Barriers to Obesity Management in Kidney Failure Before Transplantation скачать в хорошем качестве

Barriers to Obesity Management in Kidney Failure Before Transplantation

The first systematic review to synthesize both patients’ and clinicians’ perspectives on obesity management in kidney failure prior to transplantation has revealed significant challenges, highlighting the need for more equitable access to transplant care. The review, which analyzed 7 studies with 738 participants, identified multiple barriers affecting patients’ ability to lose weight and clinicians’ capacity to provide support, including dialysis-related fatigue and hunger that limit lifestyle modification, weight stigma and poor communication in clinical settings, limited access to structured weight-management resources, and strict BMI-based eligibility criteria that may restrict equitable access to transplantation. “These biases influence how clinicians communicate and whether they offer meaningful support, as we can see from previous data, and they can make patients feel fearful, ashamed, and less willing to engage,” said Adrian Brown, PhD, NIHR Advanced Fellow and Associate Professor in Nutrition and Dietetics at University College London and programme co-lead of the MSc Dietetics (Pre-registration) course. “What we have seen is that patients who feel stigmatized are less likely to actually come back to that clinician for support.”