Physician Attitudes, Beliefs and Barriers towards the Management and Treatment of Adult Obesity: A Literature Review

Abstract

The objective of this study was to review physician attitudes, beliefs, knowledge and barriers towards adult patients who are overweight and obese. Electronic searches were carried out on PubMed, Medline and Embase up to July 2007. The search terms were built around 'obesity', 'physicians', and 'attitudes'. Only peer-reviewed full papers in English were included. Each paper had to directly investigate the attitudes, beliefs or barriers towards overweight and/or obese adults by physicians only. Forty-three studies met the inclusion criteria. Studies meeting inclusion criteria were reviewed by two authors. Evidence was fairly consistent across studies indicating that, in general, physicians feel qualified and well-equipped to manage and treat overweight and obese patients, yet overall do not feel successful. Knowledge about obesity is poor, with a lack of understanding of minimum BMI for obesity and the use of waist circumferences as a measure of obesity evident. There also appears to be a lack of knowledge about the treatment options available when treating obesity and their effectiveness. Furthermore, negative attitudes towards overweight and obese individuals are present, with many physicians categorising overweight and obese individuals as lazy, and that a key barrier in successfully treating obesity being lack of patient compliance and motivation. The study indicates additional training is necessary to educate physicians in regard to treatment options for obesity and to address the persistent negative attitudes towards obese patients.