Obesity management: physician practice patterns and patient preference.

Nichola J. Davis, Ada Emerenini, Judith Wylie-Rosett

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

PURPOSE: The purpose of this study was to assess inner-city clinic patient attitudes about weight loss counseling and to assess practice behaviors of primary care physicians in residency training. METHODS: This is a cross-sectional survey of consecutive patients attending an outpatient internal medicine resident continuity clinic in the Bronx, New York. Participants completed a 30-item questionnaire; a 17-item Quick Weight, Activity & Excess Screener (WAVE); and 13 items to assess patients' attitudes about the physician's role in weight management. A chart review was conducted to ascertain resident practice patterns. Relationships of categorical data were evaluated using chi(2) analyses and odds ratios. RESULTS: Chart reviews (n = 84) indicated that 80% of patients were either obese or overweight; 21% of obese patients and 11% of overweight patients had the diagnosis documented. Of the obese patients (n = 42), 17% had dietitian referrals and 36% had an indication of physician weight loss recommendation. A patient survey indicated that 86% of obese patients wanted to lose weight, 64% wanted a dietitian referral, and 62% felt that their physician could help with weight loss. Obese patients were significantly more likely to receive weight loss recommendations than were overweight patients, but frequency of visits and the diagnosis of diabetes did not increase the likelihood that weight would be addressed. CONCLUSIONS: Physicians need to address how to manage obesity including assessing patient attitudes about making lifestyle changes and using dietitian and other referrals for weight reduction counseling.

Original languageEnglish (US)
Pages (from-to)557-561
Number of pages5
JournalThe Diabetes educator
Volume32
Issue number4
DOIs
StatePublished - Jul 2006

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Physicians' Practice Patterns
Patient Preference
Obesity
Weight Loss
Nutritionists
Weights and Measures
Referral and Consultation
Physicians
Counseling
Physician's Role
Primary Care Physicians
Internship and Residency
Internal Medicine
Life Style

ASJC Scopus subject areas

  • Internal Medicine
  • Public Health, Environmental and Occupational Health
  • Endocrinology, Diabetes and Metabolism

Cite this

Obesity management : physician practice patterns and patient preference. / Davis, Nichola J.; Emerenini, Ada; Wylie-Rosett, Judith.

In: The Diabetes educator, Vol. 32, No. 4, 07.2006, p. 557-561.

Research output: Contribution to journalArticle

Davis, Nichola J. ; Emerenini, Ada ; Wylie-Rosett, Judith. / Obesity management : physician practice patterns and patient preference. In: The Diabetes educator. 2006 ; Vol. 32, No. 4. pp. 557-561.
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