Weight related health status of patients treated by dietitians in primary care practice: first results of a cohort study: first results of a cohort study

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Abstract

BACKGROUND: Overweight and obesity are common in the Netherlands: in 2006 51% of adult men and 42% of adult women were overweight; 10% of men and 12% of women were obese. Patients with overweight or obesity in the Netherlands are often referred to dietitians in primary care for weight loss treatment. We followed a prospective observational cohort to study the effectiveness of this treatment and present the baseline results in this article.

METHODS: We invited dietitians throughout the country, who completed at baseline a questionnaire for each patient including weight, stature, waist circumference, age, gender, morbidities, medication, education level, ethnicity, referral, treatment expectations, history of previous weight loss attempts, and exercise.

RESULTS: At baseline data from 1546 patients were obtained from 158 dietitians working in 26 practices. The majority (73%) of patients were obese (BMI ≥ 30 kg/m2); and 10% had a BMI of 40 kg/m2 or more. The majority of patients (94%) had a high to extremely high weight related health risk (WRHR): (BMI 25-30 kg/m2 with comorbidities, or BMI 30-35 kg/m2 without comorbidities, up to BMI ≥35 with comorbidities and BMI ≥40 with or without comorbidities). More than half (57%) had comorbidities and a long history of weight loss attempts. An extremely high WRHR was seen in 24.5% of the sample. Patients with very high to extremely high WRHR often had type 2 diabetes mellitus; hypertension; dyslipidaemia; osteo arthritis; and sleep apnoea. Patients of middle and old age had a higher risk for very high and extremely high WRHR. Those with other comorbidities and those who asked for referral themselves had a lower risk.

CONCLUSION: The study was effective in recruiting dietitians to participate. The sample is representative for dietitians working in primary care. The majority of patients (94%) had a high to extremely high weight related health risk (WRHR).

Original languageEnglish
JournalBMC Family Practice
Volume15
Issue number161
DOIs
Publication statusPublished - 2014

Keywords

  • Adult
  • Aged
  • Arthritis
  • Cohort Studies
  • Comorbidity
  • Diabetes Mellitus, Type 2
  • Dyslipidemias
  • Female
  • Health Status
  • Humans
  • Hypertension
  • Male
  • Middle Aged
  • Netherlands
  • Nutritionists
  • Obesity
  • Overweight
  • Patient Selection
  • Primary Health Care
  • Prospective Studies
  • Regression Analysis
  • Research Personnel
  • Risk Factors
  • Sleep Apnea Syndromes
  • Treatment Outcome
  • Weight Reduction Programs
  • Young Adult
  • Journal Article
  • Observational Study
  • Research Support, Non-U.S. Gov't

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