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Treatment seeking and barriers to weight loss treatments of different intensity levels among obese and overweight individuals

机译:肥胖和超重人群不同强度水平的寻求治疗和减肥障碍

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Obesity is a major health concern for a large proportion of the population, yet many obese individuals do not receive weight loss treatment. The present study investigated weight-loss treatment seeking and barriers that may prevent treatment seeking. A community sample of overweight or obese participants (N=154; Mean BMI=33.3 kg/m 2) completed an Internet survey assessing treatment seeking behaviors across three categories: Treatments Sought, Treatments Desired, and Treatments Planned. Seven treatments of different intensity levels and five barriers to treatment seeking were evaluated. The weight-loss treatment most frequently sought, desired, and planned was treatment "on own." Higher BMI was correlated with greater number of treatments sought. However, 10% of respondents reported zero treatments sought, and over 25% reported zero treatments desired or planned. Perceived barriers may explain reluctance to seek treatment. The top two barriers for all treatments were lack of money and time. Higher BMI was correlated with more total perceived barriers, and specifically with the barriers "I feel/think I am too heavy" and "I am afraid people will treat me unfairly or badly." More barriers were reported for more intensive treatments such as treatments from a doctor, another professional, or a commercial program. A majority of participants reported zero barriers to less-intensive treatments. These results suggest that many obese individuals who might benefit from weight loss treatment nevertheless do not plan or desire to seek treatment and perceive multiple barriers to treatments. However, these individuals could be encouraged to consider the less intensive treatments that are seen as more barrier-free.
机译:肥胖是大部分人口关注的主要健康问题,但许多肥胖者并未接受减肥治疗。本研究调查了寻求减肥的治疗方法和可能阻碍寻求治疗的障碍。社区样本的超重或肥胖参与者(N = 154;平均BMI = 33.3 kg / m 2)完成了一项互联网调查,评估了寻求治疗的行为,该行为涉及以下三类:寻求的治疗,期望的治疗和计划的治疗。评价了七种不同强度水平的治疗方法和五种寻求治疗的障碍。最经常寻求,希望和计划的减肥治疗是“单独治疗”。较高的BMI与寻求的更多治疗方法相关。但是,有10%的受访者表示寻求零治疗,超过25%的受访者表示希望或计划零治疗。感知的障碍可能解释了不愿寻求治疗的原因。所有治疗的前两个障碍是缺乏金钱和时间。较高的BMI与更多的总感知障碍相关,特别是与“我觉得/认为我太沉重”和“我怕人们会不公平地或不好地对待我”的障碍有关。据报道,对于更密集的治疗,例如医生,其他专业人士或商业计划的治疗,存在更多的障碍。大多数参与者报告了低强度治疗的零障碍。这些结果表明,许多可能从减肥治疗中受益的肥胖个体仍未计划或不希望寻求治疗,并意识到多种治疗障碍。但是,可以鼓励这些人考虑使用强度较小的治疗,这种治疗被认为更无障碍。

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