Helen P Booth1, A Toby Prevost, Martin C Gulliford. 1. Department of Primary Care and Public Health Sciences, King's College London, 7th Floor Capital House, 42 Weston Street, London SE1 3QD, UK. helen.booth@kcl.ac.uk
Abstract
BACKGROUND: Protecting and promoting the health of obese people is an important public health concern. This study evaluated the recording of body mass index and medical diagnostic codes for obesity in obese patients in UK primary care. METHODS: A cohort study was implemented in the UK General Practice Research Database. Subjects were aged 18-100 years and were diagnosed with obesity between 1997 and 2007. The frequency of obesity monitoring was evaluated. RESULTS: There were 67 000 obese patients at 127 family practices. The proportion of obese patients with no annual body mass index (BMI) record reached 65% of men and 63% of women in 2000, declining to 55 and 48% in 2009. Medical diagnostic codes for obesity were infrequently recorded. The mean BMI of obese patients increased to 35.5 kg/m(2) [95% confidence interval (CI): 35.4-35.7] in men and 37.0 kg/m(2) (95% CI: 36.9-37.1) in women by 2009. In 2009, 37% of obese men with BMI records, and 39% of women, showed a BMI increase of ≥1 kg/m(2) since the previous reading. CONCLUSIONS: Obese patients do not have BMI values recorded regularly. The mean BMI of obese patients, and the proportion gaining weight over time, is increasing. Improved strategies for monitoring and managing obesity are required.
BACKGROUND: Protecting and promoting the health of obesepeople is an important public health concern. This study evaluated the recording of body mass index and medical diagnostic codes for obesity in obesepatients in UK primary care. METHODS: A cohort study was implemented in the UK General Practice Research Database. Subjects were aged 18-100 years and were diagnosed with obesity between 1997 and 2007. The frequency of obesity monitoring was evaluated. RESULTS: There were 67 000 obesepatients at 127 family practices. The proportion of obesepatients with no annual body mass index (BMI) record reached 65% of men and 63% of women in 2000, declining to 55 and 48% in 2009. Medical diagnostic codes for obesity were infrequently recorded. The mean BMI of obesepatients increased to 35.5 kg/m(2) [95% confidence interval (CI): 35.4-35.7] in men and 37.0 kg/m(2) (95% CI: 36.9-37.1) in women by 2009. In 2009, 37% of obesemen with BMI records, and 39% of women, showed a BMI increase of ≥1 kg/m(2) since the previous reading. CONCLUSIONS:Obesepatients do not have BMI values recorded regularly. The mean BMI of obesepatients, and the proportion gaining weight over time, is increasing. Improved strategies for monitoring and managing obesity are required.
Authors: Alison Fildes; Judith Charlton; Caroline Rudisill; Peter Littlejohns; A Toby Prevost; Martin C Gulliford Journal: Am J Public Health Date: 2015-07-16 Impact factor: 9.308
Authors: Steve Van den Bulck; Jonas Crèvecoeur; Bert Aertgeerts; Nicolas Delvaux; Thomas Neyens; Gijs Van Pottelbergh; Patrick Coursier; Bert Vaes Journal: PLoS One Date: 2022-07-06 Impact factor: 3.752
Authors: Lisa D M Verberne; Markus M J Nielen; Chantal J Leemrijse; Robert A Verheij; Roland D Friele Journal: BMC Fam Pract Date: 2018-11-17 Impact factor: 2.497