Video Teaching Leads to Improved Attitudes Towards Obesity-a Randomized Study with 949 Participants.
Adult
Attitude of Health Personnel
Audiovisual Aids
Chronic Disease
/ psychology
Education, Medical
/ methods
Education, Nursing
/ methods
Female
Humans
Male
Middle Aged
Obesity
/ psychology
Obesity, Morbid
/ psychology
Phobic Disorders
/ epidemiology
Physicians
/ psychology
Professional-Patient Relations
Stereotyping
Students, Medical
/ psychology
Surveys and Questionnaires
Video Recording
Weight Prejudice
/ prevention & control
Young Adult
Burden of disease
Chronic diseases
Discrimination
Fat phobia scale
Obesity
Stigmatization
Journal
Obesity surgery
ISSN: 1708-0428
Titre abrégé: Obes Surg
Pays: United States
ID NLM: 9106714
Informations de publication
Date de publication:
07 2019
07 2019
Historique:
pubmed:
7
3
2019
medline:
24
4
2020
entrez:
7
3
2019
Statut:
ppublish
Résumé
Obesity is a rising social and economic burden. Patients with obesity often suffer from stigmatization and discrimination. Underrecognition of obesity as a disease could be a contributing factor. The present study aimed to compare attitudes towards obesity with other chronic diseases and to evaluate the recognition of need of professional treatment. Nine hundred and forty-nine participants (subgroups: general population, patients with obesity, nurses in training, nurses, medical students, physicians) were randomized to video teaching on obesity and control. Questionnaires on the burden and influence of obesity on daily life compared to other chronic diseases and the fat phobia scale (FPS) were answered. Burden of obesity was rated low (4.2 ± 1.3; rank 9 of 11) compared to other diseases. Bowel cancer (5.5 ± 0.9) had the highest and caries the lowest (2.7 ± 1.4) estimated impact. Females (p = 0.011) and older people (p < 0.001) rated burden of obesity high whereas general population (p < 0.001) and control (p < 0.001) rated it low. Females (p = 0.001) and people with higher BMI (p = 0.004) rated the influence of obesity on daily life high; the general population (p < 0.001; reference physicians) and the control group (p < 0.001) rated it low. FPS was lowest in patients with obesity (3.2 ± 0.7) and highest in the general population (3.6 ± 0.4) and medical students (3.6 ± 0.5; p < 0.001; compared to physicians). Obesity is underestimated as a disease compared to other chronic diseases and attitudes towards obesity are rather negative in comparison. Video teaching showed positive effects so a focus in medical education and public campaigns should aim to improve prevention and treatment of obesity.
Sections du résumé
BACKGROUND
Obesity is a rising social and economic burden. Patients with obesity often suffer from stigmatization and discrimination. Underrecognition of obesity as a disease could be a contributing factor. The present study aimed to compare attitudes towards obesity with other chronic diseases and to evaluate the recognition of need of professional treatment.
METHODS
Nine hundred and forty-nine participants (subgroups: general population, patients with obesity, nurses in training, nurses, medical students, physicians) were randomized to video teaching on obesity and control. Questionnaires on the burden and influence of obesity on daily life compared to other chronic diseases and the fat phobia scale (FPS) were answered.
RESULTS
Burden of obesity was rated low (4.2 ± 1.3; rank 9 of 11) compared to other diseases. Bowel cancer (5.5 ± 0.9) had the highest and caries the lowest (2.7 ± 1.4) estimated impact. Females (p = 0.011) and older people (p < 0.001) rated burden of obesity high whereas general population (p < 0.001) and control (p < 0.001) rated it low. Females (p = 0.001) and people with higher BMI (p = 0.004) rated the influence of obesity on daily life high; the general population (p < 0.001; reference physicians) and the control group (p < 0.001) rated it low. FPS was lowest in patients with obesity (3.2 ± 0.7) and highest in the general population (3.6 ± 0.4) and medical students (3.6 ± 0.5; p < 0.001; compared to physicians).
CONCLUSIONS
Obesity is underestimated as a disease compared to other chronic diseases and attitudes towards obesity are rather negative in comparison. Video teaching showed positive effects so a focus in medical education and public campaigns should aim to improve prevention and treatment of obesity.
Identifiants
pubmed: 30838534
doi: 10.1007/s11695-019-03804-9
pii: 10.1007/s11695-019-03804-9
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
2078-2086Références
Hyde R. Europe battles with obesity. Lancet. 2008;371(9631):2160–1.
doi: 10.1016/S0140-6736(08)60936-8
pubmed: 18595166
Effertz T et al. The costs and consequences of obesity in Germany: a new approach from a prevalence and life-cycle perspective. Eur J Health Econ. 2015:1–18.
