Department of Endocrinology, University Hospital "Dr. José Eleuterio González", Autonomous University of Nuevo León, Ave. Madero y Dr. Eduardo Aguirre Pequeño, s/n Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, México.
Department of Endocrinology, University Hospital "Dr. José Eleuterio González", Autonomous University of Nuevo León, Ave. Madero y Dr. Eduardo Aguirre Pequeño, s/n Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, México.
Obes Res Clin Pract. 2019 Mar-Apr;13(2):164-167. doi: 10.1016/j.orcp.2019.01.003. Epub 2019 Feb 10.
Obesity is a growing epidemic associated with a 30% increase in general mortality. Despite this, diagnosis and treatment is still deficient. A large number of patients with overweight and obesity enter hospitals daily; therefore, the hospital setting could be used as a scenario for intervention in this population.
To determine the frequency of diagnosis and treatment of overweight/obesity in hospitalized patients and to identify the factors involved in the probability of offering a diagnosis and treatment.
Cross-sectional data from 316 patients aged 18 years and over admitted in the Department of Internal Medicine during 2016-2017 period. Logistic regression was used to estimate the relationship between the possible predictors and the diagnosis of overweight and/or obesity and the development of a treatment.
Only 10.8% of the population was diagnosed (overweight 2.6%, obesity 18.8%). Patients with a BMI >40kg/m had a greater probability of being diagnosed (OR=1.87; 95% CI, 2.2-19.4; p=0.001). Only 4.4% of the population received treatment (overweight 3.2%, obesity 5.6%) and the only factor that increased the probability of receiving treatment was having been diagnosed with overweight/obesity in the medical record (OR=2.28; 95% CI, 2.31-41.94; p=0.002).
Despite the high prevalence of overweight and obesity among hospitalized patients, there is no adequate diagnosis and treatment. Future research should be directed at strategies that increase medical recognition of overweight/obesity as well as identifying the long-term benefits of diagnosing overweight/obesity for the reduction and control of body weight.
肥胖是一种日益严重的流行疾病，与总体死亡率增加 30%有关。尽管如此，其诊断和治疗仍然不足。每天都有大量超重和肥胖患者入院，因此，医院环境可以作为干预这部分人群的场景。
确定住院患者超重/肥胖的诊断和治疗频率，并确定影响提供诊断和治疗可能性的因素。
对 2016-2017 年期间内科收治的 316 名 18 岁及以上患者进行横断面数据分析。采用逻辑回归估计可能的预测因素与超重和/或肥胖的诊断以及治疗方案制定之间的关系。
只有 10.8%的人群被诊断出超重（2.6%）或肥胖（18.8%）。BMI>40kg/m2的患者更有可能被诊断为超重或肥胖（OR=1.87；95%CI，2.2-19.4；p=0.001）。只有 4.4%的人群接受了治疗（超重 3.2%，肥胖 5.6%），唯一增加接受治疗可能性的因素是病历中被诊断为超重/肥胖（OR=2.28；95%CI，2.31-41.94；p=0.002）。
尽管住院患者中超重和肥胖的患病率很高，但诊断和治疗却不足。未来的研究应致力于增加医生对超重/肥胖的认识，并确定诊断超重/肥胖对减轻和控制体重的长期益处的策略。
