Multidisciplinary obesity treatment: Ten considerations from a mental health perspective

Héctor Esquivias-Zavala, Alejandro Caballero Romo, Eduardo Madrigal de León



Global prevalence of overweight and obesity has doubled since 1980, with a third of the worldwide population currently classified as overweight or obese. Research on weight control care in various Latin American countries shows that health systems are ill-equipped to address obesity. Gaps include the absence of quality guidelines for evaluation and treatment, inadequate professional training, and financial constraints to access health services due to marked inequalities among the population (Arora et al., 2019).

Full Text:



Armstrong, M. J., Mottershead, T. A., Ronksley, P. E., Sigal, R. J., Campbell, T. S., & Hemmelgarn, B. R. (2011). Motivational interviewing to improve weight loss in overweight and/or obese patients: a systematic review and meta‐analysis of randomized controlled trials. Obesity Reviews, 12(9), 709-723. doi: 10.1111/j.1467-789X.2011.00892.x

Arora, M., Barquera, S., Lambert, N. J. F., Hassell, T., Heymsfield, S. B., Oldfield, B., ... Vicari, M. (2019). Stigma and obesity: the crux of the matter. The Lancet Public Health, 4(11), e549-e550. doi: 10.1016/S2468-2667(19)30186-0

Atlantis, E., Sahebolamri, M., Cheema, B. S., & Williams, K. (2020). Usefulness of the Edmonton Obesity Staging System for stratifying the presence and severity of weight‐related health problems in clinical and community settings: A rapid review of observational studies. Obesity Reviews, 21(11), e13120. doi: 10.1111/obr.13120

Barquera, S., Balderas, N., Rodríguez, E., Kaufer-Horwitz, M., Perichart, O., & Rivera-Dommarco, J. A. (2020). Código Nutricia: nutrición y conflicto de interés en la academia. Salud Pública de México, 62(3), 313-318. doi: 10.21149/11291

Barquera, S., Véjar-Rentería, L. S., Aguilar-Salinas, C., Garibay-Nieto, N., García-García, E., Bovecchio, A., ... Rivera-Dommarco, J. (2022). Volviéndonos mejores: necesidad de acción inmediata ante el reto de la obesidad. Una postura de profesionales de la salud. Salud Pública de México, 1-5. doi: 10.21149/13679

Heriseanu, A. I., Hay, P., & Touyz, S. (2019). Grazing behaviour and associations with obesity, eating disorders, and health-related quality of life in the Australian population. Appetite, 143, 104396. doi: 10.1016/j.appet.2019.104396

Łojko, D., Buzuk, G., Owecki, M., Ruchała, M., & Rybakowski, J. K. (2015). Atypical features in depression: Association with obesity and bipolar disorder. Journal of Affective Disorders, 185, 76-80. doi: 10.1016/j.jad.2015.06.020

McElroy, S. L., Guerdjikova, A. I., Mori, N., & Keck, P. E. (2016). Managing comorbid obesity and depression through clinical pharmacotherapies. Expert Opinion on Pharmacotherapy, 17(12), 1599-1610. doi: 10.1080/14656566.2016.1198776

Petry, N. M., Barry, D., Pietrzak, R. H., & Wagner, J. A. (2008). Overweight and obesity are associated with psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychosomatic Medicine, 70(3), 288-297. doi: 10.1097/PSY.0b013e3181651651

Rueda-Clausen, C. F., Benterud, E., Bond, T., Olszowka, R., Vallis, M. T., & Sharma, A. M. (2014). Effect of implementing the 5As of obesity management framework on provider-patient interactions in primary care. Clinical Obesity, 4(1), 39-44. doi: 10.1111/cob.12038

Schvey, N. A., Puhl, R. M., & Brownell, K. D. (2014). The stress of stigma: exploring the effect of weight stigma on cortisol reactivity. Psychosomatic Medicine, 76(2), 156-162. doi: 10.1097/PSY.0000000000000031

Shaw, K., O’Rourke, P., Del Mar, C., & Kenardy, J. (2005). Psychological interventions for overweight or obesity. Cochrane Database of Systematic Reviews, (2), CD003818. doi: 10.1002/14651858.CD003818.pub2

Swinburn, B. A., Kraak, V. I., Allender, S., Atkins, V. J., Baker, P. I., Bogard, J. R., ... Dietz, W. H. (2019). The global syndemic of obesity, undernutrition, and climate change: the Lancet Commission report. The Lancet, 393(10173), 791-846. doi: 10.1016/S0140-6736(18)32822-8