Stoner L, Cornwall J. Did the American Medical Association make the correct decision classifying obesity as a disease? Australas Med J. 2013;7(11):462–4.
Padwal RS et al. Using the Edmonton obesity staging system to predict mortality in a population-representative cohort of people with overweight and obesity. CMAJ. 2011;183(14):1059–66.
doi: 10.1503/cmaj.110387
Hubert HB, Feinleib M, McNamara PM, et al. Obesity as an independet risk facor for cardiovascular disease: a 26-year follow-up of participants in the Framingham heart study. Circulation. 1983;67(5):968–77.
doi: 10.1161/01.CIR.67.5.968
pubmed: 6219830
Berrington de Gonzalez A et al. Body-mass index and mortality among 1.46 million white adults. N Engl J Med. 2011;365(9):869.
Calle EE, Thun MJ, Petrelli JM, et al. Body-mass index and mortality in a prospective cohort of U.S. adults. N Engl J Med. 1999;341(15):1097–105.
doi: 10.1056/NEJM199910073411501
pubmed: 10511607
Puhl RM, Brwonell KD. Bias, discrimination, and obesity. Obes Res. 2001;9(12):788–805.
doi: 10.1038/oby.2001.108
pubmed: 11743063
Puhl RM, Heuer CA. Obesity stigma: important considerations for public health. Am J Public Health. 2010;100(6):1019–28.
doi: 10.2105/AJPH.2009.159491
pubmed: 20075322
pmcid: 2866597
Bacardía Gascón M, Jiménez-Cruz A, Castillo-Ruiz O, et al. Fat phobia in mexican nutrition students. Nutr Hosp. 2015;32(6):2956–7.
pubmed: 26667758
Pantenburg B, Sikorski C, Luppa M, et al. Medical students' attitudes towards overweight and obesity. PLoS One. 2012;7(11):e48113.
doi: 10.1371/journal.pone.0048113
pubmed: 23144850
pmcid: 3489830
Caccamese SM, Kolodner K, Wright SM. Comparing patient and physician perception of weight status with body mass index. Am J Med. 2002;112(8):662–8.
doi: 10.1016/S0002-9343(02)01104-X
pubmed: 12034417
Hauner H, Köster I, von Ferber L. Frequency of 'obesity' in medical records and utilization of out-patient health care by 'obese' subjects in Germany. An analysis of health insurance data. Int J Obes Relat Metab Disord. 1996;20(9):820–4.
pubmed: 8880348
Sjöström L, Peltonen M, Jacobson P, et al. Association of bariatric surgery with long-term remission of type 2 diabetes and with microvascular and macrovascular complications. JAMA. 2014;311(22):2297–304.
doi: 10.1001/jama.2014.5988
pubmed: 24915261
Weiner R, el-Sayes I, Manger T, et al. Antidiabetic efficacy of obesity surgery in Germany: a quality assurance nationwide survey. Surg Obes Relat Dis. 2014;10(2):322–7.
doi: 10.1016/j.soard.2013.07.007
pubmed: 24182447
Nickel F et al. Bariatric surgery as an efficient treatment for non-alcoholic fatty liver disease in a prospective study with 1-year follow-up : BariScan study. Obes Surg. 2017;
Billeter AT, Senft J, Gotthardt D, et al. Combined non-alcoholic fatty liver disease and type 2 diabetes mellitus: sleeve gastrectomy or gastric bypass?-a controlled matched pair study of 34 patients. Obes Surg. 2016;26(8):1867–74.
doi: 10.1007/s11695-015-2006-y
pubmed: 26660688
Sjöström L, Lindroos AK, Peltonen M, et al. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26):2683–93.
doi: 10.1056/NEJMoa035622
pubmed: 15616203
Kalinowski P, Paluszkiewicz R, Ziarkiewicz-Wróblewska B, et al. Liver function in patients with nonalcoholic fatty liver disease randomized to roux-en-Y gastric bypass versus sleeve gastrectomy: a secondary analysis of a randomized clinical trial. Ann Surg. 2017;266(5):738–45.
doi: 10.1097/SLA.0000000000002397
pubmed: 28767558
Müller-Stich BP, Fischer L, Kenngott HG, et al. Gastric bypass leads to improvement of diabetic neuropathy independent of glucose normalization--results of a prospective cohort study (DiaSurg 1 study). Ann Surg. 2013;258(5):760–5.
