Impact of physician BMI on obesity care and beliefs.
Impact of physician BMI on obesity care and beliefs.
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DOI：
10.1038/oby.2011.402
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发表时间：
2012-05
期刊：
影响因子：
6.9
通讯作者：
Cooper, Lisa A.
中科院分区：
文献类型：
--
作者：
Bleich, Sara N.;Bennett, Wendy L.;Gudzune, Kimberly A.;Cooper, Lisa A.
本研究于 2011 年 2 月 9 日至 3 月 1 日期间对 500 名初级保健医生进行了全国横断面调查，目的是评估医生 BMI 对肥胖护理、医生自我效能、对体重相关健康行为榜样的看法以及患者对减肥建议的信任度的影响。我们发现，与超重/肥胖医生相比，BMI 正常的医生更有可能让肥胖患者参与减肥讨论（30% vs. 18%，P = 0.010）。 BMI 正常的医生对自己向肥胖患者提供饮食（53% vs. 37%，P = 0.002）和运动咨询（56% vs. 38%，P = 0.001）的能力更有信心。较高比例的 BMI 正常医生认为超重/肥胖患者不太可能相信超重/肥胖医生的减肥建议（80% vs. 69%，P = 0.02）。 BMI正常类别的医生更有可能认为医生应该树立健康体重相关行为的榜样——保持健康体重（72% vs. 56%，P = 0.002）和定期锻炼（73% vs. 57%，P = 0.001）。当医生对患者体重的感知达到或超过他们自己的体重时，医生记录肥胖诊断（93% vs. 7%，P < 0.001）或与肥胖患者开始减肥对话（89% vs. 11%，P ≤ 0.001）的概率较高。这些结果表明，更多体重正常的医生向患者提供了推荐的肥胖护理，并且对此充满信心。
Using a national cross-sectional survey of 500 primary care physicians conducted between 9 February and 1 March 2011, the objective of this study was to assess the impact of physician BMI on obesity care, physician self-efficacy, perceptions of role-modeling weight-related health behaviors, and perceptions of patient trust in weight loss advice. We found that physicians with normal BMI were more likely to engage their obese patients in weight loss discussions as compared to overweight/obese physicians (30% vs. 18%, P = 0.010). Physicians with normal BMI had greater confidence in their ability to provide diet (53% vs. 37%, P = 0.002) and exercise counseling (56% vs. 38%, P = 0.001) to their obese patients. A higher percentage of normal BMI physicians believed that overweight/obese patients would be less likely to trust weight loss advice from overweight/obese doctors (80% vs. 69%, P = 0.02). Physicians in the normal BMI category were more likely to believe that physicians should model healthy weight-related behaviors—maintaining a healthy weight (72% vs. 56%, P = 0.002) and exercising regularly (73% vs. 57%, P = 0.001). The probability of a physician recording an obesity diagnosis (93% vs. 7%, P < 0.001) or initiating a weight loss conversation (89% vs. 11%, P ≤ 0.001) with their obese patients was higher when the physicians’ perception of the patients’ body weight met or exceeded their own personal body weight. These results suggest that more normal weight physicians provided recommended obesity care to their patients and felt confident doing so.
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