Are health care professionals advising obese patients to lose weight?
Are health care professionals advising obese patients to lose weight?
复制标题
DOI：
10.1001/jama.282.16.1576
复制
发表时间：
1999-10-27
影响因子：
120.7
通讯作者：
Ford, ES
中科院分区：
文献类型：
--
作者：
Galuska, DA;Will, JC;Ford, ES
美国国立卫生研究院1998年指南的实施，该指南建议卫生保健专业人员建议肥胖患者减肥，目的描述在过去的12个月里，健康护理专业人员建议肥胖者减肥的比例和特征，并确定该建议是否与报告的减肥尝试相关。设计行为危险因素监测系统，一个由州卫生部门在1996年进行的随机数字电话调查。设置基于人口的样本来自50个州和哥伦比亚特区。参与者共有22835名成年人，18岁及以上，被归类为肥胖（体重指数大于或等于30 kg/m2），在过去的12个月里，他们去看过医生进行常规检查。主要结果测量报告了医疗保健专业人员的减肥建议，结果42%的参与者报告说，他们的壁炉护理专业人士建议他们减肥。使用多变量logistic回归分析，我们发现，更有可能接受建议的人是女性，中年，教育程度较高，居住在东北，报告较差的自认为健康，更肥胖，有糖尿病。报告接受建议减肥的人更有可能报告试图减肥比那些谁没有（OR，2.79; 95%CI，2.53-3.08）。结论不到一半的肥胖成年人报告被建议减肥的医疗保健专业人员。需要查明和解决咨询的障碍。
Context Implementation of the National Institutes of Health's 1998 guidelines, which recommended that health care professionals advise obese patients to lose weight, required baseline data for evaluation.Objectives To describe the proportion and characteristics of obese persons advised to lose weight by their health care professional during the previous 12 months and to determine whether the advice was associated with reported attempts to lose weight.Design The Behavioral Risk Factor Surveillance System, a random-digit telephone survey conducted in 1996 by state health departments.Setting Population-based sample from 50 states and the District of Columbia.Participants A total of 22 835 adults, 18 years and older, classified as obese (body mass index greater than or equal to 30 kg/m(2)), who had visited their physician for a routine checkup during the previous 12 months.Main Outcome Measures Reported advice from a health care professional to lose weight, and reported attempts to lose weight.Results Forty-two percent of participants reported that their hearth care professional advised them to lose weight. Using multivariate logistic regression analysis, we found that the persons who were more likely to receive advice were female, middle aged, had higher levels of education, lived in the northeast, reported poorer perceived health, were more obese, and had diabetes mellitus. Persons who reported receiving advice to lose weight were significantly more likely to report trying to lose weight than those who did not (OR, 2.79; 95% CI, 2.53-3.08).Conclusions Less than half of obese adults report being advised to lose weight by health care professionals. Barriers to counseling need to be identified and addressed.