doi: 10.1097/SLA.0b013e3182a618b2
pubmed: 23979278
Nickel F, Schmidt L, Bruckner T, et al. Gastrointestinal quality of life improves significantly after sleeve gastrectomy and roux-en-Y gastric bypass-a prospective cross-sectional study within a 2-year follow-up. Obes Surg. 2017;27(5):1292–7.
doi: 10.1007/s11695-016-2464-x
pubmed: 27878423
Nickel F et al. Influence of bariatric surgery on quality of life,body image, and general self-efficacy within 6 and 24 months-a prospective cohort study. Surg Obes Relat Dis. 2017;12(2):313–9.
doi: 10.1016/j.soard.2016.08.017
Peterli R, Wölnerhanssen BK, Vetter D, et al. Laparoscopic sleeve gastrectomy versus roux-Y-gastric bypass for morbid Obesity-3-year outcomes of the prospective randomized Swiss multicenter bypass or sleeve study (SM-BOSS). Ann Surg. 2017;265(3):466–73.
doi: 10.1097/SLA.0000000000001929
pubmed: 28170356
Nickel F et al. The way from cost approval to bariatric surgery : analysis of resource utilization in a maximum care hospital: Chirurg; 2017.
Bacon JG, Scheltema KE, Robinson BE. Fat phobia scale revisited: the short form. Int J Obes. 2001;25(2):252–7.
doi: 10.1038/sj.ijo.0801537
Robinson BE, Bacon JG, O’Reilly J. Fat phobia: measuring, understanding and changing anti-fat attitudes. Int J Eating Dis. 1993;14(4):467–80.
doi: 10.1002/1098-108X(199312)14:4<467::AID-EAT2260140410>3.0.CO;2-J
R Core Team. A language and environment for statistical computing, R.C. Team, Editor. Vienna: R Foundation for Statistical Computing; 2015.
Zhang Q, Wang Y. Socioeconomic inequality of obesity in the United States: do gender, age, and ethnicity matter? Soc Sci Med. 2004;58(6):1171–80.
doi: 10.1016/S0277-9536(03)00288-0
pubmed: 14723911
Jacob S, Klimke-Hübner A, Dippel FW, et al. Knowing what matters in diabetes: healthier below 7′: results of the campaign’s first 10 years (part 1): participants with known type 2 diabetes. Cardiovasc Endocrinol. 2016;5(1):14–20.
doi: 10.1097/XCE.0000000000000072
pubmed: 28392972
pmcid: 5367495
Nickel F, Schmidt L, Sander J, et al. Patient perspective in obesity surgery: goals for weight loss and improvement of body shape in a prospective cohort study. Obes Facts. 2018;11(6):466–74.
doi: 10.1159/000493372
pubmed: 30537759
pmcid: 6341368
Stein J, Luppa M, Ruzanska U, et al. Measuring negative attitudes towards overweight and obesity in the German population – psychometric properties and reference values for the German short version of the fat phobia scale (FPS). PLoS One. 2014;9(12):e114641.
doi: 10.1371/journal.pone.0114641
pubmed: 25474195
pmcid: 4256451
Soto L et al. Beliefs, attitudes and phobias among Mexican medical and psychology students towards people with obesity. Nurt Hosp. 2014;30(1):37–41.
Berryman DE, Dubale GM, Manchester DS, et al. Dietetics students possess negative attitudes toward obesity similar to nondietetics students. J Am Diet Assoc. 2006;106:1678–82.
doi: 10.1016/j.jada.2006.07.016
pubmed: 17000203
Carels RA, Young KM, Wott CB, et al. Weight bias and weight loss treatment outcomes in treatment-seeking adults. Ann Behav Med. 2009;37(3):350–5.
doi: 10.1007/s12160-009-9109-4
pubmed: 19548044
pmcid: 3538814
Fogelman Y, Vinker S, Lachter J, et al. Managing obesity: a survey of attitudes and practices among Israeli primary care physicians. Int J Obes Relat Metab Disord. 2002;26(10):1393–7.
doi: 10.1038/sj.ijo.0802063
pubmed: 12355337
NCD Risk Factor Collaboration. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet. 2017;
Jung FU et al. Referral behavior of general physicians for patients with obesity. Chirurg. 2018;
Ebell MH. Bariatric surgery improves quality of life and results in more weight loss than intensive medical therapy. Am Fam Physician. 2017;95(12):805.
pubmed: 28671414
Kmietowicz Z. Recognise obesity as a disease to reduce prevalence, says RCP. BMJ. 2019;364:145.