Pool Andrew C, Kraschnewski Jennifer L, Cover Lindsay A, Lehman Erik B, Stuckey Heather L, Hwang Kevin O, Pollak Kathryn I, Sciamanna Christopher N
Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA, United States.
Obes Res Clin Pract. 2014 Mar-Apr;8(2):e131-9. doi: 10.1016/j.orcp.2013.03.003.
The increasing prevalence of overweight and obesity in the United States and worldwide is at epidemic levels. Physicians may play a vital role in addressing this epidemic. We aimed to examine the association of a physician's discussion of patients’ weight status with self-reported weight loss. We hypothesized that physician discussion of patients’ being overweight is associated with increased weight loss in patients with overweight and obesity.
Data analysis of participants (n = 5054) in the National Health and Nutritional Examination Survey (NHANES) in 2005-2008. The main outcome was rates of self-reported weight loss and the association with physicians’ discussion of their patients’ weight status.
Overweight and obese participants were significantly more likely to report a 5% weight loss in the past year if their doctor had told them they were overweight (adjusted OR (AOR) 1.88; 95% CI 1.45-2.44; AOR 1.79; 95% CI 1.30-2.46, respectively).
Physicians’ direct discussion of their patients’ weight status is associated with clinically significant patient weight loss and may be a targetable intervention. Further studies are needed to determine if increasing physician discussion of patients’ weight status leads to significant weight loss.
超重和肥胖在美国及全球的患病率不断上升，已达到流行程度。医生在应对这一流行病方面可能发挥至关重要的作用。我们旨在研究医生对患者体重状况的讨论与自我报告的体重减轻之间的关联。我们假设医生对患者超重情况的讨论与超重和肥胖患者体重减轻的增加有关。
对2005 - 2008年美国国家健康与营养检查调查（NHANES）中的参与者（n = 5054）进行数据分析。主要结果是自我报告的体重减轻率以及与医生对其患者体重状况讨论的关联。
如果医生告知超重和肥胖参与者他们超重，那么这些参与者在过去一年中报告体重减轻5%的可能性显著更高（调整后的比值比（AOR）分别为1.88；95%置信区间为1.45 - 2.44；AOR为1.79；95%置信区间为1.30 - 2.46）。
医生直接讨论患者的体重状况与临床上显著的患者体重减轻有关，可能是一种可针对的干预措施。需要进一步研究以确定增加医生对患者体重状况的讨论是否会导致显著的体重减轻。
