Motivation and Limiting Factors for Adherence to Weight Loss Interventions among Patients with Obesity in Primary Care
The cornerstones of obesity management are diet, physical activity and behavioral change. However, there is considerable scientific evidence that lifestyle interventions to treat obesity are rarely implemented in primary care. The aim of this study is to analyze motivation to lose weight among patie...
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Veröffentlicht in: | Nutrients 2022-07, Vol.14 (14), p.2928 |
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description | The cornerstones of obesity management are diet, physical activity and behavioral change. However, there is considerable scientific evidence that lifestyle interventions to treat obesity are rarely implemented in primary care. The aim of this study is to analyze motivation to lose weight among patients with obesity, the resources implemented by primary care centers to promote behavioral change and the limiting factors reported by the patients themselves when attempting to lose weight. A total of 209 patients diagnosed with obesity were interviewed. The variables were obtained from both electronic clinical records (sex, age, BMI, diagnosis of metabolic syndrome and records of activities prescribed to promote behavioral change) and a self-administered personal questionnaire. A total of 67.5% of the respondents reported not having sufficient motivation to adhere to a weight loss program. Records of behavioral change activities were identified in only 3% of the clinical records reviewed. The barriers to adherence to diet and exercise plans most frequently mentioned by patients were not having a prescribed diet (27.8%), joint pain (17.7%), getting tired or bored of dieting (14.8%) and laziness (11.5%). Both the high percentage of patients reporting insufficient motivation to lose weight and the barriers to weight loss identified suggest that patients feel the need to improve their motivation, which should be promoted through primary care. |
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However, there is considerable scientific evidence that lifestyle interventions to treat obesity are rarely implemented in primary care. The aim of this study is to analyze motivation to lose weight among patients with obesity, the resources implemented by primary care centers to promote behavioral change and the limiting factors reported by the patients themselves when attempting to lose weight. A total of 209 patients diagnosed with obesity were interviewed. The variables were obtained from both electronic clinical records (sex, age, BMI, diagnosis of metabolic syndrome and records of activities prescribed to promote behavioral change) and a self-administered personal questionnaire. A total of 67.5% of the respondents reported not having sufficient motivation to adhere to a weight loss program. Records of behavioral change activities were identified in only 3% of the clinical records reviewed. The barriers to adherence to diet and exercise plans most frequently mentioned by patients were not having a prescribed diet (27.8%), joint pain (17.7%), getting tired or bored of dieting (14.8%) and laziness (11.5%). Both the high percentage of patients reporting insufficient motivation to lose weight and the barriers to weight loss identified suggest that patients feel the need to improve their motivation, which should be promoted through primary care.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu14142928</identifier><identifier>PMID: 35889885</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Body weight loss ; Content analysis ; Diet ; Emotions ; Exercise ; Health care ; Interviews ; Limiting factors ; Metabolic disorders ; Metabolic syndrome ; Motivation ; Obesity ; Pain ; Patients ; Physical activity ; Primary care ; Professional ethics ; Professionals ; Statistical analysis ; Weight control ; Weight loss</subject><ispartof>Nutrients, 2022-07, Vol.14 (14), p.2928</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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However, there is considerable scientific evidence that lifestyle interventions to treat obesity are rarely implemented in primary care. The aim of this study is to analyze motivation to lose weight among patients with obesity, the resources implemented by primary care centers to promote behavioral change and the limiting factors reported by the patients themselves when attempting to lose weight. A total of 209 patients diagnosed with obesity were interviewed. The variables were obtained from both electronic clinical records (sex, age, BMI, diagnosis of metabolic syndrome and records of activities prescribed to promote behavioral change) and a self-administered personal questionnaire. A total of 67.5% of the respondents reported not having sufficient motivation to adhere to a weight loss program. Records of behavioral change activities were identified in only 3% of the clinical records reviewed. The barriers to adherence to diet and exercise plans most frequently mentioned by patients were not having a prescribed diet (27.8%), joint pain (17.7%), getting tired or bored of dieting (14.8%) and laziness (11.5%). Both the high percentage of patients reporting insufficient motivation to lose weight and the barriers to weight loss identified suggest that patients feel the need to improve their motivation, which should be promoted through primary care.</description><subject>Body weight loss</subject><subject>Content analysis</subject><subject>Diet</subject><subject>Emotions</subject><subject>Exercise</subject><subject>Health care</subject><subject>Interviews</subject><subject>Limiting factors</subject><subject>Metabolic disorders</subject><subject>Metabolic syndrome</subject><subject>Motivation</subject><subject>Obesity</subject><subject>Pain</subject><subject>Patients</subject><subject>Physical activity</subject><subject>Primary care</subject><subject>Professional ethics</subject><subject>Professionals</subject><subject>Statistical analysis</subject><subject>Weight control</subject><subject>Weight loss</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkV1LBCEUhiWKiuqmXyB0E8GWo86M3gSx9AUbdVF0Ka5z3DV2tNTZ6N_nstGXN8rxOS_vOS9ChxU5ZUySMz9UvOJUUrGBdilp6ahpONv89d5BBym9kNVpSduwbbTDaiGkEPUuWt6F7JY6u-Cx9h2euN5l52f4SpscYsI2RHzRzSGCN4BzwM_gZvOMJyElfOszxCX4VXvCug-l8aGIlUrC7y7P8f0Ukssf2Hn8EF2v4wce6wj7aMvqRYKDr3sPPV1dPo5vRpP769vxxWRkmGB5JCTUQDVIEDUzWnAwlhva1oxIQ3lnLYA1tJp2WnZMdoR1RkrOaytlY1vK9tD5Wvd1mPbQmWIs6oV6XVtRQTv198e7uZqFpZKsamTdFIHjL4EY3gZIWfUuGVgstIcwJEULRSXhhBX06B_6Eoboy3grihNe1bIt1MmaMrFsMIL9NlMRtUpU_STKPgGyNpQs</recordid><startdate>20220717</startdate><enddate>20220717</enddate><creator>Trujillo-Garrido, Nuria</creator><creator>Santi-Cano, María J.</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4430-6031</orcidid><orcidid>https://orcid.org/0000-0002-3378-0985</orcidid></search><sort><creationdate>20220717</creationdate><title>Motivation and Limiting Factors for Adherence to Weight Loss Interventions among Patients with Obesity in Primary Care</title><author>Trujillo-Garrido, Nuria ; 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subjects | Body weight loss Content analysis Diet Emotions Exercise Health care Interviews Limiting factors Metabolic disorders Metabolic syndrome Motivation Obesity Pain Patients Physical activity Primary care Professional ethics Professionals Statistical analysis Weight control Weight loss |
title | Motivation and Limiting Factors for Adherence to Weight Loss Interventions among Patients with Obesity in Primary Care |
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