The traditional physician-centred model of care is ill suited to successful management of overweight and obesity. Obesity requires a coordination of care from multiple health care providers with a multi-disciplinary group with varied expertise working together as a team to assist patient care.
The usual principles for a medical consultation are applicable to the assessment of an overweight or obese patient. The consultation room must be properly equipped with larger than average chairs, access for wheelchairs for patients with mobility problems and medical equipment of appropriate size (examination couch, blood pressure cuff, weighing scales and tape measure).
Table 12.1 outlines the areas of medical history that should be covered at the initial assessment. The history of weight gain should be described in detail to elucidate possible aetiological