Obesity Pillars最新文献

Obesity management in primary care: Are we adequately preparing the next generation of Canadian family physicians? 初级保健中的肥胖症管理：我们是否为下一代加拿大家庭医生做好了充分准备？

Obesity Pillars

Pub Date : 2024-11-16 DOI: 10.1016/j.obpill.2024.100151

Helena Piccinini-Vallis , Vlad Evdaev , Joseph Asaminew , Therese McCurdy , Mark Rogers , Michael Vallis

Background

Obesity is a chronic disease that affects a large proportion of the population. We examined the preparation of Canadian medical learners for obesity management through three cross-sectional studies exploring the: 1) knowledge of evidence-based obesity management among medical students; 2) perspectives of family medicine residents on the adequacy of obesity management training in their residency programs; and 3) intentions of family medicine residents regarding obesity management when they enter practice.

Methods

An online survey instrument was developed for each study. For Study 1, the survey was developed by HP, VE and JA; the questions mapped onto the ten domains outlined in the 2020 Canadian Clinical Practice Guidelines on the Management of Obesity in Adults. For Study 2, the survey was developed by HP and TMcC; the questions aligned with competencies in the management of other chronic diseases. For Study 3, the survey was developed by MR, HP and MV; the Capability, Opportunity, and Motivation (COM-B) model was used as a framework for the questions. All three surveys met the criterion for face validity and the survey for Study 3 met criteria for content and criterion validity.

Results

Study 1 enrolled 26 first-year and 22 fourth-year students. Total correct scores were below 50 % for both groups, and patient-centeredness scores differed significantly between the groups. Study 2 enrolled 494 family medicine residents; less than 25 % thought there was sufficient time devoted to training in obesity management during residency and approximately 75 % experienced inconsistent messaging about obesity management from their preceptors. Study 3 enrolled 150 family medicine residents. Few participants believed that they had been well trained or had a clear plan for managing obesity, but most believed that obesity management will form part of their practice and that they will have the time and resources for obesity management.

Conclusion

Current medical education does not reflect the requisite knowledge for contemporary obesity management. Further, family medicine residents identified gaps in mentorship of contemporary principles of obesity management. These findings support the revision of the medical curriculum in Canada to better reflect the science of obesity and its management.

背景肥胖症是一种慢性疾病，影响着很大一部分人口。我们通过三项横断面研究探讨了加拿大医学生在肥胖管理方面的准备情况：1) 医学生对循证肥胖症管理的了解；2) 家庭医学住院医师对其住院医师培训项目中肥胖症管理培训是否充分的看法；3) 家庭医学住院医师在进入执业阶段后对肥胖症管理的意向。研究 1 的调查工具由 HP、VE 和 JA 共同开发；问题与《2020 年加拿大成人肥胖症管理临床实践指南》中列出的十个领域相对应。研究 2 的调查问卷由 HP 和 TMcC 制定；问题与其他慢性疾病的管理能力相一致。研究 3 的调查问卷由 MR、HP 和 MV 制定；问题框架采用了能力、机会和动机 (COM-B) 模型。所有三项调查均符合表面效度标准，研究 3 的调查符合内容效度和标准效度标准。两组学生的总正确率均低于 50%，以患者为中心的得分在两组之间存在显著差异。研究 2 共招募了 494 名家庭医学住院医师；不到 25% 的住院医师认为在住院医师培训期间有足够的时间进行肥胖管理培训，约 75% 的住院医师在肥胖管理方面遇到过来自实习医生的不一致信息。研究 3 共招募了 150 名家庭医学住院医生。很少有参与者认为他们接受过良好的培训或有明确的肥胖管理计划，但大多数人认为肥胖管理将成为他们实践的一部分，而且他们将有时间和资源进行肥胖管理。此外，家庭医学住院医师还发现，在肥胖症管理的当代原则方面，导师的指导存在差距。这些发现支持加拿大修订医学课程，以更好地反映肥胖及其管理的科学知识。

