Clinical care for obesity: A preliminary survey of sixty-eight countries.
barriers
coverage
health systems
international
survey
treatment
Journal
Clinical obesity
ISSN: 1758-8111
Titre abrégé: Clin Obes
Pays: England
ID NLM: 101560587
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
04
12
2019
accepted:
03
01
2020
pubmed:
5
3
2020
medline:
25
11
2020
entrez:
5
3
2020
Statut:
ppublish
Résumé
Obesity is a chronic relapsing condition affecting a rapidly increasing number of people worldwide. The United Nations has stated that universal health coverage is an essential element of the globally-agreed sustainable development goals. This article provides a preliminary report of a survey of relevant health professionals and other interest groups on the readiness of health systems to provide obesity treatment services. Interviews and questionnaires were completed by 274 respondents from a total of 68 low, middle and high income countries. Respondents in the majority of countries stated that there were professional guidelines for obesity treatment, but that there was a lack of adequate services, especially in lower income countries, and in rural areas of most countries. Lack of treatment was attributed to a broad range of issues including: no clear care pathways from primary care to secondary services; absent or limited secondary services in some regions; lack of trained multi-disciplinary support professionals; potentially high costs to patients; long waiting times for surgery; and stigma experienced by patients within the health care services. Defining obesity as a disease may help to overcome stigma and may also help to secure better funding streams for treatment services. However, the survey found that few countries were ready to accept this definition. Furthermore, until countries fully adopt and implement obesity prevention policies the need for treatment will continue to rise while the necessary conditions for treatment will remain inadequate.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12357Subventions
Organisme : Novo Nordisk A/S Denmark
ID : Educational grant
Informations de copyright
© 2020 World Obesity Federation.
Références
United Nations. Resolution adopted by the General Assembly A/RES/66/2. Political declaration of the high-level meeting of the general assembly on the prevention and control of non-communicable diseases. New York, September 11, 2011. https://digitallibrary.un.org/record/710899/
United Nations. Resolution adopted by the General Assembly A/RES/74/2. Political declaration of the high-level meeting on universal health coverage. New York, September 23, 2019. https://undocs.org/en/A/RES/74/2
World Health Organization. Countries must invest at least 1% more of GDP on primary health care to eliminate glaring coverage gaps. News release. Geneva, September 22, 2019. https://www.who.int/news-room/detail/22-09-2019-countries-must-invest-at-least-1-more-of-gdp-on-primary-health-care-to-eliminate-glaring-coverage-gaps
NCD Risk Factor Collaboration. Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants. Lancet. 2016;387:1377-1396.
World Obesity Federation. NCD risk factor collaboration (op cit) data projected to 2025. London, October 11, 2018. http://s3-eu-west-1.amazonaws.com/wof-files/World_Obesity_Day_global_data_on_numbers_of_adults_affected.pdf
Abdullah A, Stoelwinder J, Shortreed S, et al. The duration of obesity and the risk of type 2 diabetes. Public Health Nutr. 2011;14:119-126.
Alpert MA, Lambert CR, Panayiotou H, et al. Relation of duration of morbid obesity to left ventricular mass, systolic function, and diastolic filling, and effect of weight loss. Am J Cardiol. 1995;76:1194-1197.
World Bank, online databases, October 30, 2019. https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups.
World Bank, online databases, October 30, 2019. https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS.
World Bank, online databases, October 30, 2019. https://data.worldbank.org/indicator/SP.RUR.TOTL.ZS
Panza GA, Armstrong LE, Taylor BA, Puhl RM, Livingston J, Pescatello LS. Weight bias among exercise and nutrition professionals: a systematic review. Obes Rev. 2018;19:1492-1503.
Dietz WH, Baur LA, Hall K, et al. Management of obesity: improvement of health-care training and systems for prevention and care. Lancet. 2015;385:2521-2533.
World Health Organization. News release. WHO welcomes landmark UN declaration on universal health coverage. September 23, 2019. New York. https://www.who.int/news-room/detail/23-09-2019-who-welcomes-landmark-un-declaration-on-universal-health-coverage
Bray GA, Kim KK, Wilding JPH. World obesity federation. Obesity: a chronic relapsing progressive disease process. A position statement of the world obesity federation. Obes Rev. 2017;18:715-723.
Puhl R, Suh Y. Health consequences of weight stigma: implications for obesity prevention and treatment. Curr Obes Rep. 2015;4:182-190.
Lobstein T, Brinsden H, Gill T, Kumanyika S, Swinburn B. Comment: obesity as a disease - some implications for the world obesity Federation's advocacy and public health activities. Obes Rev. 2017;18:724-726.