A survey of primarily European health care professionals has shown that few think weight loss targets of 5% to 10% were achievable with medical management. Alternatively, there was high confidence in public health strategies. About a quarter reported that they had difficulty raising the issue of body weight with their patients. This was true even among obesity and diabetes specialists. Interestingly, many felt the causes, while being individual to each patient, included genetics, lack of effective treatments, dysfunction of the physiological mechanisms controlling hunger and appetite. 80% agreed that obesity should be classified as a disease.
Significantly, most health care professionals felt competent in discussing weight loss with their patients but only a minority reported that their patients were successful with achieving their weight loss goals. The authors describe this as “over-optimism.” No fooling.