ArticleBMJ open2020
Healthcare provider counselling for weight management behaviours among adults with overweight or obesity: a cross-sectional analysis of National Health and Nutrition Examination Survey, 2011-2018.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 45 citations in OpenAlex.
- Intragastric Balloon Treatment Enhances Weight Maintenance Adjunct to Low-Energy Diet and Group-Based Cognitive Behavioural Therapy: A Randomized Controlled Trial.Diabetes, obesity & metabolism · 2026Trial
- Peer Coaching to Support Weight Management in Primary Care: A Cluster Randomized Clinical Trial.JAMA network open · 2025Trial
- Trial
- Trends and Disparities in Clinician Diagnosis of Overweight and Obesity.Journal of general internal medicine · 2026Article
- Culinary Medicine: A Necessary Public Health Intervention.Delaware journal of public health · 2025Article
- Sex and Gender Differences in Obesity: Biological, Sociocultural, and Clinical Perspectives.The world journal of men's health · 2025Review
- Review
- Sex Differences in Obesity and Its Treatment.Current psychiatry reports · 2025Review
- Weight status underestimation and weight management goals among adults in the rural South of the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Implementation of Clinical Services for Adults with Obesity in Different Health Systems: A Scoping Review and Causal Loop Diagram.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025Review
- Factors associated with reported need of weight loss support among adults with overweight or obesity: results from a cross-sectional population study in 2022 in Sweden.Public health nutrition · 2024Article
- Barriers to a Healthy Lifestyle Among Obese Patients Attending Primary Care Clinics in Al-Ahsa, Saudi Arabia.Cureus · 2024Article
- Sex- and Gender-Related Differences in Obesity: From Pathophysiological Mechanisms to Clinical Implications.International journal of molecular sciences · 2024Review
- Helping providers address psychological aspects of obesity in routine care: Development of the obesity adjustment dialogue tool (OADT).Obesity pillars · 2023Article
- Does Healthcare Provider Counseling for Weight Management Behaviors among Hispanic Adults Who Are Overweight/Obese Vary by Acculturation Level?International journal of environmental research and public health · 2023Article
- Medical or Common Knowledge? Knowledge of Medical Professionals on Obesity Diagnosis Criteria and Treatment.Obesity facts · 2023Article
- Motivation and Limiting Factors for Adherence to Weight Loss Interventions among Patients with Obesity in Primary Care.Nutrients · 2022Article
- Lifestyle advice for hypertension or diabetes: trend analysis from 2002 to 2017 in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Overweight and Obesity Management for Primary Care Clinicians: Executive Summary.Clinical diabetes : a publication of the American Diabetes Association · 2022Article
- Sex/Gender Differences in Obesity Prevalence, Comorbidities, and Treatment.Current obesity reports · 2021Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine if adults with overweight or obesity received counselling from their healthcare providers (HCPs) to lose weight and/or adopt healthful behaviours associated with weight loss, and whether they took action on their HCPs' recommendations.
designCross-sectional analysis of 2011-2018 National Health and Nutrition Examination Survey (NHANES) data. SAMPLE: NHANES respondents aged 18+ who were overweight/obese and had seen an HCP in the previous 12 months (n=13 158).
methodsRespondents reported if their HCPs recommended they control/lose weight, increase exercise/physical activity (PA) and/or reduce fat/calorie intake, and if they adopted the offered recommendation(s). Weighted logistic regression models examined receipt of HCP counselling by sex, age, race/ethnicity, and weight status accounting for demographic characteristics and complex sampling. Similar analyses examined reported adoption of HCPs' recommendations.
resultsThe sample was 53.1% women, 45.0% were overweight and 55.0% had obesity. In total, 40.4% received counselling to control/lose weight, 49.5% to increase exercise/PA and 38.9% to reduce fat/calorie intake. The following groups were less likely (p<0.001) to receive counselling: men; younger adults (aged 18-39) versus middle-aged (aged 40-64) and older adults (aged 65+); White versus Black and Hispanic respondents; overweight respondents versus respondents with obesity. Approximately half of those advised to make changes reported doing so (53.6% controlled/lost weight, 57.3% increased exercise/PA, 51.8% reduced fat/calorie intake). Differences in the adoption of recommendations were identified by sex, age group, race/ethnicity and weight status (all p<0.05); women, middle-aged and older adults, Black and Hispanic respondents and individuals with obesity were more likely to adopt one or more recommendations.
conclusionMost respondents did not receive HCP counselling, and approximately half of those who received counselling reported taking action. HCPs may need training to provide counselling and to offer recommendations tailored to the social contexts of populations less likely to adopt weight control related recommendations.
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