scholarly journals Dietetic treatment lowers body mass index in overweight patients: an observational study in primary health care

2013 ◽  
Vol 27 (5) ◽  
pp. 426-433 ◽  
Author(s):  
J. Tol ◽  
I. C. Swinkels ◽  
D. H. de Bakker ◽  
J. Seidell ◽  
C. Veenhof
Keyword(s):  
Health Care ◽  
Body Mass Index ◽  
Primary Health Care ◽  
Observational Study ◽  
Body Mass ◽  
Dietetic Treatment ◽  
Primary Health

scholarly journals Analysis of risk factors for osteopenia and osteoporosis among adults and elderly in primary health care

2020 ◽  
Vol 8 (1) ◽  
pp. 263-274
Author(s):  
Aniandra Karol Gonçalves Sgarbi ◽  
Kátia Gianlupi Lopes ◽  
Márcia Regina Martins Alvarenga
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Health Care ◽  
Body Mass Index ◽  
Primary Health Care ◽  
Body Mass ◽  
Family Health ◽  
Normal Body Mass Index ◽  
Primary Care Center ◽  
Primary Health

Objective: To analyze the distribution of risk factors for osteopenia and osteoporosis among adults and elderly in primary care. Method: sectional study of quantitative approach. Random sample extracted from registered adults and elderly from the five Family Health Strategy units belonging to an Expanded Family Health and Primary Care Center in Dourados, MS. Data collected between March and December 2015. The sample consisted of 44 adults and 103 elderly, of which only 109 performed all examinations. Body mass index, bone densitometry, serum calcium, 25 serum hydroxyvitamin D and a structured questionnaire were used. Results: The factors that were significantly associated with the risk of osteopenia and osteoporosis (p <0,05) were female gender, alcohol consumption and normal body mass index. Conclusion: the identification of these risk factors made it possible to trace their distribution profile, which will be of great value for carrying out health promotion actions and prevention of these diseases in Primary Health Care.

scholarly journals Body Mass Index Assessment of Health Care Professionals in a Primary Care Setting in Portugal: a Cross Sectional Study

2014 ◽  
Vol 27 (5) ◽  
pp. 609 ◽  
Author(s):  
Inês Campos-Matos ◽  
André Peralta-Santos ◽  
Bernardo Gomes ◽  
Gustavo Borges ◽  
Pedro Aguiar
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Body Mass Index ◽  
Primary Health Care ◽  
Body Mass ◽  
Health Care Professionals ◽  
Care Setting ◽  
Primary Care Setting ◽  
Cross Sectional ◽  
Primary Health

<p><strong>Introduction:</strong> Obesity is an important public health problem because it is a risk factor for numerous diseases and is associated with a higher death risk. Evidence concerning the prevalence of excess weight in health professionals is scarce and this group is often overlooked in weight interventions programs. This paper aims to estimate the prevalence of obesity and overweight among Portuguese primary health care professionals and to describe differences between occupational groups.<br /><strong>Material and Methods:</strong> This was a cross sectional study based on a primary care setting in Portugal in 2011. We collected data on occupation, age, sex and height of professionals from four primary care centers. We did a descriptive analysis of the main variables and an analysis of covariance to compare mean Body Mass Index.<br /><strong>Results:</strong> Our sample represented 52.8% of the total population of the four primary care centers, and 38.6% were overweight and 16.9% were obese. When adjusted for age and gender, health service personnel had the highest average Body Mass Index, followed by nurses, physicians, and superior technicians, in that order.<br /><strong>Discussion:</strong> Although we can’t ensure the generalisation of the results and cannot exclude the possibility of sampling bias, these results suggest high prevalence obesity and overweight in workers of primary health care in Portugal.<br /><strong>Conclusion:</strong> In this primary care setting more than half of the health care professionals were overweight or obese. Tailored interventions might be needed to tackle this issue.</p><p><br /><strong>Keywords:</strong> Body Mass Index; Health Personnel; Obesity; Portugal; Primary Health Care; Prevalence.</p>

scholarly journals Obesity and Perceived Body Shape among Adults Attending Primary Health Care Centers in Jeddah

