status, time constraints, intimate saboteurs, and a wide range of comorbidities including mental health, sleep, chronic pain, musculoskeletal, cardiovascular, respiratory, digestive and endocrine disorders. Furthermore, medications used to treat some of these disorders may further undermine weight-loss efforts. Lack of specific obesity training of health professionals, attitudes and beliefs as well as coverage and availability of obesity treatments can likewise pose important barriers. Health professionals need to take care to identify, acknowledge and address these barriers where possible to increase patient success as well as compliance and adherence with treatments. Failure to do so may further undermine the sense of failure, low self esteem and self efficacy already common among obese individuals. Addressing treatment barriers can save resources and increase the prospect of long-term success.
Marina Mauro; Valerie Taylor; Sean Wharton; Arya M Sharma
Publication Detail:
Type:  Journal Article; Review     Date:  2007-11-19
Journal Detail:
Title:  European journal of internal medicine     Volume:  19     ISSN:  1879-0828     ISO Abbreviation:  Eur. J. Intern. Med.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-08     Completed Date:  2008-06-04     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  9003220     Medline TA:  Eur J Intern Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  173-80     Citation Subset:  IM    
Department of Medicine, McMaster University, Hamilton, ON, Canada.
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MeSH Terms
Attitude of Health Personnel
Bariatrics* / economics
Cardiovascular Diseases / complications
Chronic Disease
Digestive System Diseases / complications
Dyspnea / complications
Endocrine System Diseases / complications
Health Services Accessibility*
Iatrogenic Disease
Mental Disorders / complications
Obesity / diagnosis,  etiology,  therapy*
Pain / complications
Physicians / psychology
Sleep Disorders / complications
Social Environment
Socioeconomic Factors
Substance-Related Disorders / complications

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