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Integrating Obesity Care into Chronic Disease Management in Catalonia : Progress and Challenges in Health System Approaches

Moizé, Violeta ; Salas, Ximena Ramos LU orcid ; Hussey, Brad ; Salvador, Gemma ; Escarrabill, Joan ; Vidal, Josep ; Benavent-Areu, Jaume ; Roura, Silvia and Gilabert, Toni (2025) In Current obesity reports 14(1). p.84-84
Abstract

BACKGROUND: Obesity represents a significant public health challenge, particularly in the context of coexisting chronic diseases and multi-morbidity. In Spain, and specifically in Catalonia, primary care plays a central role in prevention and management, yet barriers such as weight-related stigma can compromise care delivery.

AIM: To evaluate the current state of obesity prevention and management within the health system, with a focus on implications for primary care in Catalonia, including prevalence, stigma, and integration of chronic disease care.

METHODS: A narrative literature review was conducted, including studies, government reports, and policy documents relevant to obesity prevalence, psychosocial factors, and... (More)

BACKGROUND: Obesity represents a significant public health challenge, particularly in the context of coexisting chronic diseases and multi-morbidity. In Spain, and specifically in Catalonia, primary care plays a central role in prevention and management, yet barriers such as weight-related stigma can compromise care delivery.

AIM: To evaluate the current state of obesity prevention and management within the health system, with a focus on implications for primary care in Catalonia, including prevalence, stigma, and integration of chronic disease care.

METHODS: A narrative literature review was conducted, including studies, government reports, and policy documents relevant to obesity prevalence, psychosocial factors, and healthcare system strategies.

RESULTS: Persistent weight bias among healthcare professionals can delay diagnosis, reduce treatment adherence, and negatively affect patient experience. Integrated, patient-centered care models that consider physical, psychological, and social health have gained traction. Holistic assessment-including behavioral context, mental health, and social determinants alongside cardiorenal metabolic diseases-is central to these approaches.

CONCLUSIONS: Effective obesity management requires integrated chronic disease management frameworks. Collaborative care models, community-based resources, and equitable health policies are essential. Incorporating patient experience helps identify unmet needs and improve care quality. A system-wide, holistic approach is critical to reducing the burden of obesity and related chronic diseases in Catalonia.

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Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Spain/epidemiology, Chronic Disease, Obesity/epidemiology, Primary Health Care, Delivery of Health Care, Integrated, Disease Management, Patient-Centered Care, Social Stigma, Delivery of Health Care, Prevalence
in
Current obesity reports
volume
14
issue
1
pages
84 - 84
publisher
Springer
external identifiers
  • pmid:41400884
  • scopus:105024983789
ISSN
2162-4968
DOI
10.1007/s13679-025-00675-3
language
English
LU publication?
no
additional info
© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
id
43996e95-c259-4f56-ba13-1ad2d95f5337
date added to LUP
2026-02-18 12:23:47
date last changed
2026-02-19 09:16:41
@article{43996e95-c259-4f56-ba13-1ad2d95f5337,
  abstract     = {{<p>BACKGROUND: Obesity represents a significant public health challenge, particularly in the context of coexisting chronic diseases and multi-morbidity. In Spain, and specifically in Catalonia, primary care plays a central role in prevention and management, yet barriers such as weight-related stigma can compromise care delivery.</p><p>AIM: To evaluate the current state of obesity prevention and management within the health system, with a focus on implications for primary care in Catalonia, including prevalence, stigma, and integration of chronic disease care.</p><p>METHODS: A narrative literature review was conducted, including studies, government reports, and policy documents relevant to obesity prevalence, psychosocial factors, and healthcare system strategies.</p><p>RESULTS: Persistent weight bias among healthcare professionals can delay diagnosis, reduce treatment adherence, and negatively affect patient experience. Integrated, patient-centered care models that consider physical, psychological, and social health have gained traction. Holistic assessment-including behavioral context, mental health, and social determinants alongside cardiorenal metabolic diseases-is central to these approaches.</p><p>CONCLUSIONS: Effective obesity management requires integrated chronic disease management frameworks. Collaborative care models, community-based resources, and equitable health policies are essential. Incorporating patient experience helps identify unmet needs and improve care quality. A system-wide, holistic approach is critical to reducing the burden of obesity and related chronic diseases in Catalonia.</p>}},
  author       = {{Moizé, Violeta and Salas, Ximena Ramos and Hussey, Brad and Salvador, Gemma and Escarrabill, Joan and Vidal, Josep and Benavent-Areu, Jaume and Roura, Silvia and Gilabert, Toni}},
  issn         = {{2162-4968}},
  keywords     = {{Humans; Spain/epidemiology; Chronic Disease; Obesity/epidemiology; Primary Health Care; Delivery of Health Care, Integrated; Disease Management; Patient-Centered Care; Social Stigma; Delivery of Health Care; Prevalence}},
  language     = {{eng}},
  month        = {{12}},
  number       = {{1}},
  pages        = {{84--84}},
  publisher    = {{Springer}},
  series       = {{Current obesity reports}},
  title        = {{Integrating Obesity Care into Chronic Disease Management in Catalonia : Progress and Challenges in Health System Approaches}},
  url          = {{http://dx.doi.org/10.1007/s13679-025-00675-3}},
  doi          = {{10.1007/s13679-025-00675-3}},
  volume       = {{14}},
  year         = {{2025}},
}