Adult obesity management in primary care, 2008-2013
Adult obesity management in primary care, 2008-2013
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DOI：
10.1016/j.ypmed.2017.02.020
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发表时间：
2017-06-01
影响因子：
5.1
通讯作者：
Stevens, Victor J.
中科院分区：
文献类型：
--
作者：
Fitzpatrick, Stephanie L.;Stevens, Victor J.
在美国，在1995-1996年和2007-2008年期间，肥胖症患者初级保健中体重咨询的发生率下降了10%。自2008年以来，已经出台了几项改善肥胖管理的国家建议和政策。这项研究的目的是调查2008年至2013年美国的身体质量指数(BMI)筛查、肥胖诊断和体重管理咨询的比率。使用SAS v9.3进行分析时包括了2008-2009、2010-2011和2012-2013调查年度18岁及以上成年人进行初级保健访问的国家动态医疗调查访问级别数据。研究结果包括：BMI筛查、肥胖诊断和体重咨询的就诊百分比。我们以2008-2009年为参照，对这些结果的调查年份进行了比较，并检查了患者和实践水平的预测因素。分析从2015年到2017年初进行。在抽样的55,608次成人初级保健就诊中，14,143次(25%)是与肥胖症患者一起就诊的。在2008-2009年和2012-2013年间，BMI筛查显著增加，从54%增加到73%(OR=1.75，95%CI 1.28-2.41)；然而，被诊断为肥胖的就诊者的百分比仍然很低
In the U.S., the occurrence of weight counseling in primary care for patients with obesity decreased by 10% between 1995-1996 and 2007-2008. There have been several national recommendations and policies to improve obesity management since 2008. The purpose of this study was to examine the rates of body mass index (BMI) screening, obesity diagnosis, and weight management counseling in the U.S. from 2008 to 2013.The National Ambulatory Medical Care Survey visit-level data for adults 18 and over with a primary care visit during survey years 2008-2009, 2010-2011, and 2012-2013 was included in the analyses using SAS v9.3. Study outcomes included percent of visits with: BMI screening; obesity diagnosis; and weight counseling. We compared survey years on these outcomes using 2008-2009 as the reference as well as examined patient and practice-level predictors. Analyses were conducted from 2015 to early 2017. Of the total 55,608 adult primary care visits sampled, 14,143 visits (25%) were with patients with obesity. BMI screening significantly increased between 2008-2009 and 2012-2013 from 54% to 73% (OR = 1.75, 95% CI 1.28-2.41); however, percent of visits with an obesity diagnosis remained low at