Weight Loss Advice From GPs

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 One qualitative study conducted in the UK found that general practitioners (GPs) rarely offered weight loss counselling to obese patients.



According to Madeleine Tremblett, PhD, of the University of Oxford in England, and colleagues' analysis of 159 audio recordings of patient consultations from the Brief Interventions for Weight Loss trial, diet and exercise advice was given to patients the most frequently, usually in the form of a "eat less and do more" narrative.

Additionally, the study reported in Family Practice that only 33 of the 159 consultations included any information on how patients can really put this advice into practise, indicating that "advice was primarily offered without any explanation on how to follow it."


In 44 of the 159 consultations, doctors gave general dietary advise to patients, such as telling a number of them to "look at their diet" or telling another to "be cautious what you eat and follow correct dietary counsel."



Again, there were few specifics, although in 26 of these sessions, doctors offered some advice on modifying the kind and quantity of food consumed. One doctor advised their patient to choose a banana over a Mars bar, while another advised them to "simply try to limit your carbohydrates next."

In addition, only 33 of the 159 sessions offered any suggestions for the patients on how to put the advice into practise.

In 44 of the 159 consultations, doctors gave general dietary advise to patients, such as telling a number of them to "look at their diet" or telling another to "be cautious what you eat and follow correct dietary counsel."

Again, there were few specifics, although in 26 of these sessions, doctors offered some advice on modifying the kind and quantity of food consumed. One doctor advised his patient to choose a banana over a Mars bar, while another replied, "I think, sure, just try to minimise your carbohydrates next."

Doctors rarely—only three times during consultations—suggested patients keep an eye on their caloric intake.Similarly, only nine consultations included recommendations of sticking to a specific type of diet, like a low-fat or intermittent fasting diet.

"Most advice was 'superficial' comprising unilaterally delivered content which was not personalized to patients, unless prompted by the patients in their response to general advice," Tremblett and colleagues noted.

"We found that when GPs were more specific than 'do more, eat less,' the advice given was highly varied, superficial, and often lacked an apparent evidence base for patients living with obesity," they explained. "Advice was mostly given in abstract (155/159 consultations), without providing any justification, or evidence for why the actions being recommended might support weight loss."

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