Focus on communicating with and motivating your patient. Communication and motivation are key to any productive relationship between doctor and patient, and is particularly important with obese patients. Motivational Interviewing (MI) is an appropriate, efficient technique to help patients with lifestyle changes. It is patient centred, respectful, free from judgment and provides full empathy. With open questions and valorisation, GPs will then be able to help patients identify and work on their issues, express his or her suffering, and define his or her own solutions.
No stigmatisation. GPs must not stigmatise, whether related to gender, ethnicity, religion, socioeconomic status or personal morphology. This is important for all obese patients and is particularly crucial for children and adolescents, who are stigmatised at school, resulting in a tremendous amount of suffering.
Empower the patient to become his own specialist. The GP should encourage and support the patient to identify and select the areas in which he will be willing to work and in which he is capable of successful behaviour change.
Physicians should be educated in specific psychological aspects relevant to obesity and should investigate psychological aspects with the obese patient from the initial consultation. Continuing education can provide GP training. The GP must look in particular at eating disorders and depression, and should also work with patients on self-esteem, self affirmation and wellbeing. Where appropriate, adjunct psychological support should be engaged. This proposition will also apply to working with children and adolescents.
Physical Activity is highly important for obese patients. In basic management, physicians should recall that regular physical activity prescription is a key factor in preventing complications, as an active obese patient has a lower risk of premature mortality when compared to a sedentary normal weight patient.
In order to find out more about obesity, the European Association for the Study of Obesity (EASO) are inviting you to attend an Obesity Media Masterclass during the 2015 EASD congress.
13:30 – 15:00 | Thursday 17 September 2015
Press Conference Hall | Stockholmsmässan Congress Centre
Leading experts in the field of obesity and members of the EASO patient council will discuss:
- Obesity as a disease
- Living with obesity – a patient’s perspective
Following the Media Masterclass there will be a Q&A session, and the opportunity for one-to-one questions with our speakers.
If you would like to watch the presentations from the Obesity Media Masterclass which took place at ECO 2015, please visit the EASO Media Portal.
To RSVP and for further details, please contact Jo Hart.
Email: [email protected]
Tel: +44 (0)20 7632 1813
Download the invite in PDF format
We hope that you can join us for this event and we look forward to hearing from you.
European Association for the Study of Obesity (EASO)
Do you want to find out more? Click to watch a Q&A session with the obesity experts.
Professor Hermann Toplak
Associate Professor, Internal Medicine, Medical University Graz, Austria
Professor Luc van Gaal
Head of Department of Endocrinology, Diebetology and Metabolism, Antwerp University Hospital
Professor Gema Frühbeck
EASO Past President
Head of the Metabolic Research Laboratory Clínica Universitaria, University of Navarra
Professor Carel le Roux
Diabetes Complications Research Centre
University College Dublin
An EASO position statement on Multidisciplinary Obesity Management in Adults has just been published online in Obesity Facts.
Obesity has proven to be a gateway to ill health. It has already reached epidemic proportions becoming one of the leading causes of death and disability in Europe and world-wide. Obesity plays a central role in the development of a number of risk factors and chronic diseases like hypertension, dyslipidaemia and type 2 diabetes mellitus inducing cardiovascular morbidity and mortality. Therefore weight management plays a central role in controlling the respective risk factors and their consequences. Obesity is a complex condition of multifactorial origin. Biological but also psychological and social factors interfere to lead to excess body weight and its deleterious outcomes. Obesity management cannot focus any more only on weight (and BMI) reduction. More attention is to be paid to waist circumference (or waist-to-hip ratio, especially in females), the improvement in body composition (measured with body composition tracking systems like BOD POD, dual energy X-ray absorptiometry or bioelectrical impedance analysis) which is focusing on ameliorating or maintaining fat-free mass and decreasing fat mass. Management of co-morbidities, improving quality of life and well-being of obese patients are also included in treatment aims. This statement emphasises the importance of a comprehensive approach to obesity management.
Download the full PDF.
Caroline Bollars – Technical Officer for Nutritional Policy, WHO Regional Office for Europe, Copenhagen, Denmark
João Breda – Programme Manager – Nutrition, Physical Activity & Obesity World Health Organisation, Copenhagen, Denmark