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引用次数: 0

Exploring parental and professional perceptions of weight management services among under-fives in England: A qualitative study 探索家长和专业人士对英格兰五岁以下儿童体重管理服务的看法：定性研究

Obesity Pillars

Pub Date : 2024-11-13 DOI: 10.1016/j.obpill.2024.100149

Maines Msiska , Lawrence Achilles Nnyanzi , Misheck Julian Nkhata , Scott Lloyd , David B. Olawade

Background

Childhood obesity is a significant public health challenge, particularly among children under five. In England, weight management programs aim to address this issue; however, engagement and uptake of these services remain low. Understanding the perceptions of parents and professionals involved in these programs is crucial to enhancing participation and improving health outcomes. This study explores these perceptions to identify barriers and facilitators to effective engagement with weight management services.

Method

This qualitative study used purposive sampling to recruit parents and professionals involved in weight management programs across England. Semi-structured interviews were conducted with 15 participants (8 parents and 7 professionals). Data were transcribed, coded, and thematically analyzed using Braun and Clarke's six-phase framework to identify key themes related to engagement, cultural influences, and program effectiveness.

Results

The study identified several key themes: parental engagement, the impact of virtual versus face-to-face sessions, motivations for participation, barriers to involvement, and the role of cultural beliefs. Parental involvement was critical for the success of weight management programs, but barriers such as time constraints, cultural beliefs, and socioeconomic factors hindered participation. Professionals highlighted the need for more training and resources to effectively address these challenges. Cultural sensitivities and systemic support were found to be crucial for improving engagement and outcomes.

Conclusions

The findings emphasize the need for culturally tailored, accessible, and sustainable weight management interventions. Enhanced professional training, increased community outreach, and policy-level support are essential to improve engagement and ensure long-term success in addressing childhood obesity.

背景儿童肥胖症是一项重大的公共卫生挑战，尤其是在五岁以下儿童中。在英格兰，体重管理计划旨在解决这一问题；然而，这些服务的参与度和利用率仍然很低。了解参与这些计划的家长和专业人士的看法对于提高参与度和改善健康结果至关重要。本研究探讨了这些看法，以确定有效参与体重管理服务的障碍和促进因素。方法本定性研究采用目的性抽样，在英格兰各地招募参与体重管理计划的家长和专业人士。对 15 名参与者（8 名家长和 7 名专业人士）进行了半结构化访谈。研究采用布劳恩和克拉克的六阶段框架对数据进行了转录、编码和主题分析，以确定与参与、文化影响和计划有效性相关的关键主题。结果研究确定了几个关键主题：家长参与、虚拟课程与面对面课程的影响、参与动机、参与障碍和文化信仰的作用。家长的参与对体重管理计划的成功至关重要，但时间限制、文化信仰和社会经济因素等障碍阻碍了参与。专业人士强调需要更多的培训和资源来有效应对这些挑战。研究发现，文化敏感性和系统支持对于提高参与度和成果至关重要。加强专业培训、扩大社区宣传和政策层面的支持对于提高参与度和确保长期成功解决儿童肥胖问题至关重要。

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引用次数: 0

Childhood obesity in South Asian population 南亚人口中的儿童肥胖症

Obesity Pillars

Pub Date : 2024-10-30 DOI: 10.1016/j.obpill.2024.100148

Vimal Pahuja, Sushma Sanghvi

Introduction

Obesity is worldwide health concern, with its prevalence rising steeply specially in low and middle-income countries in the past decade. World Obesity Federation estimates that one in five women and one in seven men - will be obese by 2030.Obesity numbers are expected to double during same year in South and South Asian countries, with obesity in children over age of five estimated to be at forty-five million.

Methods

Relevant articles, full text and abstract pertaining to childhood obesity, pediatric obesity, technology in childhood obesity and specifically articles on obesity in children in South Asian countries were obtained from search engines like PUBMED, Google Scholar and Cochrane data base. The full text relevant articles and abstracts and the cross references after verification suitable to the topic were used to draft this review.

