Document Type
Article
Publication Date
2017
Abstract
Purpose: To assess for improvement in the screening and management of overweight and obesity in the past 5 years among Obstetrician-Gynecologists (OB-GYN), Family Physicians (FP), and Pediatricians (Peds).
Methods: A retrospective pilot study was conducted, reviewing 150 charts of patients with overweight (body mass index [BMI] 25-29.9 kg/m2) and class I (BMI 30-34.9 kg/m2), class II (BMI 35-39.9 kg/m2), and class III obesity (BMI ≥ 40 kg/m2) between 2011 and 2015. Patients were from OB-GYN (n=50), Family Medicine, adult (FP-A) (n=50) and pediatric (FP-P) (n=28), and Peds (n=22) offices.
Results: 75% of patients were female; 35.5% had overweight, 40% had class I obesity, 13.3% had class II obesity, and 11.3% had class III obesity. 100% of clinicians used BMI; none used waist circumference. Peds (91%) and FP-P (96%) visits were more likely to include counseling compared to OB-GYN (30%) and FP-A (30%) visits (p<0.001). A decrease in nutrition counseling (71% vs. 29%, p<0.05) occurred between 2011 and 2015.
Conclusions: There remains significant room for improvement among all providers. Peds and FP-Ps may be more sensitive to the need for managing obesity than OBGYNs and FP-As. More efforts are needed to combat the obesity epidemic, starting with accurately identifying and counseling patients with obesity.
Repository Citation
Lindheim, S.,
Welsh, S.,
Jiang, N.,
Hawkins, A.,
Kellar, L.,
Maxwell, R.,
& Whigham, L. D.
(2017). Trends in Management of Overweight and Obesity in Obstetrics & Gynecology, Family Medicine and Pediatrics 2011-2015. Journal of Obesity and Eating Disorders, 3 (1), 30.
https://corescholar.libraries.wright.edu/obgyn/22
DOI
10.21767/2471-8203.100030
Comments
© Under License of Creative Commons Attribution 3.0 License | This article is available from: http://dx.doi.org/10.21767/2471-8203.100030