Acta Scientific Nutritional Health (ASNH)(ISSN: 2582-1423)

Research Article Volume 7 Issue 7

Knowledge and Perception of Bariatric Surgery Among Primary Care Physicians, Riyadh, Saudi Arabia

Ibraheem Alsmari*, Abdulmjeed Alshaikh, Saeed Mohammed Albaqih, Turkiah Alotaibi and Mostafa Kofi

Family and Community Medicine Department; Prince Sultan Military Medical City, Saudi Arabia

*Corresponding Author: Ibraheem Alsmari, Family and Community Medicine Department; Prince Sultan Military Medical City, Saudi Arabia.

Received: May 19, 2023; Published: June 03, 2023


Background: Obesity is one of the most common health problems in Saudi Arabia affecting people of both gender and all ages. Primary care physicians are key health personnel that encounters obese patients regularly. However, few physicians are knowledgeable about the management of morbid obesity, especially surgical treatment and procedures.

Objective: To provide information contributing to the improvement of the knowledge and perception among primary care physicians about bariatric surgery, and their ability to care for patients who suffer from morbid obesity.

Methods: The study design was cross-sectional. The study population was Primary care physicians working at Prince Sultan Military Medical City, Riyadh, Saudi Arabia. A questionnaire developed by researchers of the university health network -Toronto adapted and modified to fit the setting of practice in the study population. The questionnaire was distributed among the physicians over 3 waves until 170 completed questionnaires were collected.

Results: Of the total 170 respondents, Most of the participants (64.1%) reported measuring their patient’s weight on each clinic visit. The majority (97.6%) used BMI to assess the weight of a patient (88.8%) of respondents had referred obese patients for bariatric surgery. The majority of responses admits the lack of knowledge for all types of surgery in question. Regarding the questions in the survey, a significant difference in the comparison between those who referred versus who did not refer patients to bariatric surgery is obvious in the percentage of morbidly obese patients seen in the last 12 months (p-value 0.015) and the ideal bariatric procedure in average patients (p-value 0.043).

Conclusions and Recommendations: The study conclude that the knowledge of physicians in the bariatric surgical treatment of morbid obesity is insufficient.
More guidelines and continuing education should be emphasized regularly to the physicians in order to improve their knowledge on management of obesity.

Keywords:Bariatric Surgery; Obesity; Knowledge; Physician; Primary Care; Saudi Arabia


  1. Al-Shehri Fahad S., et al. "Management of obesity: Saudi clinical guideline”. Saudi Journal of Obesity1 (2013): 18.
  2. AL-Nozha MM., et al. "Obesity in Saudi Arabia”. Saudi Medical Journal 26 (2005): 824-829.
  3. North American Association for the Study of Obesity and the National Heart, Lung, and Blood Institute. The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Bethesda, Md: National Institutes of Health. NIH publication 00-4084 (2000).
  4. Memish ZA., et al. "Obesity and Associated Factors-Kingdom of Saudi Arabia, 2013”. Preventing Chronic Disease 11 (2014): 140236.
  5. Maggard MA., et al. "Meta-analysis: surgical treatment of obesity”. Annals of Internal Medicine 142 (2005): 547-559.
  6. Bessesen Daniel H. "Update on obesity”. The Journal of Clinical Endocrinology and Metabolism6 (2008): 2027-2034.
  7. Buchwald H., et al. "Bariatric Surgery: A Systematic Review and Meta-analysis”. JAMA14 (2004): 1724-1737.
  8. Li Z., et al. "Meta-Analysis: Pharmacologic Treatment of Obesity”. Annals of Internal Medicine 142 (2005): 532-546.
  9. Adams Kenneth F., et al. "Overweight, obesity, and mortality in a large prospective cohort of persons 50 to 71 years old”. New England Journal of Medicine8 (2006): 763-778.
  10. Tsigos Constantine., et al. "Management of obesity in adults: European clinical practice guidelines”. Obesity Facts2 (2008): 106-116.
  11. Sjöström L. "Review of the key results from the Swedish Obese Subjects (SOS) trial-a prospective controlled intervention study of bariatric surgery”. Journal of Internal Medicine3 (2013): 219-234.
  12. Fried M., et al. "Interdisciplinary European guidelines on metabolic and bariatric surgery”. Obesity Surgery1 (2014): 42-55.
  13. Lee Phong Ching and John Dixon. "Bariatric-metabolic surgery: A guide for the primary care physician”. Australian Family Physician7 (2017): 465.
  14. Summary of the evidence for the U.S. Preventive Services Task Force". American Journal of Preventive Medicine1 75-92.
  15. Jay M., et al. "Physicians’ attitudes about obesity and their associations with competency and specialty: A cross-sectional study”. BMC Health Services Research 9 (2009): 106.
  16. Auspitz Mark., et al. "Knowledge and perception of bariatric surgery among primary care physicians: a survey of family doctors in Ontario”. Obesity Surgery9 (2016): 2022-2028.
  17. Al-Namash H., et al. "Factors affecting the referral of primary health care doctors toward bariatric surgery in morbid obesity”. Alexandria Journal of Medicine 47 (2011): 73-78.
  18. Major P., et al. "The knowledge of Polish primary care physicians about bariatric surgery”. Videosurgery and other Miniinvasive Techniques3 (2016): 164-170.
  19. Tork S., et al. "Factors Influencing Primary Care Physicians’ Referral for Bariatric Surgery”. JSLS: Journal of the Society of Laparoendoscopic Surgeons3 (2015): e2015.00046.


Citation: Ibraheem Alsmari., et al. “Knowledge and Perception of Bariatric Surgery Among Primary Care Physicians, Riyadh, Saudi Arabia". Acta Scientific Nutritional Health 7.7 (2023): 03-16.


Copyright: © 2023 Ibraheem Alsmari., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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