Results

The double burden of undernutrition and obesity poses a unique public health challenge in Southeast Asia. In recent decades, South and Southeast Asia have experienced a period of rapid nutrition and lifestyle transition, leading to a proportional rise in the burden of obesity and Type 2 diabetes. The traditional diets of whole grains and vegetables in this region are being replaced by highly processed fast food due to rapid urbanization and westernisation in this region.There is growing and unrelenting burden of health risks in adulthood like diabetes, heart disease, hypertension, dyslipidaemia and mental health issues due to childhood obesity. Therapy mainly focuses on lifestyle changes underpinned by underlying behaviour changes, addressing emotional stress and sleep issues, pharmacotherapy and metabolic surgery in certain situations. Personalisation of therapy remains corner stone of therapeutics in childhood obesity.

Conclusion

This comprehensive review aims at addressing the risk factors, complications, treatment and highlights effective preventive strategies for childhood obesity in South Asia.

导言肥胖是一个世界性的健康问题，在过去的十年中，特别是在中低收入国家，肥胖症的发病率急剧上升。据世界肥胖联合会估计，到 2030 年，五分之一的女性和七分之一的男性将肥胖。方法从 PUBMED、Google Scholar 和 Cochrane 数据库等搜索引擎获取有关儿童肥胖症、小儿肥胖症、儿童肥胖症技术的相关文章、全文和摘要，特别是有关南亚国家儿童肥胖症的文章。结果营养不良和肥胖的双重负担给东南亚带来了独特的公共卫生挑战。近几十年来，南亚和东南亚经历了营养和生活方式的快速转型期，导致肥胖症和 2 型糖尿病的发病率成比例上升。由于该地区的快速城市化和西方化，该地区传统的全谷物和蔬菜饮食正被高度加工的快餐所取代。治疗的主要重点是改变生活方式，并辅以基本行为改变、解决情绪压力和睡眠问题、药物治疗以及在某些情况下进行代谢手术。个性化治疗仍然是儿童肥胖症治疗的基石。结论本综合综述旨在探讨南亚儿童肥胖症的风险因素、并发症、治疗方法，并重点介绍有效的预防策略。

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引用次数: 0

Duties, tasks, knowledge and skills of an obesity medicine physician: A practice analysis 肥胖症内科医生的职责、任务、知识和技能：实践分析

Obesity Pillars

Pub Date : 2024-10-28 DOI: 10.1016/j.obpill.2024.100147

Kimberly A. Gudzune , Dana R. Brittan , Adrienne W. Cadle , Tirissa J. Reid , Edmond P. Wickham III , Judith Korner

Background

Given the evolving nature of obesity medicine, periodic evaluation of its clinical practice is needed to ensure that certification requirements address real-world experience. Practice analysis is a systematic approach to define a field's body of knowledge, and its results can inform the content outline and examination blueprint for a certification examination. This study describes the 2023 practice analysis conducted by the American Board of Obesity Medicine (ABOM).

Methods

Initially, 14 obesity medicine physicians participated in a practice analysis panel, resulting in 3 duties and 30 tasks required for competent practice of obesity medicine physicians. Each task included steps, knowledge, skills, and abilities needed to perform the task. ABOM then recruited 645 certified obesity medicine physicians from its database to participate in a validation survey to rate the frequency [scale: never (0) to very frequently (5)] and importance [scale: not important (0) to very important (3)] of each task. Survey participants could also provide open-ended comments.

Results

Among validation survey participants (n = 645), the most common primary medical specialties reported were internal medicine (46.0 %), family medicine (33.8 %), and pediatrics (11.2 %). Years practicing obesity medicine varied with 45.3 % reporting 1–4 years, 26.0 % 5–9 years, and 28.7 % ≥ 10 years in practice. Most tasks were performed frequently (mean score ≥4.0) and rated as important (mean score ≥2.0). All tasks were retained based on the frequency and importance ratings. Survey results informed the weighting in the examination blueprint.

