Of the more than 1.8 million adults in England with a recorded diagnosis of being overweight or obesity, only three percent are referred to publicly funded weight management programmes, according to a new University of Bristol-led study published today [28 Sep] in PLOS Medicine.
Nearly two-thirds of adults in England live with being overweight or obesity, which can affect physical, mental, and social health and wellbeing. According to national guidance, these individuals should be able to access publicly funded weight management programmes, including bariatric surgery for those where weight is having a serious impact on their health.
In the new study, researchers used routinely collected health data to identify 1.81 million adults who had overweight or obesity documented in their primary care record between 2007 and 2020. Only 3.13% of these adults had a weight management referral recorded during the study period. In addition, only 1.09% of the 436,501 adults with severe and complex obesity underwent bariatric surgery.
There were large regional differences in these results; patients from the West Midlands were more than twice as likely to have a weight management referral than those in the North West (RR 2.17, 95% CI 2.10-2.24, p
Dr Karen Coulman, the study's lead author and a Research Fellow at Bristol Medical School, said: "This study suggests that access to weight management interventions in England needs improvement. Little has changed over the past decade, yet obesity rates rise. There are marked regional differences in access to weight management programmes including surgery: attention and investment are needed."
Paper
Access to publicly funded weight management services in England using routine data from primary and secondary care (2007–2020): An observational cohort study by K Coulman et. al in PLOS Medicine. Note: This media release is based on the peer-reviewed study and updated from an earlier media release taken from the abstract presented at a conference.
