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Research ArticleOriginal Research

Obesity Evaluation and Intervention During Family Medicine Well Visits

Debra Boardley, Christopher Sherman, Lisa Ambrosetti and Jeffrey Lewis
The Journal of the American Board of Family Medicine May 2007, 20 (3) 252-257; DOI: https://doi.org/10.3122/jabfm.2007.03.060127
Debra Boardley
PhD, RD
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Christopher Sherman
MD
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Lisa Ambrosetti
MS
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Jeffrey Lewis
MD
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Article Figures & Data

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    Table 1.

    Demographic Characteristics and BMI of Patients Presenting for Preventive Care to Family Medicine Providers

    CharacteristicPercentage or Mean ± SD
    Adults (n = 405)
        Female227 (56%)
        Male178 (44%)
        Age48.1 ± 15.5 years
        BMI calculated at well visit257 (63%)
        Height/weight measured at well visit112 (28%)
        BMI calculated within past year26 (6%)
        No height or weight in chart10 (2.5%)
        BMI category
            Underweight (less than 18.5)8 (2%)
            Normal (18.5 to 24.9)80 (20%)
            Overweight (25 to 29.9)128 (32%)
            Obese (30 to 39.9)150 (38%)
            Morbidly obese (greater than 40)29 (7%)
    Children (n = 148)
        Female85 (57%)
        Male63 (43%)
        Age10.3 ± 5.3 years
        BMI-for-age calculated0
        Height and weight measured141 (95%)
        CDC BMI-for-age category*
            Underweight (below 5th percentile)2 (1%)
            Healthy weight (5th to below 85th percentile)73 (52%)
            At risk of overweight (85th to below 95th percentile)38 (27%)
            Overweight (above 95th percentile)28 (20%)
    • * BMI-for-age calculated from charted height, weight, and age data and compared with percentile standards are available at www.cdc.gov/nccdphp/dnpa/bmi/childrens_BMI/about_childrens_BMI.htm.

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    Table 2.

    Percentage of Adult Patients with Chart Documentation of Weight-Related Education by BMI Category

    Education TypeBMI Category
    Overweight (25 to 29.9),n = 128Obese (30 to 39.9),n = 150Morbidly Obese (Greater than 40),n = 29Total,n = 307
    Weight education*
        None79 (62%)67 (45%)11 (38%)157 (51%)
        Minimal39 (30%)65 (43%)13 (45%)117 (38%)
        Detailed10 (8%)18 (12%)5 (17%)33 (11%)
    Diet education†
        None71 (56%)68 (41%)12 (41.%)151 (49%)
        Minimal44 (34.%)67 (44%)9 (31%)120 (39%)
        Detailed13 (10%)15 (10%)8 (28%)36 (12%)
    Exercise education‡
        None83 (65%)82 (55%)16 (55%)181 (59%)
        Minimal35 (28%)57 (38%)9 (31%)102 (33%)
        Detailed9 (7%)11 (7%)4 (14%)24 (8%)
    • * χ2 = 10.78, df = 4, P = .029

    • † χ2 = 11.11, df = 4, P = .025

    • ‡ χ2 = 4.8, df = 4, P = .305.

    • View popup
    Table 3.

    Percentage of Children and Adolescents with Documented Weight-Related Education by BMI Category

    Education TypeBMI Category
    Healthy Weight (5th to Below 85th Percentile),n = 73At Risk of Overweight (85th to Below 95th Percentile),n = 38Overweight (Above 95th Percentile),n = 28Total,n = 139
    Weight education*
        None44 (60%)19 (50%)13 (46%)76 (55%)
        Minimal29 (40%)19 (50%)14 (50%)62 (45%)
        Detailed001 (4%)1 (<1%)
    Diet education†
        None34 (47%)16 (42%)11 (39%)61 (44%)
        Minimal39 (53%)22 (58%)15 (54%)76 (55%)
        Detailed002 (7%)2 (1%)
    Exercise education‡
        None42 (58%)18 (47%)14 (50%)74 (53%)
        Minimal31 (42%)20 (53%)13 (46%)64 (46%)
        Detailed001 (4%)1 (<1%)
    • * χ2 = 5.703, df = 4, P = .22

    • † χ2 = 8.31, df = 4, P = .081

    • ‡ χ2 = 5.080, df = 4, P = .279.

    • View popup
    Table 4.

    Percentage of Child and Adolescent Medical Charts with Standardized Growth Charts

    Age GroupnNumber with Growth Charts
    2 to 5 years4141 (100%)
    6 to 10 years2927 (93%)
    11 to 14 years3320 (61%)
    15 to 18 years4515 (33%)
    • χ2 = 55.87, df = 3, P < .001.

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The Journal of the American Board of Family Medicine: 20 (3)
The Journal of the American Board of Family Medicine
Vol. 20, Issue 3
May-June 2007
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Obesity Evaluation and Intervention During Family Medicine Well Visits
Debra Boardley, Christopher Sherman, Lisa Ambrosetti, Jeffrey Lewis
The Journal of the American Board of Family Medicine May 2007, 20 (3) 252-257; DOI: 10.3122/jabfm.2007.03.060127

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Obesity Evaluation and Intervention During Family Medicine Well Visits
Debra Boardley, Christopher Sherman, Lisa Ambrosetti, Jeffrey Lewis
The Journal of the American Board of Family Medicine May 2007, 20 (3) 252-257; DOI: 10.3122/jabfm.2007.03.060127
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