Conclusion

There was consensus among practicing ABOM-certified physicians who participated in the validation survey in the tasks required for competent obesity medicine practice. Our practice analysis approach was a structured process that engaged obesity medicine physicians and captured the breadth and depth of knowledge required for obesity medicine. The new content outline and examination blueprint developed will be implemented with the 2025 ABOM certification exam administration.

背景鉴于肥胖症医学不断发展的性质，需要对其临床实践进行定期评估，以确保认证要求符合现实世界的经验。实践分析是界定一个领域知识体系的系统方法，其结果可为认证考试的内容大纲和考试蓝图提供参考。本研究描述了美国肥胖症医学委员会（ABOM）进行的 2023 年实践分析。方法最初，14 名肥胖症医学医师参加了实践分析小组，得出了肥胖症医学医师胜任实践所需的 3 项职责和 30 项任务。每项任务包括执行任务所需的步骤、知识、技能和能力。ABOM 随后从其数据库中招募了 645 名经过认证的肥胖症医学医生参与验证调查，对每项任务的频率[评分标准：从不（0）到非常频繁（5）]和重要性[评分标准：不重要（0）到非常重要（3）]进行评分。结果在验证调查的参与者（n = 645）中，最常见的主要医学专业是内科（46.0%）、家庭医学（33.8%）和儿科（11.2%）。肥胖症患者的行医年限各不相同，45.3%的患者行医 1-4 年，26.0%的患者行医 5-9 年，28.7%的患者行医 ≥ 10 年。大多数任务经常执行（平均得分≥4.0），并被评为重要任务（平均得分≥2.0）。根据频率和重要性评分，所有任务均被保留。调查结果显示了考试蓝图中的权重。结论参与验证调查的 ABOM 认证执业医师对胜任肥胖症医学实践所需的任务达成了共识。我们的实践分析方法是一个结构化的过程，让肥胖症医学医师参与其中，并掌握了肥胖症医学所需的知识广度和深度。开发的新内容大纲和考试蓝图将在 2025 年 ABOM 认证考试中实施。

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引用次数: 0

Obesity medicine provider-directed health coaching in a commercial weight loss program: Proof of concept 在一项商业减肥计划中，由肥胖症医疗服务提供者提供健康指导：概念验证

Obesity Pillars

Pub Date : 2024-10-22 DOI: 10.1016/j.obpill.2024.100146

Michelle Alencar , Angela Fitch , Rachel M. Sauls , Kelly Johnson , Mayur Patel

Background

Obesity remains a leading serious chronic disease and cause of death in the U.S. Despite previous research in diets (i.e., caloric restriction), physical activity levels, and biochemical markers, no studies to date have investigated the combination of an obesity medicine physician with a health coach alongside a commercial program for reducing body weight. As a result, this pilot study aims to assess the relationship between a commercial diet program and health and wellness coaching (HWC) for weight reduction outcomes when delivered in conjunction with an obesity medicine physician chronic disease care model, as a proof-of-concept study.

Methods

This 24-week proof-of-concept study was pragmatic, being an unblinded, unrandomized, uncontrolled, longitudinal, observational study. Its purpose was to assess participant weight reduction from a commercial weight reduction program using a pre-packaged portion-controlled reduced-calorie diet while meeting with a health coach and obesity medicine physician for counseling and support. Participants in the sample underwent a commercial weight reduction program through dietary control while meeting with an HWC. A repeated measures ANOVA was conducted to determine the weight reduction trends across a 24-week program.

Results

This study included n = 53 participants; a majority were white females (n = 45; 85 %), with an average (SD) age of 50.3 (12.2) years. There was a significant improvement in weight reduction (21.8 ± 9.4 lbs. WL) seen throughout the 24-week program (F (7, 364) = 33.129, p < 0.001), with a large effect (η² = 0.922).

