Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Paper
  • Published:

Management of obesity: attitudes and practices of Australian dietitians

Abstract

OBJECTIVE: To document attitudes and current practices of Australian dietitians in the management of overweight and obesity, and to examine their training needs.

DESIGN: Cross-sectional postal survey of a randomly selected sample of members of the Dietitians Association of Australia.

SUBJECTS: 400 dietitians (66% of those surveyed).

MEASURES: Questionnaire-based measures of dietitian's views of obesity, education and training in weight management, definitions and perceptions of success, professional preparedness, approaches to weight management, strategies recommended for weight management, and problems and frustrations experienced.

RESULTS: Dietitians viewed themselves as potential leaders in the field of weight management, and saw this area as an important part of their role. While they considered themselves to be the best-trained professionals in this area, many felt that their training was poor and many were pessimistic about intervention outcomes. Despite this, most dietitians held views that were current, and regularly employed many of the elements of known best practice in management. However, important areas of weakness included: providing opportunities for long-term follow-up; providing a range of management interventions; promoting self-monitoring of diet and exercise; and promoting opportunities for social support.

CONCLUSIONS: This study suggests that training in and advocacy for the management and prevention of overweight and obesity are priority areas for dietitians, and that formal studies to evaluate dietitians’ effectiveness in management should be undertaken.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. World Health Organisation . Obesity, preventing and managing the global epidemic. Report of the WHO consultation of obesity. World Health Organisation: Geneva 1997.

  2. Pi-Sunyer XF . Health implications of obesity Am J Clin Nutr 1991 53: 15955–16035.

    Article  Google Scholar 

  3. Brownell KD . Obesity: Understanding and treating a serious, prevalent, and refractory disorder J Consult Clin Psychol 1992 50: 820–840.

    Article  Google Scholar 

  4. National Health and Medical Research Council . Acting on Australia's weight: a strategic plan for the prevention of overweight and obesity. Australian Government Publishing Service: Canberra 1997.

  5. Health and Welfare Canada . Promoting healthy weights: a discusssion paper. Health Services and Promotion Branch, Health and Welfare Canada: Ottowa 1988.

  6. Nutrition and Physical Activity Taskforce . Obesity–reversing the increasing problem of obesity in England. HMSO: London 1995.

  7. National Institutes of Health Technology Assessment Panel. Methods for voluntary weight loss and control: Technology Assessment Conference statement . Ann Intern Med 1992 116: 942–949.

  8. Australasian Society for the Study of Obesity . Healthy weight Australia. A national obesity strategy. Australasian Society for the Study of Obesity 1995.

  9. Scottish Intercollegiate Guidelines Network . Obesity in Scotland. Integrating prevention with weight management. HMSO: Edinburgh 1996.

  10. Glenny A, O'Meara S, Melville A, Shelddn T, Wilson C . The treatment and prevention of obesity: a systematic review of the literature Int J Obes Relat Metab Disord 1997 21: 715–737.

    Article  CAS  PubMed  Google Scholar 

  11. Douketis JD, Feightner JW, Attia J, Feldman WF . Periodic health examination, 1999 update: 1. Detection, prevention and treatment of obesity. Canadian Task Force on Preventive Health Care Can Med Assoc J 1999 160 (4): 513–525.

    CAS  Google Scholar 

  12. Cade J, Oconnell S . Management of weight problems and obesity: knowledge, attitudes and current practice of general practitioners Br J Gen Pract 1991 41: 147–150.

    CAS  PubMed  PubMed Central  Google Scholar 

  13. Judd H . The management of obesity by general practitioners: report of a questionnaire survey. Royal Australian College of General Practitioners: Melbourne 1987.

  14. Kristeller JL, Hoerr RA . Physician attitudes toward managing obesity: differences among six specialty groups Prev Med 1997 26: 542–549.

    Article  CAS  PubMed  Google Scholar 

  15. Paxton SJ, Tighe C . Weight loss referral practices and recommendations of general practitioners Aust J Nutr Diet l994 51: 82–87.

    Google Scholar 

  16. Price JH, Desmond SM, Krol RA, Snyder EF, O'Connell JK . Family practice physicians’ beliefs, attitudes, and practices regarding obesity Am J Prev Med 1987 3 (6): 339–345.

    Article  CAS  PubMed  Google Scholar 

  17. Cowburn G, Summerbell C . A survey of dietetic practice in obesity management J Hum Nutr Diet 1998 11: 191–195.

    Article  Google Scholar 

  18. Crawford DA, Worsely A . Dieting and slimming practices of South Australian women Med J Aust 1988 148: 325–327.

    CAS  PubMed  Google Scholar 

  19. Scott J, Binns CW . A profile of dietetics in Australia: Part 3—employment responsibilities and job satisfaction Aust J Nutr Diet 1989 46: 36–39.

