Featured Research

from universities, journals, and other organizations

Few primary care practices provide effective weight management care

Date:
January 14, 2014
Source:
Health Behavior News Service, part of the Center for Advancing Health
Summary:
Only a quarter of U.S. primary care physicians surveyed are doing a thorough job of helping patients achieve and maintain a healthy weight, finds a study.

Only a quarter of U.S. primary care physicians surveyed are doing a thorough job of helping patients achieve and maintain a healthy weight, finds a study in the American Journal of Health Promotion.

"We found that most primary care practices have few resources for supporting efforts to assess and counsel patients about diet, exercise and weight control," said lead author Carrie Klabunde, Ph.D., of the cancer control and population sciences division of the National Cancer Institute.

A random sample of 1,740 U.S. physicians participated in the study. Each participant completed two sequential questionnaires, one about their work with patients and one about their practice's resources. 26 percent of the participating physicians reported closely following established guidelines for what the authors call "energy balance care." Such guideline-based care would include regular assessment of BMI, counseling on nutrition, physical activity or weight control, and systematic tracking of patients' progress with weight issues over time.

The survey group included office-based family physicians or general internists, obstetrician/gynecologists and pediatricians. Striking specialty differences emerged, with comprehensive weight management services being most commonly offered by pediatricians (40.1 percent) and least often by obstetricians/gynecologist (8.4 percent).

Practices located in the Southeast and in smaller cities or rural areas were less likely to provide comprehensive services than ones in the Northeast or in larger cities. Female physicians and non-white physicians more often provided comprehensive services than males and whites did.

Klabunde noted that the availability of nonphysician staff such as dieticians, nutritionists or health educators and the use of full electronic health records (EHRs) and reminders -- which support comprehensive services -- were especially rare. In addition, the study showed that practices that billed for energy balance services were more likely to provide such counseling and to routinely track patients' progress, as compared to those that didn't bill for the services.

When a primary care physician does seriously encourage patients to control their weight, Klabunde said, their support can "serve as an important prompt for overweight or inactive individuals to adopt better habits."

Cary Wing, Ed.D., a fellow of the American College of Sports Medicine noted that the study showed that there is value in practices using EHRs and in having a designated "prevention champion." The study's results support an emphasis upon primary care physicians embracing "a team approach that leads to a referral pathway to community resources and for follow up by other health and wellness providers," she added.


Story Source:

The above story is based on materials provided by Health Behavior News Service, part of the Center for Advancing Health. Note: Materials may be edited for content and length.


Journal Reference:

  1. Carrie N Klabunde, Steven B Clauser, Benmei Liu, Nicolaas P Pronk, Rachel Ballard-Barbash, Terry T.-K Huang, Ashley Wilder Smith. Organization of Primary Care Practice for Providing Energy Balance Care. American Journal of Health Promotion, 2013; 131107101648003 DOI: 10.4278/ajhp.121219-QUAN-626

Cite This Page:

Health Behavior News Service, part of the Center for Advancing Health. "Few primary care practices provide effective weight management care." ScienceDaily. ScienceDaily, 14 January 2014. <www.sciencedaily.com/releases/2014/01/140114202754.htm>.
Health Behavior News Service, part of the Center for Advancing Health. (2014, January 14). Few primary care practices provide effective weight management care. ScienceDaily. Retrieved September 23, 2014 from www.sciencedaily.com/releases/2014/01/140114202754.htm
Health Behavior News Service, part of the Center for Advancing Health. "Few primary care practices provide effective weight management care." ScienceDaily. www.sciencedaily.com/releases/2014/01/140114202754.htm (accessed September 23, 2014).

Share This



More Health & Medicine News

Tuesday, September 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Liberia Pleads for Help to Fight Ebola

Liberia Pleads for Help to Fight Ebola

AP (Sep. 22, 2014) Liberia's finance minister is urging the international community to quickly follow through on pledges of cash to battle Ebola. Bodies are piling up in the capital Monrovia as the nation awaits more help. (Sept. 22) Video provided by AP
Powered by NewsLook.com
Ebola Doctor Says Border Controls Critical

Ebola Doctor Says Border Controls Critical

AP (Sep. 22, 2014) A Florida doctor who helped fight the expanding Ebola outbreak in West Africa says the disease can be stopped, but only if nations quickly step up their response and make border control a priority. (Sept. 22) Video provided by AP
Powered by NewsLook.com
Global Ebola Aid Increasing But Critics Say It's Late

Global Ebola Aid Increasing But Critics Say It's Late

Newsy (Sep. 21, 2014) More than 100 tons of medical supplies were sent to West Africa on Saturday, but aid workers say the global response is still sluggish. Video provided by Newsy
Powered by NewsLook.com
Sierra Leone in Lockdown to Control Ebola

Sierra Leone in Lockdown to Control Ebola

AP (Sep. 21, 2014) Sierra Leone residents remained in lockdown on Saturday as part of a massive effort to confine millions of people to their homes in a bid to stem the biggest Ebola outbreak in history. (Sept. 20) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins