Physician practice patterns of obesity diagnosis and weight-related counseling

Sara N Bleich, Octavia Pickett-Blakely, Lisa A Cooper

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)123-129
Number of pages7
JournalPatient Education and Counseling
Volume82
Issue number1
DOIs
StatePublished - Jan 2011

Fingerprint

Physicians' Practice Patterns
Counseling
Obesity
Weights and Measures
Exercise
Reducing Diet
Health Care Surveys
Internal Medicine
Weight Loss
Young Adult
Diet
Physicians

Keywords

  • Diagnosis
  • Obesity
  • Physician practice patterns
  • Weight-related counseling

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Physician practice patterns of obesity diagnosis and weight-related counseling. / Bleich, Sara N; Pickett-Blakely, Octavia; Cooper, Lisa A.

In: Patient Education and Counseling, Vol. 82, No. 1, 01.2011, p. 123-129.

Research output: Contribution to journalArticle

@article{fa2410b33f1244c0bb0d3422f6f5426d,
title = "Physician practice patterns of obesity diagnosis and weight-related counseling",
abstract = "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.",
keywords = "Diagnosis, Obesity, Physician practice patterns, Weight-related counseling",
author = "Bleich, {Sara N} and Octavia Pickett-Blakely and Cooper, {Lisa A}",
year = "2011",
month = "1",
doi = "10.1016/j.pec.2010.02.018",
language = "English (US)",
volume = "82",
pages = "123--129",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

TY - JOUR

T1 - Physician practice patterns of obesity diagnosis and weight-related counseling

AU - Bleich, Sara N

AU - Pickett-Blakely, Octavia

AU - Cooper, Lisa A

PY - 2011/1

Y1 - 2011/1

N2 - 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.

AB - 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.

KW - Diagnosis

KW - Obesity

KW - Physician practice patterns

KW - Weight-related counseling

UR - http://www.scopus.com/inward/record.url?scp=78650477176&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78650477176&partnerID=8YFLogxK

U2 - 10.1016/j.pec.2010.02.018

DO - 10.1016/j.pec.2010.02.018

M3 - Article

C2 - 20303691

AN - SCOPUS:78650477176

VL - 82

SP - 123

EP - 129

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 1

ER -