Obesity

Burden of long‐term conditions and management of people with overweight and obesity: Data from the United Kingdom primary care cohort of the IMPACT ‐O study

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

Results confirm the high burden of ORCs in adults at first identification of overweight or obesity in primary care and the limited use of pharmacotherapy and bariatric surgery; this suggests a need to evaluate treatment strategies and support for people with overweight and obesity in the UK.

Study context

Population
Adults (≥18 years) in UK primary care (IQVIA Medical Research Database, The Health Improvement Network), 2018–2022three cohorts
Participants
73,279 / 62,226 / 343,755
Exposure
Overweight/obesity vs Obesity vs Intervention
  • Overweight/obesityn = 73,279
  • Obesityn = 62,226
  • Interventionn = 343,755
Outcome
≥1 obesity-related complication (ORC)
Methodological detailsmulti-country, electronic medical records, UK primary care cohort
  • Multi-country
  • Electronic medical records
  • UK primary care cohort

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

Management in the intervention cohort

Lifestyle interventions
96.8%
GLP-1 RA
3.6%
Orlistat
2.5%
Bariatric surgery
0.3%

Original publication

Burden of long‐term conditions and management of people with overweight and obesity: Data from the United Kingdom primary care cohort of the IMPACT ‐O study. Diabetes Obes Metab. Published 17 December 2025. doi:10.1111/dom.70345

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