Counselling overweight and obese patients in primary care: a prospective cohort study.

Détails

ID Serval
serval:BIB_A3DADF8FEF32
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Counselling overweight and obese patients in primary care: a prospective cohort study.
Périodique
European Journal of Cardiovascular Prevention and Rehabilitation
Auteur⸱e⸱s
Rodondi N., Humair J.P., Ghali W.A., Ruffieux C., Stoianov R., Seematter-Bagnoud L., Stalder H., Pecoud A., Cornuz J.
ISSN
1741-8267
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
13
Numéro
2
Pages
222-228
Langue
anglais
Résumé
BACKGROUND: Primary care physicians are well positioned to provide counselling for overweight and obese patients, but no prospective study has assessed the effectiveness of this counselling in primary care. We aimed to evaluate weight reduction counselling by primary care physicians, and its relationship with weight change and patients' behaviour to control weight. DESIGN: A prospective cohort study. METHODS: We enrolled 523 consecutive overweight and obese patients from two Swiss academic primary care clinics. Physicians and patients were blinded to the study aims. We assessed the use of 10 predefined counselling strategies for weight reduction, and weight change and behaviour to control weight after 1 year. RESULTS: Sixty-five per cent of patients received some form of weight reduction counselling whereas 35% received no counselling. A total of 407 patients completed the 1-year follow-up. Those who received counselling lost on average (SD) 1.0 (5.0) kg after 1 year, whereas those who were not advised gained 0.3 (5.0) kg (P = 0.02). In multivariate analysis, each additional counselling strategy was associated with a mean weight loss of 0.2 kg (95% confidence interval 0.03-0.4, P = 0.02). Patients counselled by their physician had more favourable behaviour to control weight than those not counselled, such as setting a target weight (56 versus 36%) or visiting a dietician (23 versus 10%, both P < 0.001). CONCLUSIONS: Weight reduction counselling by primary care physicians is associated with a modest weight loss and favourable behaviour to control weight. However, many obese and overweight patients receive no advice on weight loss during primary care visits.
Mots-clé
Adult, Body Weight, Cohort Studies, Directive Counseling, Female, Follow-Up Studies, Humans, Male, Middle Aged, Multivariate Analysis, Obesity, Overweight, Physicians, Family, Time Factors, Weight Loss
Pubmed
Web of science
Création de la notice
04/03/2008 14:58
Dernière modification de la notice
20/08/2019 15:09
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