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General Practitioners 'avoiding obesity discussions'



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Old 08-31-06, 06:24 PM   #1 (permalink)
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General Practitioners 'avoiding obesity discussions'

GPs 'avoiding obesity discussions'
Press Association
Thursday August 31, 2006 8:08 AM


Almost half of GPs avoid discussing the issue of obesity with fat patients, according to a new survey.

That is despite 60% believing patients are harming their health by being obese or overweight, the research found.

Almost a quarter (24%) of around 250 doctors questioned said they felt uncomfortable discussing a child's obesity with his or her parents. One in five (20%) GPs also said they had withheld treatment from a patient because of their unhealthy lifestyle.

And half agreed with the decision by Suffolk East Primary Care Trust not to refer patients with a body mass index (BMI) over 30 for operations such as hip and knee replacements.

The survey, for Norwich Union Healthcare, comes after figures out last week showed that around a third of adults and a fifth of children will be obese by 2010.

More than 12 million adults and one million children will be obese, with millions more overweight, the Government figures showed.

The latest research suggests doctors may be holding back on discussing obesity, despite 84% saying they are seeing more obese patients visiting their surgery.

Meanwhile, 90% said they would be happy talking about suspected alcohol or drug abuse with their patients.

But Dr Hamish Meldrum, chairman of the British Medical Association's GPs Committee, said he had little confidence that the "tiny sample" of less than 1% of the UK's GPs reflected what was going on in general practice.

"Doctors, even more than anybody else, appreciate the health problems associated with obesity," he said.

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Old 08-31-06, 06:31 PM   #2 (permalink)
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Re: General Practitioners 'avoiding obesity discussions'

....and in response to this survey:

GP Chairman Challenges Obesity Survey Findings, UK
31 Aug 2006

The UK's GP leader today (Thursday 31 August 2006) challenged the findings of a small-scale obesity survey by Norwich Union Healthcare. The survey claimed to show that family doctors avoid discussing weight issues with their patients.

Dr Hamish Meldrum, chairman of the BMA's GPs Committee said: "I don't have any confidence that this tiny sample - less than one per cent of the UK's GPs were contacted - accurately reflects what is going on in general practice. The GPs were asked if they had ever avoided raising the issue of weight with obese or overweight patients because of fear of upsetting the patient. Answering yes to this question does not mean that family doctors routinely avoid the issue of being overweight. Doctors, even more than anybody else, appreciate the health problems associated with obesity. Obviously, you have to be sensitive how you approach the fact that people are overweight but, where appropriate, doctors try to make sure patients are aware if they believe their weight is adding to their health problems.

"Preventing obesity is something that all of society needs to tackle, from schools, workplaces, advertising, big business and of course in our homes. It lies as much in patients' hands as in the hands of GPs because, as yet, medical intervention at primary care level has not proved to be particularly successful.”

Commenting on the survey finding that some GPs are withholding treatment because of a patient's weight, Dr Meldrum said: "Being obese can greatly increase the risks of having certain operations. Doctors will discuss with their patients the inadvisability of some surgery until they have lost weight, if this is the case.”

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