2020 ◽  
pp. 147-155
Author(s):  
Rajaa Mohammad Al-Raddadi ◽  
Saad Abdullah Alholaibi ◽  
Ammar Abdulwadood Albakistani ◽  
Sultan Sameer Alrabghi ◽  
Reem Masoud Hafiz ◽  
...  
Keyword(s):  
Health Care ◽  
Body Mass Index ◽  
Body Image ◽  
Primary Health Care ◽  
Waist Circumference ◽  
Body Mass ◽  
Neck Circumference ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background: Body image can be defined as how an individual believes, realizes and gets along with their physical appearance. The relationship between obesity and body image is complex as studies argue that the image of the body might be influenced by obesity over psychological problems, which affects the quality of an adult's life. Aim:  To identify the association between perceived body image and obesity. Study Design: An analytical cross-sectional. Place and Duration: the study was conducted in two primary health care centers in Jeddah City, Saudi Arabia during 2020. Methodology: Target sample was 425 cases of Saudi adults of 20 years of age and above. Data was collected using questionnaire includes demographic characteristics, body image questionnaire. Anthropometric measurements include waist, Hip and neck circumference, and waist, height and weight were measured. Results: men constitute 250 (58.8%) and 175 women (41.1%). Regarding marital status majority of participants were married (71.8%). The prevalence of obesity according to Body mass index was 37.6% among men and 42.9% among women, by high Waist circumference it was 68.8% among men and 84.6% women, using waist hip ratio, the prevalence among men was 64.8% and 53.7% among women. Neck circumference 57.2% among men and 53% for women. The prevalence of high Waist Hight Ratio was 89.2% among men and 86.9% for women. Women showed higher Waist circumference underestimation compared to men. Using Body mass index men exhibited higher underestimation for obesity and women for overweight. However, the significant associations between Perceived body image, waist height ratio and neck circumference were showed only among men. In general, obese participants are more likely to underestimate their actual body image by all obesity measurements. Conclusion: A discrepancy was found in the PBI compared to different anthropometric measurements. Obese women are more likely to underestimate their obesity than men.

scholarly journals Intermediate weight changes and follow-up of dietetic treatment in primary health care: an observational study

BMC Nutrition ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Lisa D. M. Verberne ◽  
Chantal J. Leemrijse ◽  
Markus M. J. Nielen ◽  
Roland D. Friele
Keyword(s):  
Health Care ◽  
Body Mass Index ◽  
Weight Loss ◽  
Primary Health Care ◽  
Obese Patients ◽  
Weight Changes ◽  
Dietetic Treatment ◽  
Weight Losses ◽  
Primary Health

Abstract Background Primary health care data have shown that most patients who were treated for overweight or obesity by a dietitian did not accomplish the recommended treatment period. It is hypothesised that a slow rate of weight loss might discourage patients from continuing dietetic treatment. This study evaluated intermediate weight changes during regular dietetic treatment in Dutch primary health care, and examined whether weight losses at previous consultations were associated with attendance at follow-up consultations. Methods This observational study was based on real life practice data of overweight and obese patients during the period 2013–2017, derived from Dutch dietetic practices that participated in the Nivel Primary Care Database. Multilevel regression analyses were conducted to estimate the mean changes in body mass index (BMI) during six consecutive consultations and to calculate odds ratios for the association of weight change at previous consultations with attendance at follow-up consultations. Results The total study population consisted of 25,588 overweight or obese patients, with a mean initial BMI of 32.7 kg/m2. The BMI decreased between consecutive consultations, with the highest weight losses between the first and second consultation. After six consultations, a mean weight loss of − 1.5 kg/m2 was estimated. Patients who lost weight between the two previous consultations were more likely to attend the next consultation than patients who did not lose weight or gained weight. Conclusions Body mass index decreased during consecutive consultations, and intermediate weight losses were associated with a higher attendance at follow-up consultations during dietetic treatment in overweight patients. Dietitians should therefore focus on discussing intermediate weight loss expectations with their patients.

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