患者对其全科医生提供的超重和高血压生活方式建议的记忆。
Patient recall of receiving lifestyle advice for overweight and hypertension from their General Practitioner.
机构信息
Queens University Belfast, UK.
出版信息
BMC Fam Pract. 2010 Feb 1;11:8. doi: 10.1186/1471-2296-11-8.
BACKGROUND
Overweight, obesity and hypertension can be prevented through improvements in lifestyle including nutrition and physical activity. General practitioners (GPs) in Australia have access to over 90% of the population in the course of a year and therefore, the general practice setting may be ideal to assist patients with lifestyle change for weight management and hypertension. The present study aimed to determine the proportion of overweight/obese patients that recalled receiving advice by their GP to make lifestyle changes for weight loss. Recall of advice received by hypertensive patients to reduce salt intake was also measured.
METHODS
A face to face survey was conducted on a representative sample (urban, suburban and rural) of South Australian residents. Respondents provided information on height and weight (self-report), whether they had received lifestyle advice from their GP for weight loss, and for those with self reported hypertension if they had received advice to reduce dietary salt.
RESULTS
The sample included 2947 South Australian adult residents (58% female; BMI (mean (SD)), 26.6 (5.3) kg/m2; age, 50.7 (18.0) years). Ninety-six percent had visited their GP in the past 12 months. Forty-one percent of males and 25% of females were overweight and 19% of males and 20% of females were obese. Twenty-seven percent of overweight/obese respondents reported receiving lifestyle advice for weight loss purposes. Of the 33% who reported they had hypertension, 34% reported receiving advice to reduce salt intake.
CONCLUSIONS
Less than 1/3 of overweight/obese patients reported that they had received lifestyle advice that could assist with weight loss from their GP. About a third of respondents with hypertension reported that they received advice to reduce salt intake. There are potentially missed opportunities in which GPs could provide re-enforcement of benefits of lifestyle changes with respect to weight and blood pressure control.
背景
通过改善营养和体育活动等生活方式，可以预防超重、肥胖和高血压。澳大利亚的全科医生（GP）在一年内可以接触到 90%以上的人口，因此，一般实践环境可能是帮助患者改变生活方式以进行体重管理和高血压管理的理想场所。本研究旨在确定回忆起接受 GP 建议改变生活方式以减轻体重的超重/肥胖患者的比例。还测量了高血压患者减少盐摄入量的建议的回忆率。
方法
对南澳大利亚居民的代表性样本（城市、郊区和农村）进行了面对面调查。受访者提供了身高和体重（自我报告）的信息，是否接受过 GP 关于减肥的生活方式建议，以及那些自我报告患有高血压的人是否接受过减少饮食盐量的建议。
结果
该样本包括 2947 名南澳大利亚成年居民（58%为女性；BMI（平均值（标准差）），26.6（5.3）kg/m2；年龄，50.7（18.0）岁）。96%的人在过去 12 个月内看过他们的 GP。41%的男性和 25%的女性超重，19%的男性和 20%的女性肥胖。27%的超重/肥胖受访者报告接受了减肥生活方式建议。在报告患有高血压的 33%的人中，有 34%报告接受了减少盐摄入量的建议。
结论
不到 1/3 的超重/肥胖患者表示他们从 GP 那里获得了有助于减肥的生活方式建议。大约三分之一的高血压患者报告说他们接受了减少盐摄入量的建议。GP 可能错过了提供强化生活方式改变对体重和血压控制的好处的机会。
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