    Google Scholar 

  20. Institute of Medicine . Weighing the options: criteria for evaluating weight-management programs. National Academy Press: Washington, DC 1995.

  21. Foreyt JP, Goodrick OK . Attributes of successful approaches to weight loss and control Appl Prev Psychol 1994 3: 209–2l5.

    Article  Google Scholar 

  22. SPSS Inc . SPSS for Windows, Release 7.0. SPSS, Carey, NC 1995.

  23. Bennett GA . Behavioural therapy for obesity: a quantitative review of the effects of selected treatment characteristics on outcome Behav Ther 1986 17: 554–562.

    Article  Google Scholar 

  24. Brownell KD, Wadden TA . The heterogeneity of obesity: fitting treatments to individuals Behav Ther 1991 22: 153–177.

    Article  Google Scholar 

  25. Perri MG, Nezu AM, Viegener BJ . Improving the long-term management of obesity: theory, research and clinical guidelines. Wiley: New York 1992.

  26. Pratt CA . Development of a screening questionnaire to study attrition in weight-control programs Psychol Rep 1989 64: 1001–1016.

    Article  Google Scholar 

  27. Goodrick GK, Foreyt JP . Why treatments for obesity don't last J Am Diet Assoc 199l 91: 1243–1247.

    Google Scholar 

  28. Wing R . Behavioural approaches to the treatment of obesity. In: Handbook of Obesity, GA Bray, C Bouchard, WPT James (eds). M Dekker: New York 1998 pp 855–873.

  29. Oberrieder H, Walker R, Monroe D, Adeyanju M . Attitudes of dietetic students and registered dietitians toward obesity J Am Diet Assoc 1995 95 (8): 914–916.

    Article  CAS  PubMed  Google Scholar 

  30. Clevenger SJ . Attitudes of registered nurses toward the obese. University of Kansas 1983.

  31. Agell G, Rothblum ED . Effects of clients’ obesity and gender on the therapy judgments of psychologists Prof Psychol 1991 22: 223–229.

    Article  Google Scholar 

  32. Evans JS . General practitioners’ tacit and stated policies in the prescription of lipid-lowering agents. Br J Gen Pract 1995 45: 15–18.

    CAS  PubMed  PubMed Central  Google Scholar 

  33. Heath C, Grant W, Marcheni P, Kamps C . Do family physicians treat obese patients? Clin Res Meth 1993 25 (6): 401–402.

    CAS  Google Scholar 

  34. McArtor RE, Iverson DC, Benken D, Dennis LK . Family practice residents’ identification and management of obesity Int J Obes Relat Metab Disord 1992 16: 335–340.

    CAS  PubMed  Google Scholar 

  35. Wooley SC, Garner DM . Obesity treatment: the high cost of false hope J Am Diet Assoc 1991 1 (10): 1248–1251.

    Google Scholar 

  36. Hoppe R, Ogden J . Practice nurses’ beliefs about obesity and weight related interventions in primary care Int J Obes Relat Metab Disord 1997 21: 141–146.

    Article  CAS  PubMed  Google Scholar 

  37. Garrow JS, Summerbell CD . Meta-analysis: effect of exercise, with or without dieting, on the body composition of overweight subjects Eur J Clin Nutr 1995 49: 1–10.

    CAS  PubMed  Google Scholar 

  38. National Task Force on the Prevention and Treatment of Obesity . Weight cycling JAMA 1994 272: 1196–1202.

    Article  Google Scholar 

  39. Bartlett SJ, Wadden TA, Vogt RA . Psychospcial consequences of weight cycling J Consult Clin Psychol 1996 64: 587–592.

    Article  CAS  PubMed  Google Scholar 

  40. Brownell KD, Rodin J . Medical, metabolic, and psychological effects of weight cycling Arch Intern Med 1994 154: 1325–1330.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

We are grateful to the Dietitian's Association of Australia for their assistance in conducting this study and to the dietitians who participated. David Crawford is supported by a Public Health Research Fellowship from the National Health and Medical Research Council. This research project was initiated and analyzed by the authors

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D Crawford.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Campbell, K., Crawford, D. Management of obesity: attitudes and practices of Australian dietitians. Int J Obes 24, 701–710 (2000). https://doi.org/10.1038/sj.ijo.0801226

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijo.0801226

Keywords

This article is cited by

Search

Quick links