In an optimistic declaration, Professor Donal O'Shea has asserted that the future of medicine holds the potential to eliminate severe or complex obesity in developed countries. Speaking at the annual meeting of the Irish Medical Organisation (IMO), Prof O'Shea highlighted the need for a shift in how doctors approach the issue of obesity and emphasized that simply advising patients to "eat less, move more" is not an effective treatment.

"Eat less, move more is not the treatment of obesity - get over it," Professor O'Shea boldly stated. He stressed the importance of prevention and urged doctors to focus on the individual's lifestyle when dealing with obese patients. Weight gain was described as 90% irreversible for 90% of people, with the constant cycle of losing and regaining weight being a frustrating reality.

According to Prof O'Shea, there are 198 determinants of obesity that fall into seven groups, five of which are beyond people's control. He highlighted the necessity of understanding this complexity and approaching patients with empathy, cautioning against insensitivity. Prof O'Shea cited an example where a patient was told by a practice nurse to "just stop eating the cupcakes," demonstrating the need for a more sensitive and constructive approach.

The expert emphasized that patients generally only accept discussing their weight when given permission. Therefore, he suggested doctors ask, "Is it OK to discuss your weight today?" and even propose the question, "Where are you on your weight journey?" This change in communication style could foster better doctor-patient relationships.

Notably, significant advancements have been made in therapies and surgery for obesity treatment. Prof O'Shea discussed how medication is modifying the sense of fullness and impacting eating habits and energy expenditure. He pointed out the complex interplay between genetics, environment, and the body's natural defense mechanisms against weight loss, which novel treatments are starting to address.

While Ireland's model of care for obesity treatment is now adequately funded, Prof O'Shea acknowledged obstacles such as the recruitment embargo affecting the availability of dieticians. Moreover, as more advanced anti-obesity treatments become available, the high cost of medications poses a challenge. However, the expenses must be weighed against the complications and associated illnesses of obesity, which greatly burden healthcare systems.

In conclusion, Prof O'Shea believes that the future holds promising advancements in the fight against severe obesity. By harnessing medical innovations, understanding the complexities of weight management, and adopting a compassionate approach, the eradication of severe or complex obesity in the developed world could become a reality. Obesity, no longer being disregarded as a lifestyle issue, is now recognized as a chronic disease, further emphasizing the importance of effective treatment and prevention strategies.

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