Managing Weight in General Practice

Primary Care Knowledge Boost

Doctors Sara and Lisa talk to Dietician Charlotte Cockman about managing weight for patients who are overweight or obese in General Practice. This includes a discussion around the definitions of overweight and obesity, risk factors, and what terms are less stigmatising when discussing weight with patients. Charlotte talks to us about her approach to weight, eating and health, and how this approach can encourage long term behavioural changes that focus on health and nutrition rather than weight. We discuss management options including what tier two and three NHS services do, as well as where some medications and surgery fit into this picture.

You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)

Useful resources:

• NICE Clinical Knowledge Summaries Obesity (Sept 2022): https://cks.nice.org.uk/topics/obesity/

• Waist to Height Ratio: https://www.nice.org.uk/guidance/cg189/chapter/Recommendations

• Greater Manchester Diabetes My Way: Healthy Living Support for People with Diabetes:
  https://diabetesmyway.nhs.uk/

• The Association of UK Dieticians Resources: https://www.bda.uk.com/food-health/workplace-health-work-ready/what-we-do/resources.html

• Giles Yeo Webinar: https://mynutriweb.com/why-calories-dont-count/

• Giles Yeo ‘Why Calories don’t count’ Book: https://www.betterworldbooks.com/search/results?q=Giles%20Yeo

• Giles Yeo: ‘Let’s consider the type of food we eat, not fixate on calories’ The Guardian. David Cox (Jun 2021): https://www.theguardian.com/science/2021/jun/20/giles-yeo-why-calories-dont-count-diet-interview

• British Dietetic Association Food Resources: https://www.bda.uk.com/food-health/food-facts.html

• Resources on Weight Stigma: https://www.bda.uk.com/news-campaigns/campaigns/managing-and-preventing-obesity/eliminating-weight-stigma-comms-guidelines.html

• https://www.worldobesity.org/what-we-do/our-policy-priorities/weight-stigma

• For Healthcare Professionals interested in more Nutritional Knowledge: https://mynutriweb.com/

• Nutrition information leaflets: https://www.ndr-uk.org/browse

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This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.

The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.