Conclusion

This proof-of-concept project found that Obesity Medicine Physician-directed, portion-controlled meals and HWC can improve weight reduction across a 24-week program using portioned-controlled meals. Confirmation of these findings and their clinical significance requires a follow-up randomized, controlled clinical trial using validated assessment tools.

背景肥胖症仍然是美国主要的严重慢性疾病和死亡原因。尽管以前对饮食（即热量限制）、体力活动水平和生化指标进行过研究，但迄今为止，还没有研究对肥胖症医学医生与健康指导相结合，同时实施商业减肥计划进行调查。因此，作为一项概念验证研究，本试验性研究旨在评估商业饮食计划与健康和保健指导（HWC）在结合肥胖症内科医生慢性病护理模式提供减重结果方面的关系。其目的是评估参与者通过商业减重计划减轻体重的情况，该计划使用预先包装好的控制份量的低热量饮食，同时与健康指导员和肥胖症内科医生会面，为其提供咨询和支持。样本中的参与者通过饮食控制参加了商业减重计划，同时与健康顾问会面。结果这项研究包括 n = 53 名参与者；大多数为白人女性（n = 45；85%），平均（标清）年龄为 50.3 (12.2) 岁。这项概念验证项目发现，在为期 24 周的计划中，肥胖症医学医生指导的、控制份量的膳食和 HWC 可以改善体重下降情况（21.8 ± 9.4 磅 WL）。要证实这些研究结果及其临床意义，需要使用经过验证的评估工具进行后续随机对照临床试验。

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引用次数: 0

Erratum to "Differentiating monogenic and syndromic obesities from polygenic obesity: Assessment, diagnosis, and management" [Obesity Pillars 11C (2024) 100110].

Obesity Pillars

Pub Date : 2024-10-22 eCollection Date: 2024-12-01 DOI: 10.1016/j.obpill.2024.100135

Angela K Fitch, Sonali Malhotra, Rushika Conroy

[This corrects the article DOI: 10.1016/j.obpill.2024.100110.].

引用次数: 0

“Metabolic surgery in Asian patients with type 2 diabetes mellitus and body mass index less than 30kg/m2: A systematic review” "体重指数低于 30kg/m2 的 2 型糖尿病亚洲患者的代谢手术：系统回顾"

Obesity Pillars

Pub Date : 2024-10-21 DOI: 10.1016/j.obpill.2024.100145

Angel Alois Osorio Manyari , Azucena Lirio Armas Alvarez , Joel Davis Osorio Manyari , Francisco Gonzalez Caballero , Sjaak Pouwels

Background

The effect of metabolic surgery on long-term diabetes remission in Asian patients with a body mass index (BMI) < 30 kg/m² has not been widely reported.

Methods

We conducted a systematic review of the PubMed and Cochrane Library databases from inception to June 2024. All clinical trials and observational studies involving the effect of metabolic surgery in Asian patients with type 2 diabetes mellitus and BMI <30 kg/m² were considered. The quality of the studies was assessed using the Newcastle-Ottawa scale.

Results

Of the 1175 studies screened, 21 studies (11 prospective and 10 retrospective), including 1005 patients, were selected. Only one study had a control group. The longest follow-up was 60 months. The results showed significant improvement in glycated hemoglobin (HbA1c), fasting blood glucose (FBG), 2-h plasma glucose (2hPG), homeostasis model assessment for insulin resistance index (HOMA-IR), fasting C-peptide, triglycerides, total cholesterol, and a reduction in the use of oral hypoglycemic agents/insulin at 12, 24, 36, and 60 months after metabolic surgery. The most common surgical complications observed were anemia (2.1 %–33 %), marginal ulcer (4.2 %–17.3 %), gastrointestinal bleeding (1.9 %–12 %), anastomotic leak (2.1 %–3.5 %), anastomotic stenosis (2.1 %–3.5 %), reoperation (1.18 %), and a mortality rate of zero.

