ArticleBMJ open2021
Changing the narrative around obesity in the UK: a survey of people with obesity and healthcare professionals from the ACTION-IO study.
Article in BMJ open, 2021. 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 34 papers.
What it found
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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.
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.
Awareness, Care & Treatment In Obesity Management - An International Observation (ACTION-IO)
Who cites it
34 citing papers in PubMed.
- Recruiting and Engaging Women of Reproductive Age with Obesity: Insights from A Mixed-Methods Study within A Trial.International journal of environmental research and public health · 2022Trial
- Exploring the impact of adult obesity in Spain: Insights from a systematic literature review.Obesity pillars · 2026Review
- Treatment Patterns and Experienced Effects of Semaglutide for Weight Management Among Adult Users in Denmark: A Community Pharmacy-Based Cross-Sectional Survey.Diabetes, obesity & metabolism · 2026Article
- Obesity Severity and Burden of Illness: Perceptions From Physicians and People With Obesity in the UK.Obesity science & practice · 2026Article
- A Service Evaluation of a Specialist Multi-Disciplinary Weight Management Service Based in Primary Care Including Long-Term Follow-Up Data.Clinical obesity · 2026Article
- Mapping Obesity Care Pathways and Healthcare Resource Use From 2015 to 2019 in England.Obesity science & practice · 2026Article
- Mapping the Behavioral Weight Management Ecosystem in the East of England to Inform the Implementation of Electronic Signposting.Obesity science & practice · 2026Article
- Burden of long-term conditions and management of people with overweight and obesity: Data from the United Kingdom primary care cohort of the IMPACT-O study.Diabetes, obesity & metabolism · 2026Article
- Article
- Current Practices and Challenges in Pediatric Obesity Management (POM): A Nationwide Survey of Physicians in Korea.Journal of Korean medical science · 2026Article
- A Review of the Management of Obesity in Primary Care.Clinical obesity · 2026Review
- Perceptions, attitudes, and practices influencing management of obesity in Ireland-The Awareness, Care and Treatment in Obesity maNagement, (ACTION) Ireland study.Obesity pillars · 2025Article
- Non-pharmacologicaL InterVEntions for Antipsychotic-Induced Weight Gain (RESOLVE) in People Living With Severe Mental Illness: A Realist Synthesis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Review
- Perceptions, Attitudes, Behaviours and Barriers in Obesity Care: Findings from the ACTION-Vietnam Study.Journal of the ASEAN Federation of Endocrine Societies · 2025Article
- The Impact of Brexit on UK Food Standards and Food Security: Perspectives on the Repositioning of Neoliberal Food Policy.Foods (Basel, Switzerland) · 2025Article
- Telemedicine Booths for Screening Cardiovascular Risk Factors: Prospective Multicenter Study.JMIR human factors · 2025Article
- Article
- Effect of the National Enhanced Service for weight management on the content of annual review consultations for patients living with obesity and hypertension and/or diabetes.Clinical obesity · 2025Article
- Care provided to women during and after a pregnancy complicated by hyperglycaemia: the impacts of a multi-component health systems intervention.The Lancet regional health. Western Pacific · 2025Article
- ACTION Malaysia-perception and barriers to obesity management among people with obesity and healthcare professionals in Malaysia.BMC public health · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo investigate the perceptions, attitudes, behaviours and potential barriers to effective obesity care in the UK using data collected from people with obesity (PwO) and healthcare professionals (HCPs) in the Awareness, Care, and Treatment In Obesity maNagement-International Observation (ACTION-IO) study.
designUK's PwO (body mass index of ≥30 kg/m
resultsIn the UK, 1500 PwO and 306 HCPs completed the survey. Among the 47% of PwO who discussed weight with an HCP in the past 5 years, it took a mean of 9 years from the start of their struggles with weight until a discussion occurred. HCPs reported that PwO initiated 35% of weight-related discussions; PwO reported that they initiated 47% of discussions. Most PwO (85%) assumed full responsibility for their own weight loss. The presence of obesity-related comorbidities was cited by 76% of HCPs as a top criterion for initiating weight management conversations. The perception of lack of interest (72%) and motivation (61%) in losing weight was reported as top reasons by HCPs for not discussing weight with a patient. Sixty-five per cent of PwO liked their HCP bringing up weight during appointments. PwO reported complex and varied emotions following a weight loss conversation with an HCP, including supported (36%), hopeful (31%), motivated (23%) and embarrassed (17%). Follow-up appointments were scheduled for 19% of PwO after a weight discussion despite 62% wanting follow-up.
conclusionsThe current narrative around obesity requires a paradigm shift in the UK to address the delay between PwO struggling with their weight and discussing weight with their HCP. Perceptions of lack of patient interest and motivation in weight management must be challenged along with the blame culture of individual responsibility that is prevalent throughout society. While PwO may welcome weight-related conversations with an HCP, they evoke complex feelings, demonstrating the need for sensitivity and respect in these conversations. TRIAL REGISTRATION NUMBER: NCT03584191.
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Registered trials
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