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Trends in Obesity-Related Counseling in Primary Care

1995–2004

Bibliographic Data

ID9099482
AuthorsDonna D Mcalpine, Donna Mcalpine (0000-0002-1855-6272, University of Minnesota, corresponding author), Amy R Wilson (Blue Cross and Blue Shield of Kansas City)
Year2007
Volume45
Issue4
Pages322-329
Publication date2007-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/01.mlr.0000254575.19543.01
PMID17496716
OpenAlexW2047579019
LanguageEN
Citations received5
References cited30

OBJECTIVE: We sought to ascertain whether the percentage of visits in which physicians provided obesity-related counseling services increased between 1995 and 2004. METHOD: Data came from the 1995 to 2004 National Ambulatory Medical Care Survey, an annual national survey of visits to office-based physicians. Analyses are restricted to visits by adults to a primary care physician (PCP; general/family or internal medicine). The main outcome measure is the percentage of visits to physicians where patients were counseled about exercise, diet/nutrition or weight loss. RESULTS: Sample sizes ranged from 9,583 to 14,071. In 2003/2004, approximately 20% of visits to PCPs included counseling for diet/nutrition, 14% for exercise, and 6% for weight loss. Approximately 24% of visits included at least one of these types of counseling. The odds of receiving counseling for any of these services were 22% lower in 2001/2002 and 18% lower in 2003/2004 compared with 1995/1996. Patients who went to the doctor for weight-related concerns or with an obesity-related diagnosis were more likely to receive counseling than the general population. Longer visits were associated with greater probability of obesity-related counseling. CONCLUSIONS: Obesity-related counseling does not appear to be a substantial part of the services provided by physicians. Further efforts in developing interventions that can be used by physicians and demonstrating their effectiveness within clinical practice are needed

Ambulatory · Ambulatory care · Environmental health · Family medicine · Health care · Logistic regression · MEDLINE · Obesity · Odds · Odds ratio · Population · Primary care · Psychological intervention · Weight loss · Bariatric Surgery and Outcomes · Internal Medicine · Medicine · Nursing · Obesity and Health Practices · Obesity, Physical Activity, Diet · Gerontology

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Unique citing works5
Citations per year0,36
Citation span2012 - 2019 (8)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5
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