Conclusions

Long-term diabetes remission, along with improvements in HbA1c, 2hPG, FBG, and HOMA-IR, with an acceptable rate of complications, was observed in Asian patients with BMI <30 kg/m² after metabolic surgery. Future research with controlled studies should focus on preoperative patient selection criteria beyond just the BMI cutoff.

方法我们对 PubMed 和 Cochrane 图书馆数据库从开始到 2024 年 6 月的数据进行了系统性回顾。所有涉及亚洲 2 型糖尿病患者和 BMI <30 kg/m2 代谢手术效果的临床试验和观察性研究均在考虑之列。结果在筛选出的 1175 项研究中，有 21 项研究（11 项前瞻性研究和 10 项回顾性研究）入选，其中包括 1005 名患者。只有一项研究设有对照组。最长的随访时间为 60 个月。结果显示，在代谢手术后的 12、24、36 和 60 个月，糖化血红蛋白 (HbA1c)、空腹血糖 (FBG)、2 小时血浆葡萄糖 (2hPG)、胰岛素抵抗指数稳态模型评估 (HOMA-IR)、空腹 C 肽、甘油三酯、总胆固醇均有明显改善，口服降糖药/胰岛素的使用也有所减少。最常见的手术并发症是贫血（2.1%-33%）、边缘溃疡（4.2%-17.3%）、胃肠道出血（1.9%-12%）、吻合口漏（2.1%-3.5%）、吻合口狭窄（2.1%-3.5%）、再次手术（1.结论在 BMI <30 kg/m2 的亚洲患者中观察到，代谢手术后糖尿病得到长期缓解，HbA1c、2hPG、FBG 和 HOMA-IR 均有改善，并发症发生率在可接受范围内。未来的对照研究应关注术前患者的选择标准，而不仅仅是 BMI 临界值。

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引用次数: 0

Corrigendum to "Retrospective review of seven patients with obesity simultaneously treated with a combination of a glucagon-like peptide-1 receptor agonist and a meal replacement product" [Obesity Pillars 12C (2024) 100138].

Obesity Pillars

Pub Date : 2024-10-19 eCollection Date: 2024-12-01 DOI: 10.1016/j.obpill.2024.100144

Catherine Bacus, Terri-Lynne South, Sonia Raudszus, Odd Erik Johansen

[This corrects the article DOI: 10.1016/j.obpill.2024.100138.].

引用次数: 0

Efficacy of in-person versus digital enhanced lifestyle interventions in adults with overweight and obesity 对超重和肥胖成人进行面对面干预与数字增强型生活方式干预的效果对比

Obesity Pillars

Pub Date : 2024-10-16 DOI: 10.1016/j.obpill.2024.100133

Diego Anazco , Maria A. Espinosa , Lizeth Cifuentes , Blake Kassmeyer , Tara M. Schmidt , Sima Fansa , Alejandro Campos , Elif Tama , William S. Harmsen , Maria D. Hurtado , Donald D. Hensrud , Andres Acosta

Background

Lifestyle interventions (LIs) are the cornerstone for obesity management. The Mayo Clinic Diet (MCD) offers two approaches for LIs: the In-Person LI (IPLI) and the Digital Enhanced LI (DELI). The IPLI includes a 2-day in-person program with monthly follow-ups, whereas the DELI provides on-demand digital tools. The comparative efficacy of these approaches is currently unknown.

Methods

This retrospective study included two cohorts of adults with a body mass index (BMI) of ≥25 kg/m² and weight metrics at least 3 months after starting either the IPLI or DELI program. The primary endpoint was the total body weight loss percentage (TBWL%) at 6 months.

