Evidence map›Paper›PMID 31032548›Full record

ArticleDiabetes, obesity & metabolism2019

Gaps to bridge: Misalignment between perception, reality and actions in obesity.

Ian D Caterson, Assim A Alfadda, Pernille Auerbach, Walmir Coutinho, Ada Cuevas, Dror Dicker, Carly Hughes, Masato Iwabu, Jae-Heon Kang, Rita Nawar and 7 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03584191 (Awareness, Care & Treatment In Obesity Management - An International Observation), which is not on this map. Cited by 123 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 3 pooled it
28.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03584191 completednot on this map

Awareness, Care & Treatment In Obesity Management - An International Observation (ACTION-IO)

TypeobservationalSponsorNovo Nordisk A/SRan2018 to 2018Enrolled17,287ConditionsObesityArmsNo treatment given
3 · Its place in the literature

Who cites it

123 citing papers in PubMed, 3 syntheses or guidelines pooled it, 180 citations in OpenAlex.

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  19. How Filipinos View Obesity: Findings From the ACTION APAC Study.Journal of the ASEAN Federation of Endocrine Societies · 2026
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63 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 16 institutions in 15 countries.

Ian D CatersonBoden Institute, Charles Perkins Centre, University of Sydney, Sydney, Australia.ORCID 0000-0002-6139-3632
Assim A AlfaddaObesity Research Center and Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Pernille AuerbachNovo Nordisk A/S, Søborg, Denmark.
Walmir CoutinhoCatholic University of Rio de Janeiro, State Institute of Diabetes and Endocrinology, Rio de Janeiro, Brazil.
Ada CuevasDepartamento de Nutrición, Clínica Las Condes, Santiago, Chile.
Dror DickerInternal Medicine D, Hasharon Hospital Rabin Medical Center, Petah Tikva, Israel.
Carly HughesFakenham Weight Management Service, Fakenham Medical Practice, Norfolk, UK.
Masato IwabuDepartment of Diabetes and Metabolic Diseases, The University of Tokyo, Tokyo, Japan.
Jae-Heon KangDepartment of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Rita NawarThe Weight Care Clinic, Dubai Healthcare City, Dubai, United Arab Emirates.
Ricardo ReynosoNovo Nordisk Health Care AG, Zürich, Switzerland.
Nicolai RheeNovo Nordisk Health Care AG, Zürich, Switzerland.
Georgia RigasSt George and Sutherland Clinical School, Faculty of Medicine, University of New South Wales, Sydney, Australia.
Javier SalvadorDepartment of Endocrinology and Nutrition, Clínica Universidad de Navarra, Pamplona, Spain.
Paolo SbracciaDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Verónica Vázquez-VelázquezClínica de Obesidad y Trastornos de la Conducta Alimentaria, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, Mexico.
Jason C G HalfordDepartment of Psychological Sciences, University of Liverpool, Liverpool, UK.
Novo Nordisk (Switzerland) · CHClínica Las Condes · CLDubai Hospital · AEInstituto de Salud Carlos III · ESInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXKangbuk Samsung Hospital · KRKing Saud University · SANovo Nordisk (Denmark) · DKPontifícia Universidade Católica do Rio de Janeiro · BRSutherland Hospital · AUTel Aviv University · ILThe University of Sydney · AUUniversity of East Anglia · GBUniversity of Liverpool · GBUniversity of Rome Tor Vergata · ITUniversity of Tokyo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsDespite increased recognition as a chronic disease, obesity remains greatly underdiagnosed and undertreated. We aimed to identify international perceptions, attitudes, behaviours and barriers to effective obesity care in people with obesity (PwO) and healthcare professionals (HCPs). MATERIALS AND

methodsAn online survey was conducted in 11 countries. Participants were adults with obesity and HCPs who were primarily concerned with direct patient care.

resultsA total of 14 502 PwO and 2785 HCPs completed the survey. Most PwO (68%) and HCPs (88%) agreed that obesity is a disease. However, 81% of PwO assumed complete responsibility for their own weight loss and only 44% of HCPs agreed that genetics were a barrier. There was a median of three (mean, six) years between the time PwO began struggling with excess weight or obesity and when they first discussed their weight with an HCP. Many PwO were concerned about the impact of excess weight on health (46%) and were motivated to lose weight (48%). Most PwO (68%) would like their HCP to initiate a conversation about weight and only 3% were offended by such a conversation. Among HCPs, belief that patients have little interest in or motivation for weight management may constitute a barrier for weight management conversations. When discussed, HCPs typically recommended lifestyle changes; however, more referrals and follow-up appointments are required.

conclusionsOur international dataset reveals a need to increase understanding of obesity and improve education concerning its physiological basis and clinical management. Realization that PwO are motivated to lose weight offers an opportunity for HCPs to initiate earlier weight management conversations.

Indexed as

Attitude of Health PersonnelAttitude to HealthAdolescentAdultAgedAged, 80 and overChronic DiseaseCross-Sectional StudiesFemaleHealth PersonnelHumansMaleMiddle AgedMotivationObesityPerceptionACTION-IOattitudesbarriersinternationalobesityperceptions

Identifiers

PMID31032548
PMCPMC6767048
OpenAlexW2943653847

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.