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BMC Family Practice

, 12:140

Knowledge, attitudes, behaviors, education, and communication

Abstract

BackgroundThe worldwide increase in obesity is becoming a major health concern. General practitioners GPs play a central role in managing obesity. We aimed to examine Swiss GPs self-reported practice in diagnosis and treatment of obesity with a special focus on the performance of waist measurement.

MethodsA structured self-reported questionnaire was mailed to 323 GPs recruited from four urban physician networks in Switzerland. Measures included professional experience, type of practice, obesity-related continuing medical education CME and practice in dealing with obesity such as waist measurement. We assessed the association between the performance of waist measurement and obesity-related CME by multivariate ordered logistic regression controlling for GP characteristics as potential confounders.

ResultsA total of 187 GPs responded to the questionnaire. More than half of the GPs felt confident in managing obesity. The majority of the GPs 73% spent less than 4 days in the last 5 years on obesity-related CME. More than half of GPs gave advice to reduce energy intakes 64%, intakes of high caloric and alcoholic drinks 56% and to increase the physical activity 78%. Half of the GPs seldom performed waist measurement and documentation. The frequency of obesity-related CME was independently associated with the performance of waist measurement when controlled for GPs- characteristics by multivariate ordered logistic regression.

ConclusionsThe majority of GPs followed guideline recommendations promoting physical activity and dietary counselling. We observed a gap between the increasing evidence for waist circumference assessment as an important measure in obesity management and actual clinical practice. Our data indicated that specific obesity-related CME might help to reduce this gap.

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Autor: Carola A Huber - Meichun Mohler-Kuo - Ueli Zellweger - Marco Zoller - Thomas Rosemann - Oliver Senn

Fuente: https://link.springer.com/







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