Healthcare professionals have an important role to play in helping patients make sense of all the ‘hype’ which surrounds dieting in today’s society. Surveys show that many patients trust the advice from their primary care practitioners⁵ and that when obesity management is raised by a health professional, patients are more likely to attempt a treatment.^6,7 However, the frequency with which weight management is raised with patients in primary care is thought to be low^6,8,9 and some studies have indicated that overweight patients have fewer expectations of receiving help with weight management from their primary care team.¹⁰ As the recognition of obesity as a serious health problem continues to rise, this perception may of course change and the unique position that health professionals occupy – not only in terms of patient access but also how their expertise is regarded – means that there is good opportunity within primary care to provide patients with sound and supportive advice.

The British Dietetic Association has produced a position paper on the management of obesity.¹¹ They advise the following process when identifying, implementing and sustaining the dietary changes needed to treat obesity:

• Understand the position at the beginning of treatment
• Stabilise eating behaviour
• Improve the nutritional quality of the diet
• Establish negative energy balance

It should be recognized, that as with any change, most people find it difficult to adjust established eating habits, and that clear goals, planning, and support are necessary. The availability of food is extraordinary in today’s society and sticking to a dietary plan commands determination and resolve. It is important that any dietary plan is formed collaboratively with the patient in order to allow for individual tastes, social customs, lifestyle and income.