Table 20.

Barriers of obesity management in the Indian setting

Physician

Lack of knowledge and confidence with regards to managing obesity

Personal biases which can influence delivery of care

Scarcity of time in view of high workload

Lack of trained personnel including dieticians, educators and psychologists

Patient

Lack of recognition of obesity as a chronic relapsing disorder

Misbeliefs about obesity management

Low socioeconomic status

Lack of time

Social and cultural factors

Comorbidities and medications

Mental health

Obstructive sleep apnea and sleep disorders

Musculoskeletal disorders

Cardiac and respiratory disorders

Insulin resistance states

Substance abuse

Drugs

Reduced access to surgical and pharmacological treatments