Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Prev Med. 2013 May;56(5):326-8. doi: 10.1016/j.ypmed.2013.01.012. Epub 2013 Feb 8.
To describe the relationship between primary care physicians' (PCPs') beliefs about the causes of obesity with the frequency of nutritional counseling.
We analyzed a national cross-sectional internet-based survey of 500 US PCPs collected between February and March 2011.
PCPs that identified overconsumption of food as a very important cause of obesity had significantly greater odds of counseling patients to reduce portion sizes (OR 3.40; 95%CI: 1.73-6.68) and to avoid high calorie ingredients when cooking (OR 2.16; 95%CI: 1.07-4.33). Physicians who believed that restaurant/fast food eating was a very important cause of obesity had significantly greater odds of counseling patients to avoid high calorie menu items outside the home (OR 1.93; 95%CI: 1.20-3.11). Physicians who reported that sugar-sweetened beverages were a very important cause of obesity had significantly greater odds of counseling their obese patients to reduce consumption (OR 5.99; 95%CI: 3.53-10.17).
PCP beliefs about the diet-related causes of obesity may translate into actionable nutritional counseling topics for physicians to use with their patients.
描述初级保健医生（PCP）对肥胖原因的看法与营养咨询频率之间的关系。
我们分析了 2011 年 2 月至 3 月期间在全美范围内进行的一项基于互联网的 500 名美国 PCP 医生的横断面调查。
将食物摄入过量视为肥胖非常重要原因的 PCP 医生，在为患者提供减少食物份量（OR3.40；95%CI：1.73-6.68）和烹饪时避免高热量成分（OR2.16；95%CI：1.07-4.33）的建议方面，其可能性明显更高。认为餐馆/快餐是肥胖的非常重要原因的医生，更有可能建议患者避免在家外食用高热量的菜单项目（OR1.93；95%CI：1.20-3.11）。认为含糖饮料是肥胖的非常重要原因的医生，更有可能建议其肥胖患者减少摄入量（OR5.99；95%CI：3.53-10.17）。
PCP 对肥胖与饮食相关原因的看法可能转化为医生可用于患者的可行营养咨询主题。
