Pinney Associates, Pittsburgh, PA 15213, USA.
Prev Med. 2009 Dec;49(6):482-6. doi: 10.1016/j.ypmed.2009.09.015. Epub 2009 Sep 26.
To examine the weight management interventions that a broad population of adults reported receiving from physicians and assess what drug-related and behavioral information physicians provided when they prescribe weight loss medications.
A random-digit dialed telephone survey was conducted in 2005-2006 with a representative sample of 3,500 American adults.
The most frequently reported interventions were having a doctor tell them about the health problems associated with being overweight (48.0%), or suggesting diet and exercise (46.5%). Few respondents reported having been referred to a formal diet program (5.2%), prescribed a weight loss medication (4.0%), recommended a non-prescription weight loss product (1.8%), or recommended stomach bypass surgery (1.5%). The proportion of individuals who reported each intervention increased across levels of body mass index (p<0.001). Of those who reported being prescribed a weight loss medication (n=155), only 29.5% (n=44) reported receiving all six counseling interventions that were assessed.
Many overweight patients have not been advised to lose weight, diet, or exercise, and physicians have been particularly reluctant to recommend medications. When physicians do prescribe medications, appropriate counseling too often fails to accompany the prescription. Efforts are needed to increase the involvement of physicians in guiding patients to effective weight management approaches.
调查广大成年人群体从医生那里获得的体重管理干预措施，并评估医生在开处减肥药时提供了哪些与药物相关和行为方面的信息。
2005-2006 年采用随机数字拨号电话调查的方法，对 3500 名美国成年人进行了代表性抽样调查。
报告频率最高的干预措施是医生告知超重相关的健康问题（48.0%）或建议节食和锻炼（46.5%）。很少有受访者报告曾被转介到正式的饮食计划（5.2%）、开处减肥药（4.0%）、推荐非处方减肥药（1.8%）或推荐胃旁路手术（1.5%）。报告每种干预措施的人数比例随体重指数水平的升高而增加（p<0.001）。在报告被开处减肥药的 155 人中，只有 29.5%（n=44）报告接受了评估的全部 6 项咨询干预措施。
许多超重患者没有被建议减肥、节食或锻炼，医生尤其不愿意推荐药物。当医生确实开处药物时，适当的咨询往往没有伴随着处方。需要努力增加医生参与指导患者采用有效体重管理方法的程度。
