Objective: The Awareness, Care, and Treatment in Obesity Management-International Observation (ACTION-IO) study (ClinicalTrials.gov identifier NCT03584191) aimed to identify perceptions, attitudes, behaviors, and barriers to effective obesity care in people with obesity (PwO) and health care professionals (HCPs). This study presents the results from Mexico.

Methods: An online survey was conducted. In Mexico, eligible PwO were ≥18 years of age with BMI ≥30 kg/m based on self-reported height and weight. Eligible HCPs had direct patient care.

Results: The survey was completed by 2,000 PwO and 400 HCPs in Mexico. Many PwO (71%) and HCPs (94%) categorized obesity as a chronic disease. Sixty-three percent of PwO felt motivated to lose weight, but many HCPs perceived that PwO were not interested in losing weight (76%) or motivated to lose weight (69%). Lack of financial means to support weight-loss efforts was a barrier for PwO (34%) to discussing weight with HCPs. Sixty-five percent of PwO had discussed weight with HCPs in the past 5 years. PwO (80%) and HCPs (89%) considered lack of exercise as the main barrier to weight loss. Few PwO (34%) had successfully lost ≥5% of their body mass over the past 3 years.

Conclusions: This ACTION-IO study in Mexico identified discrepancies in the perceptions of PwO and HCPs, highlighting opportunities for further education and patient-centered approaches.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7898320PMC
http://dx.doi.org/10.1002/oby.23077DOI Listing

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Article Synopsis
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  • Analysis of responses from 1,000 adults showed that EAO individuals had fewer weight loss attempts, less support from HCPs, and higher levels of anxiety and depression, compared to LAO individuals.
  • The conclusion emphasizes the need for HCPs to identify and address weight management issues earlier in life, specifically in adolescents, while involving parents in decision-making to improve motivation and self-confidence in overcoming obesity.*
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Aust J Gen Pract

July 2023

MBBS, BSc(Med), PhD, FRACP, Professor Emeritus, SoLES, University of Sydney and Boden Initiative, Charles Perkins Centre, University of Sydney, Camperdown, NSW; Senior Staff Specialist, Royal Prince Alfred Hospital, Camperdown, NSW.

Background And Objectives: Our previous work uncovered a nine-year delay, from when Australian people with obesity (PwO) first began struggling with excess weight and first discussed weight with a healthcare professional (HCP). In this study we explore barriers to having an obesity consultation, making and discussing the diagnosis of obesity and arranging a management plan, including a follow-up appointment.

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