Lloyd Kimberly Braxton, Thrower Margaret Ryman, Walters Natasha Boutwell, Krueger Kem P, Stamm Pamela L, Evans R Lee
Auburn University Pharmaceutical Care Center, Auburn University, Auburn, AL 36849, USA.
Ann Pharmacother. 2007 Feb;41(2):185-92. doi: 10.1345/aph.1E466. Epub 2007 Feb 6.
Obesity, a national epidemic, is one of the leading causes of preventable morbidity and mortality in the US. Pharmacists can play an integral role in weight management. Offering weight management services provides an opportunity to increase public awareness of pharmaceutical care and attract patients to pharmacy programs.
To describe the implementation and evaluate outcomes of a weight management pharmaceutical care service in a stand alone pharmaceutical care center on a college campus.
A retrospective review of data was conducted on 289 patient charts to evaluate the change in weight, body mass index (BMI), percent body fat, and weight-related health conditions in patients who participated in the Healthy Habits program.
The net change (change in values observed from first to last appointment) in weight was a loss of 1021.8 kg. The maximum weight change (change seen from the first appointment to the lowest value obtained during the program) was a loss of 1530.5 kg. These values correspond to a net mean weight loss of 3.6 kg per patient (10% of baseline weight) and a maximum mean weight loss per patient of 5.5 kg (15% of baseline weight). Eighty-three patients were able to decrease their BMI category and 76 patients had a decrease in risk status from baseline.
The Auburn University Pharmaceutical Care Center's Healthy Habits program has been successful in helping patients decrease total body weight, BMI, and risk of weight-related complications. In addition, the program has increased the opportunity to identify other pharmaceutical care needs of patients and help establish the role of pharmacists in the management of obesity.
肥胖是一种全国性的流行病,是美国可预防的发病和死亡的主要原因之一。药剂师在体重管理中可以发挥不可或缺的作用。提供体重管理服务为提高公众对药学服务的认识以及吸引患者参与药房项目提供了契机。
描述大学校园独立药学服务中心体重管理药学服务的实施情况并评估其结果。
对289份患者病历进行回顾性数据审查,以评估参与“健康习惯”项目的患者在体重、体重指数(BMI)、体脂百分比和与体重相关的健康状况方面的变化。
体重的净变化(从首次就诊到最后一次就诊观察到的值的变化)为减轻1021.8千克。最大体重变化(从首次就诊到项目期间获得的最低值的变化)为减轻1530.5千克。这些数值相当于每位患者平均净体重减轻3.6千克(占基线体重的10%),每位患者最大平均体重减轻5.5千克(占基线体重的15%)。83名患者能够降低其BMI类别,76名患者的风险状态较基线有所降低。
奥本大学药学服务中心的“健康习惯”项目成功帮助患者减轻了总体重、BMI以及与体重相关并发症的风险。此外,该项目增加了识别患者其他药学服务需求的机会,并有助于确立药剂师在肥胖管理中的作用。