Should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts

Fron Jackson-Webb

writer

Fron Jackson-Webb

Deputy Editor and Senior Health Editor, The Conversation

Fron Jackson-Webb

 

 

Australian of the Year and body positivity advocate Taryn Brumfitt has called for doctors to avoid discussing a patient’s weight when they seek care for unrelated matters.

 

A 15-minute consultation isn’t long enough to provide support to change behaviours, Brumfitt says, and GPs don’t have enough training and expertise to have these complex discussions.

“Many people in larger bodies tell us they have gone to the doctor with something like a sore knee, and come out with a ‘prescription’ for a very restrictive diet, and no ongoing support,” Brumfitt told the Nine newspapers.

By raising the issue of weight, Brumfitt says, GPs also risk turning patients off seeking care for other health concerns.

So should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts.

Three out of five said yes

Here are their detailed responses:

Disclosure statements: Brett Montgomery is a general practitioner. He does not have a specific interest in obesity, but like almost all GPs, he treats many patients who are overweight or obese. He is a fellow of the Royal Australian College of General Practitioners; the college’s position statement on obesity prevention and management is linked to from this article. However, Brett writes here as an individual, and not on behalf of any organisation; Emma Beckett has received funding for research or consulting from Mars Foods, NHMRC, ARC, AMP Foundation, Kellogg, and the University of Newcastle. She works for Nutrition Research Australia and member of committees/working groups related to nutrition or the Australian Academy of Science, the National Health and Medical Research Council and the Nutrition Society of Australia. Emma has lived experience of GPs bringing up her weight; Liz Sturgiss receives funding from NHMRC, RACGP Foundation, National Centre for Healthy Ageing, Victorian Health Promotion Foundation. She is an appointed committee member of the Guidelines Development Committee for the review and update of the Clinical Practice Guidelines for the Management of Overweight and Obesity in Adults, Adolescents and Children in Australia and is the co-founder of the RACGP Specific Interest Group in Poverty; Nick Fuller works for the University of Sydney and has received external funding for projects relating to the treatment of overweight and obesity. He is the author and founder of the Interval Weight Loss program; Helen Truby has received funding from the NHMRC, the MRFF, the Commonwealth Department of Health, Health and Wellbeing Qld, Clinical Therapy Research in the Specialist Health Services (KLINBEFORSK, Norway), the Andrea Joy Logan Trust, the Victorian Cancer Agency Health Services Scheme.

Editor’s note: This article has been updated to include Helen Truby’s final sentence, which was erroneously cut off during layout.The Conversation

Fron Jackson-Webb, Deputy Editor and Senior Health Editor, The Conversation

This article is republished from The Conversation under a Creative Commons license. Read the original article.

The Conversation

Icon 2

NEXT LIVE Webcast

:
Days
:
Hours
:
Minutes
Seconds
A/Prof Samantha Hocking

A/Prof Samantha Hocking

New Diagnostic Criteria for Obesity

Prof Rukshen Weerasooriya

Prof Rukshen Weerasooriya

Fatal Arrhythmias – The Patterns GPs Don’t Want to Miss

Dr Rupert Hinds

Dr Rupert Hinds

Infant Allergy Cases

Prof Andrew Sindone

Prof Andrew Sindone

How to Use the BNP Test in General Practice

Join us for the next free webcast for GPs and healthcare professionals

High quality lectures delivered by leading independent experts

Share this

Share this

Fron Jackson-Webb

writer

Fron Jackson-Webb

Deputy Editor and Senior Health Editor, The Conversation

Test your knowledge

Recent articles

Latest GP poll

In general, do you support allowing non-GPs to refer to specialists in certain situations?

Yes, if the referral process involves meaningful collaboration with GPs

0%

Yes

0%

No

0%

Recent podcasts

Listen to expert interviews.
Click to open in a new tab

Find your area of interest

Once you confirm you’ve read this article you can complete a Patient Case Review to earn 0.5 hours CPD in the Reviewing Performance (RP) category.

Select ‘Confirm & learn‘ when you have read this article in its entirety and you will be taken to begin your Patient Case Review.