Research Article

Rethinking Obesity Counseling: Having the French Fry Discussion

Table 1

Respondents’ perceptions of barriers to obesity prevention or treatment in primary care, expressed as the percentage of respondents providing affirmative responses to the statement: “Please rate the importance of each of the following general barriers to preventing or treating overweight or obesity in children in your professional experience” (on a scale of importance 1–5).

345(4 + 5)
Moderately ImportantVery ImportantCritically ImportantTotal Very and Critically Important

Parent is unaware that child is overweight25%47%16%63%
Parent is not motivated to change diet or lifestyle*18%40%40%81%
Child is not motivated to change diet or lifestyle*16%45%30%75%
Parents are overweight, so they are not concerned that child is overweight26%44%28%72%
Overweight child does not act sick32%32%2%33%
Overweight child is a “good eater”*39%27%4%30%
Parents do not have time to shop for healthier foods28%35%18%53%
Families are too busy to eat home cooked meals21%46%25%70%
Families often have fast food meals*11%35%51%86%
Families are too busy to eat meals together30%41%14%55%
Families watch too much TV*12%51%28%79%
Families do not get enough exercise*4%21%71%93%
Healthy foods are too expensive27%36%34%70%
Healthy lifestyle habits are too complicated to follow46%32%5%38%
Published reports of research studies about diet and nutrition are often confusing35%26%4%30%
TV advertisements promote unhealthy foods23%37%25%61%
School lunches promote unhealthy eating habits39%33%19%53%
PCPs have limited time to discuss nutrition29%36%29%64%
PCPs are frustrated with the low success rate of treating overweight children25%42%19%61%
PCPs lack sufficient training to help overweight children36%34%11%45%
PCPs lack sufficient education materials to prevent or treat overweight children28%49%7%56%
PCPs are not adequately compensated for treating obesity39%23%16%39%
It is difficult to convince parents to see a nutritionist28%42%12%54%
There are not enough nutritionists to help with overweight children23%36%20%55%
The PCPs weight status or body mass index32%13%2%14%

The top 5 barriers that respondents rated as either Very Important or Critically Important.