Prerequisites for primary care in obesity counselling and management: a quantitative, exploratory survey of general practitioners in the federal Republic of Germany

Even with the favourable conditions of primary care, the interview results indicate that the potential in primary care is currently not being fully exploited in overweight and obesity management. It would seem to make sense to raise awareness amongst GPs as to the circumstances of obesity while encouraging more motivational and behavioural consultation with patients. An obesity diagnosis should include actual recommendations on diet and exercise. Focussed diet and exercise counselling would also be welcome in primary care. GPs should also be encouraged to take on a role as mediators by referring patients to a broader healthcare network as necessary. Increased effort should be made towards developing structured, GP-compliant care programmes for obesity management towards implementing evidence-based treatment concepts adaptable to patient needs.