Abstract | OBJECTIVES: To investigate access to weight management interventions for overweight and obese patients in primary care. SETTING: UK primary care electronic health records. PARTICIPANTS: A cohort of 91 413 overweight and obese patients aged 30-100 years was sampled from the Clinical Practice Research Datalink (CPRD). Patients with body mass index (BMI) values ≥25 kg/m(2) recorded between 2005 and 2012 were included. BMI values were categorised using WHO criteria. INTERVENTIONS: PRIMARY AND SECONDARY OUTCOME MEASURES: The rate of body weight management interventions and time to intervention were the main outcomes. RESULTS: Data were analysed for 91 413 patients, mean age 56 years, including 55 094 (60%) overweight and 36 319 (40%) obese, including 4099 (5%) with morbid obesity. During the study period, 90% of overweight patients had no weight management intervention recorded. Intervention was more frequent among obese patients, but 59% of patients with morbid obesity had no intervention recorded. Rates of intervention increased with BMI category. In morbid obesity, rates of intervention per 1000 patient years were: advice, 60.2 (95% CI 51.8 to 70.4); referral, 75.7 (95% CI 69.5 to 82.6) and antiobesity drugs 89.9 (95% CI 85.0 to 95.2). Weight management interventions were more often accessed by women, older patients, those with comorbidity and those in deprivation. Follow-up of body weight subsequent to interventions was infrequent. CONCLUSIONS: Limited evidence of weight management interventions in primary care electronic health records may result from poor recording of advice given, but may indicate a lack of patient access to appropriate body weight management interventions in primary care.
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Authors | Helen P Booth, A Toby Prevost, Martin C Gulliford |
Journal | BMJ open
(BMJ Open)
Vol. 5
Issue 1
Pg. e006642
(Jan 13 2015)
ISSN: 2044-6055 [Electronic] England |
PMID | 25586371
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. |
Chemical References |
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Anti-Obesity Agents
(therapeutic use)
- Body Mass Index
- Cohort Studies
- Counseling
(statistics & numerical data)
- Electronic Health Records
- Exercise
- Female
- Health Services Accessibility
(statistics & numerical data)
- Humans
- Life Style
- Male
- Middle Aged
- Obesity
(therapy)
- Overweight
(therapy)
- Primary Health Care
(statistics & numerical data)
- Referral and Consultation
(statistics & numerical data)
- United Kingdom
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