A delayed-control trial examining the impact of body mass index recognition on obesity-related counseling.

A delayed-control trial examining the impact of body mass index recognition on obesity-related counseling.
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一项延迟对照试验,研究体重指数识别对肥胖相关咨询的影响。

DOI:
10.1177/0009922813491312
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发表时间:
2013
影响因子:
1.6
通讯作者:
Wing,RenaR
Wing,RenaR
中科院分区:
医学4区
文献类型:
--
作者:
Rhee,KyungE;Phan,Thao-Ly;Barnes,RichardF;Benun,Jacques;Wing,RenaR

文献摘要

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背景资料。体重指数(BMI)计算和标绘的比率仍然很低。我们研究了向儿科住院医生和主治医生提供BMI轮和简短教育是否会增加“BMI认知率”和肥胖相关咨询的比率。延迟对照设计用于评估20分钟的干预。共查阅了1640份健康儿童就诊记录,以确定计算和绘制BMI并提供咨询的记录所占的比例。在临床A中,从干预前到干预后,BMI被确认的记录比例显著增加(P<.01)。直到延迟干预后,诊所B才发生变化。如果认识到BMI,肥胖相关的咨询更有可能发生。简短的教育和BMI轮增加了BMI的认知率。体重指数的认可与肥胖管理的加强有关。应作出更多努力,进一步提高对BMI的认可度,并协助提供者治疗这些儿童。
Background. Rates of body mass index (BMI) calculation and plotting remain low. We examined whether providing a BMI wheel and brief education to pediatric residents and attendings would increase rates of “BMI recognition” and obesity-related counseling.Methods. A delayed-control design was used to evaluate a 20-minute intervention. A total of 1640 records of well-child visits were reviewed to determine the proportion of records in which BMI was calculated and plotted and counseling provided.Results. In clinic A, there was a significant increase in the proportion of records in which BMI was recognized from pre- to postintervention (P< .01). No changes in clinic B occurred until after the delayed intervention. Obesity-related counseling was more likely to occur if BMI was recognized.Conclusion. Brief education and BMI wheel increased rates of BMI recognition. BMI recognition was associated with increased obesity management. Additional efforts should be incorporated to further increase BMI recognition and assist providers in treating these children.