Physician practice patterns of obesity diagnosis and weight-related counseling
Physician practice patterns of obesity diagnosis and weight-related counseling
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DOI：
10.1016/j.pec.2010.02.018
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发表时间：
2011-01-01
影响因子：
3.5
通讯作者：
Cooper, Lisa A.
中科院分区：
文献类型：
--
作者：
Bleich, Sara N.;Pickett-Blakely, Octavia;Cooper, Lisa A.
方法：我们分析了横截面的临床遇到的数据。肥胖成年人从2005年全国门诊医疗调查（N = 2458）。结果：三分之一的肥胖成年人接受了肥胖诊断（28.9%），约五分之一接受了减肥（17.6%），饮食（25.2%）或运动（20.5%）咨询。妇女（OR = 1.54; 95% CI：1.14，2.09），18-29岁的年轻人（OR = 2.61; 95% CI：1.37，4.97），重度/病态肥胖个体（II类：OR 2.08; 95% CI：1.53，2.83; III类：OR 4.36; 95% CI：3.09，6.16）显著更有可能接受肥胖诊断。体重相关咨询的最大预测因素之一是肥胖诊断（体重减轻：OR = 5.72; 95% CI：4.01，8.17;饮食：OR = 2.89; 95% CI：2.05，4.06;运动：OR = 2.54; 95% CI：1.67，3.85）。体重相关咨询的其他预测因素包括看心脏病专家/其他内科专家，预防性访问，或花更多的时间与医生（p < 0.05）conclusions：大多数肥胖患者不接受肥胖诊断或体重相关consultation.Practice的影响：预防性访问可能提供了一个关键的机会，肥胖患者接受体重相关的咨询，从他们的医生。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Methods: We analyzed cross-sectional clinical encounter data. Obese adults were obtained from the 2005 National Ambulatory Medical Care Survey (N = 2458).Results: A third of obese adults received an obesity diagnosis (28.9%) and approximately a fifth received counseling for weight reduction (17.6%), diet (25.2%), or exercise (20.5%). Women (OR = 1.54; 95% CI: 1.14, 2.09), young adults ages 18-29 (OR = 2.61; 95% CI: 1.37, 4.97), and severely/morbidly obese individuals (class II: OR 2.08; 95% CI: 1.53, 2.83; class III: OR 4.36; 95% CI: 3.09, 6.16) were significantly more likely to receive an obesity diagnosis. One of the biggest predictors of weight-related counseling was an obesity diagnosis (weight reduction: OR = 5.72; 95% CI: 4.01, 8.17; diet: OR = 2.89; 95% CI: 2.05, 4.06; exercise: OR = 2.54; 95% CI: 1.67, 3.85). Other predictors of weight-related counseling included seeing a cardiologist/other internal medicine specialist, a preventive visit, or spending more time with the doctor (p < 0.05).Conclusions: Most obese patients do not receive an obesity diagnosis or weight-related counseling.Practice implications: Preventive visits may provide a key opportunity for obese patients to receive weight-related counseling from their physician. (C) 2010 Elsevier Ireland Ltd. All rights reserved.