Results

The study included 133 participants in the IPLI cohort (mean age 46.3 years, 65.4 % female, BMI 36.4) and 9603 in the DELI cohort (mean age 60.1 years, 85.0 % female, BMI 33.1). The DELI group achieved superior TBWL% at 1, 3, and 6 months compared to the IPLI group (3.4 % vs. 1.5 %, 4.7 % vs. 2.4 %, 5.3 % vs. 2.9 %, respectively; p < 0.001). After adjusting for age, gender, and starting weight, the DELI group maintained a higher TBWL% (difference 2.0 %; 95 % CI [1.0, 3.0], p < 0.001) and a greater proportion of participants achieved >5 % TBWL at 6 months (OR 1.66; 95 % CI [1.08, 2.55], p < 0.023).

Conclusion

The DELI approach resulted in superior weight loss outcomes compared to the IPLI. Further research is needed to explore how digital tools can improve weight loss effectiveness.

背景生活方式干预（LIs）是肥胖管理的基石。梅奥诊所饮食中心（Mayo Clinic Diet，MCD）为生活方式干预提供了两种方法：面对面生活方式干预（IPLI）和数字增强生活方式干预（DELI）。IPLI 包括为期 2 天的面授课程和每月一次的随访，而 DELI 则提供按需使用的数字工具。这项回顾性研究包括两组体重指数（BMI）≥25 kg/m2，且在开始 IPLI 或 DELI 计划至少 3 个月后有体重指标的成年人。研究结果IPLI队列中有133名参与者（平均年龄46.3岁，65.4%为女性，体重指数36.4），DELI队列中有9603名参与者（平均年龄60.1岁，85.0%为女性，体重指数33.1）。与 IPLI 组相比，DELI 组在 1 个月、3 个月和 6 个月时的 TBWL% 更高（分别为 3.4% vs. 1.5%、4.7% vs. 2.4%、5.3% vs. 2.9%；P <0.001）。在对年龄、性别和起始体重进行调整后，DELI 组保持了更高的 TBWL%（差异为 2.0 %；95 % CI [1.0，3.0]，p < 0.001），并且有更大比例的参与者在 6 个月时达到了 >5 % 的 TBWL（OR 1.66；95 % CI [1.08，2.55]，p < 0.023）。需要进一步研究探索数字工具如何提高减肥效果。

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引用次数: 0

Optimizing nutrition, diet, and lifestyle communication in GLP-1 medication therapy for weight management: A qualitative research study with registered dietitians 优化 GLP-1 药物疗法中的营养、饮食和生活方式沟通，以控制体重：与注册营养师的定性研究

Obesity Pillars

Pub Date : 2024-10-13 DOI: 10.1016/j.obpill.2024.100143

David Despain, Brenda L. Hoffman

Background

This qualitative study used semi-structured interviews to examine registered dietitians’ perspectives on diet, nutrition, and lifestyle communication for patients on GLP-1 medications for obesity management.

Methods

Through in-depth interviews with registered dietitians, this research identifies elements that could improve both the efficacy of GLP-1 medication therapies and patient adherence.

Results

indicate that a comprehensive approach, integrating patient communication with proactive management of side effects and ongoing lifestyle counseling, is essential for optimizing treatment outcomes.

Conclusion

Key findings include the importance of using visual and metaphorical aids to improve understanding, the necessity for structured lifestyle programs, and the pivotal role of personalized diet plans. These insights offer valuable directions for enhancing patient care and formulating clinical practices around the use of GLP-1 receptor agonist medications.

背景这项定性研究采用半结构化访谈的方式，考察了注册营养师对使用 GLP-1 药物治疗肥胖症的患者进行饮食、营养和生活方式沟通的观点。方法通过对注册营养师进行深入访谈，本研究确定了可提高 GLP-1 药物疗效和患者依从性的要素。研究结果表明，要优化治疗效果，就必须采取综合方法，将患者沟通与积极的副作用管理和持续的生活方式咨询结合起来。结论主要发现包括：使用视觉和隐喻辅助工具提高理解的重要性、结构化生活方式计划的必要性以及个性化饮食计划的关键作用。这些见解为加强患者护理和围绕 GLP-1 受体激动剂药物的使用制定临床实践提供了宝贵的方向。

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引用次数: 0