Table 2.
Management of obesity.
| N (%) | |
|---|---|
| How many patients, among those you see in a month, have obesity? | |
| <20% | 87 (17.5%) |
| 20-35% | 222 (44.7%) |
| 36-50% | 124 (24.9%) |
| >50% | 64 (12.9%) |
| During the visit of a patient with obesity who came for another endocrinological problem, how often is the problem of obesity addressed? | |
| never | 9 (1.8%) |
| in 25% of cases | 102 (20.7%) |
| in 50% of cases | 111 (22.5%) |
| in 75% of cases | 91 (18.5%) |
| always | 180 (36.5%) |
| How do you manage obesity in a patient who arrived at your clinic for diseases other than obesity? | |
| I manage it personally | 142 (29.1%) |
| I manage it in the context of a dedicated team | 66 (13.5%) |
| I refer the patient to a dietician/nutritionist in the center where I work | 145 (29.7%) |
| I refer the patient to a dietician/nutritionist in another center | 73 (15.0%) |
| I refer the patient to a 2nd level center for obesity therapy | 32 (6.6%) |
| I invite the General Practitioner to deal with the problem | 7 (1.4%) |
| Other | 23 (4.7%) |
| Who refers patients with obesity to you? * | |
| General practitioners | 262 (54.1%) |
| Other specialists | 150 (31.0%) |
| Direct access | 201 (41.5%) |
| Nobody refers to me this kind of patients | 82 (16.9%) |
| What is your first approach to treating patients with BMI between 30 and 34? | |
| Lifestyle intervention | 42 (8.8%) |
| Psychological/behavioral intervention | 11 (2.3%) |
| Pharmacological | 313 (65.2%) |
| Surgical (only if comorbidities are present) | 47 (9.8%) |
| Nothing | 10 (2.1%) |
| Other | 57 (11.9%) |
| What is your first approach to treating patients with BMI between 35 and 39? | |
| Lifestyle intervention | 15 (3.2%) |
| Pharmacological | 182 (38.5%) |
| Surgical (only if comorbidities are present) | 85 (18.0%) |
| Surgical | 24 (5.1%) |
| Referral to a 2nd level center | 154 (32.6%) |
| Other | 13 (2.7%) |
| What is your first approach to treating patients with BMI ≥40? | |
| Lifestyle intervention | 3 (0.6%) |
| Pharmacological | 59 (12.6%) |
| Surgical (only if comorbidities are present) | 77 (16.5%) |
| Surgical | 122 (26.1%) |
| Referral to a 2nd level center | 202 (43.3%) |
| Other | 4 (0.9%) |
| When do you think it is useful to prescribe a ketogenic diet? | |
| Never | 70 (15.2%) |
| Always | 23 (5.0%) |
| As a first approach after the failure of lifestyle intervention | 193 (41.8%) |
| In case of failure of pharmacological treatment | 73 (15.8%) |
| As bridge therapy before bariatric surgery | 103 (22.3%) |
| What is the usefulness of substitute foods? * | |
| None | 46 (10%) |
| Complementary | 91 (19.7%) |
| The cost limits their use | 165 (35.8%) |
| It depends on the individual patient | 174 (37.7%) |
| I do not know | 56 (12.1%) |
| What type of exercise do you recommend to your patient with obesity? * | |
| Anaerobic exercises | 17 (3.8%) |
| Aerobic exercises | 208 (45.9%) |
| Strength exercises | 8 (1.8%) |
| Flexibility exercises | 7 (1.5%) |
| Individualized exercises in relation to the type of patient | 216 (47.7%) |
| The duration and intensity of the exercise are important, not the type | 51 (11.3%) |
| Mixed program that includes all types of exercise | 80 (17.7%) |
| Exercise rarely solves the problem | 13 (2.9%) |
* more than one answer was allowed.