Good nutrition is foundational to preventing chronic disease and helping people live a healthier life. Yet, physicians said they believe that only about half of their patients would benefit from counseling on diet.
Good nutrition is foundational to preventing chronic disease and helping people live a healthier life, and yet physicians responding to asurvey said they believe that only about half of their patients would benefit from counseling on diet.
"Everyone could benefit from nutritional counseling," agreed Sylvia Bollie, MD, an integrative obesity specialist atin Silver Spring, Maryland."We should have at least a baseline of standard nutrition counseling or nutrition assessment for all patients, regardless of weight," Bollie told Medscape. When asked why nutrition counseling is not a priority, two thirds of doctors said that they did not have the time. That was the top reason given by 75% of endocrinologists, 65% of primary care physicians, two thirds of gastroenterologists, and half of cardiologists.
Forty percent to 50% of specialists said that they did not make counseling a priority because they were concerned about lack of patient compliance. Physicians should not make assumptions about who will follow nutrition advice, said Bollie. Many of those who are overweight or obese already face weight bias. And Black women — who are disproportionately obese — often face that bias on top of racism, she said. Assumptions could contribute to worsening health disparities, she said.
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