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Research ArticleOriginal Research

Patient Understanding of Body Mass Index (BMI) in Primary Care Practices: A Two-State Practice-based Research (PBR) Collaboration

Robert E. Post, Megha Mendiratta, Treah Haggerty, Alexia Bozek, Gregory Doyle, Jun Xiang and Dana E. King
The Journal of the American Board of Family Medicine July 2015, 28 (4) 475-480; DOI: https://doi.org/10.3122/jabfm.2015.04.140279
Robert E. Post
From the Department of Family Medicine, Virtua Health, Voorhees, NJ (REP, MM); and Department of Family Medicine, West Virginia University, Morgantown (TH, AB, GD, JX, DEK).
MD, MS
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Megha Mendiratta
From the Department of Family Medicine, Virtua Health, Voorhees, NJ (REP, MM); and Department of Family Medicine, West Virginia University, Morgantown (TH, AB, GD, JX, DEK).
MD
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Treah Haggerty
From the Department of Family Medicine, Virtua Health, Voorhees, NJ (REP, MM); and Department of Family Medicine, West Virginia University, Morgantown (TH, AB, GD, JX, DEK).
MD
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Alexia Bozek
From the Department of Family Medicine, Virtua Health, Voorhees, NJ (REP, MM); and Department of Family Medicine, West Virginia University, Morgantown (TH, AB, GD, JX, DEK).
MD
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Gregory Doyle
From the Department of Family Medicine, Virtua Health, Voorhees, NJ (REP, MM); and Department of Family Medicine, West Virginia University, Morgantown (TH, AB, GD, JX, DEK).
MD
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Jun Xiang
From the Department of Family Medicine, Virtua Health, Voorhees, NJ (REP, MM); and Department of Family Medicine, West Virginia University, Morgantown (TH, AB, GD, JX, DEK).
PhD
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Dana E. King
From the Department of Family Medicine, Virtua Health, Voorhees, NJ (REP, MM); and Department of Family Medicine, West Virginia University, Morgantown (TH, AB, GD, JX, DEK).
MD, MS
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Article Figures & Data

Tables

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    Table 1. Descriptive Statistics of Survey Patients' Body Mass Index Knowledge
    BMI Knowledge QuestionsWest VirginiaNew JerseyWest Virginia and New JerseyP Value*
    What does BMI stand for?60.358.859.9.75
    BMI is related to what medical concern?50.149.349.9.87
    A BMI of 25 or greater means…18.016.217.5.64
    A BMI of 30 or greater means…18.512.816.8.12
    A BMI of 40 or greater means…14.314.914.5.88
    Do you know what your BMI is?18.712.216.8.07
    • Data are percentages choosing the correct answer.

    • ↵* χ2 Comparison of responses of body mass index (BMI) knowledge questions between patients from West Virginia and patients from New Jersey.

    • View popup
    Table 2. Descriptive Statistics of Body Mass Index Survey Patients' Demographic Characteristics
    CharacteristicsWest VirginiaNew JerseyWest Virginia and New JerseyP Value*
    Age, years (mean ± SD)48.9 ± 17.448.4 ± 17.248.7 ± 17.3.77
    Sex (%)
        Male42.247.343.7.29
        Female57.852.756.3
    Calculated BMI based on self-reported height and weight (mean ± SD)28.9 ± 7.129.5 ± 7.329.1 ± 7.2.46
    Weight status based on BMI calculated from self-reported height and weight (%)
        Underweight (BMI <18.5)2.31.42.0.91
        Normal weight (BMI 18.5–24.9)27.828.427.9
        Overweight (BMI 25–29.9)31.231.831.3
        Obese (BMI ≥30)38.838.538.7
    Presence of comorbid conditions (%)
        Hypertension (self-reported)40.141.940.6.71
        Hyperlipidemia (self-reported)33.525.731.2.08
        Diabetes mellitus (self-reported)13.915.514.4.64
        Sleep apnea (self-reported)10.18.89.7.65
        Obesity (based on calculated BMI)38.838.538.7.95
    • ↵* Comparisons of demographic characteristics between patients from West Virginia and patients from New Jersey using t test for continuous variables (age and calculated body mass index [BMI]) or χ2 test for categorical variables (sex, BMI group, and presence of comorbid conditions).

    • SD, standard deviation.

    • View popup
    Table 3. Responses of Body Mass Index Knowledge Questions and Comorbid Conditions for Patients With Body Mass Index <30 versus Patients With Body Mass Index ≥30 (West Virginia and New Jersey)
    BMI Knowledge Questions and Comorbid ConditionsOverall (n = 511)Patients With BMI <30 (n = 307)Patients With BMI >30 (n = 194)Odds Ratio (95% CI)*P Value†
    Knowledge questions
        What does BMI stand for?‡59.960.959.30.93 (0.65–1.35).72
        BMI is related to what medical concern?‡49.950.250.00.99 (0.69–1.42).97
        A BMI of 25 or greater means…‡17.517.617.10.97 (0.60–1.56).89
        A BMI of 30 or greater means…‡16.815.619.11.27 (0.79–2.04).32
        A BMI of 40 or greater means…‡14.513.416.01.23 (0.74–2.05).41
        Do you know what your BMI is?‡16.821.410.40.43 (0.25–0.73).002
        Have you heard of BMI before this survey?§60.563.458.00.80 (0.55–1.15).23
        Has your doctor ever discussed BMI with you?§17.116.618.11.11 (0.69–1.79).66
    Comorbid conditions (%)
        Hypertension40.631.755.52.69 (1.85–3.90)<.001
        Hyperlipidemia31.226.738.01.68 (1.14–2.48).008
        Diabetes mellitus14.49.522.62.78 (1.67–4.64)<.001
        Sleep apnea9.75.316.43.49 (1.85–6.59)<.001
    • ↵* Odds ratio of body mass index (BMI) knowledge questions or comorbid conditions, comparing patients with a BMI ≥30.0 with patients with a BMI <30.0.

    • ↵† χ2 Comparison of responses of BMI knowledge questions between patients with a BMI <30.0 and patients with a BMI ≥30.0.

    • ↵‡ Percentage with the correct answer.

    • ↵§ Percentage answering “yes.”

    • CI, confidence interval.

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The Journal of the American Board of Family     Medicine: 28 (4)
The Journal of the American Board of Family Medicine
Vol. 28, Issue 4
July-August 2015
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Patient Understanding of Body Mass Index (BMI) in Primary Care Practices: A Two-State Practice-based Research (PBR) Collaboration
Robert E. Post, Megha Mendiratta, Treah Haggerty, Alexia Bozek, Gregory Doyle, Jun Xiang, Dana E. King
The Journal of the American Board of Family Medicine Jul 2015, 28 (4) 475-480; DOI: 10.3122/jabfm.2015.04.140279

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Patient Understanding of Body Mass Index (BMI) in Primary Care Practices: A Two-State Practice-based Research (PBR) Collaboration
Robert E. Post, Megha Mendiratta, Treah Haggerty, Alexia Bozek, Gregory Doyle, Jun Xiang, Dana E. King
The Journal of the American Board of Family Medicine Jul 2015, 28 (4) 475-480; DOI: 10.3122/jabfm.2015.04.140279
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