Assessment and Management of Adult Obesity in a Primary Care Practice

摘要: The purpose of this project was to describe primary care physician adherence National Heart, Lung, and Blood Institute (NHLBI) Clinical Guidelines on the Identification, Evaluation, Treatment Overweight Obesity in Adults, using a measurement tool developed purposefully for project, explore patient characteristics associated with assessment management behaviors. This study sought add body existing knowledge by analyzing clinical behaviors more descriptive systematic manner. researchers hypothesized that measuring behavior assessing managing overweight obesity as series steps, outlined NHLBI guidelines, would identify specific gaps action possibly other relationships between behavior. A chart abstraction 99 randomly selected adult patients at least one visit practice during 12-month period completed. Three out four health center were clinically or obese, yet despite high rates weight status measurement, only 25 percent obese received such diagnosis. High levels including BMI calculations, did not correspond majority receive any dietary (72 percent) physical activity (69 management. When introduced, either information (68 goal (32 percent), none an accompanying plan. In cases where (52 (39 percent). Patients higher BMIs likely be diagnosed managed regard their weight. Improvements future weight-related counseling may found encouraging physicians’ willingness make diagnoses. Results from analysis highlight (via BMI) making diagnosis are same practice.