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Evaluation of Obesity Management Recorded in Electronic Clinical History: A Cohort Study

Background: The prevalence of obesity is increasing worldwide. Because of their close proximity to the population, primary care physicians and nurses are in a unique position to motivate and advise patients with obesity on a healthy diet and increased physical activity. Drawing from information reco...

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Autores principales: Trujillo-Garrido, Nuria, Bernal-Jiménez, María Ángeles, Santi-Cano, María J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7465947/
https://www.ncbi.nlm.nih.gov/pubmed/32717839
http://dx.doi.org/10.3390/jcm9082345
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author Trujillo-Garrido, Nuria
Bernal-Jiménez, María Ángeles
Santi-Cano, María J.
author_facet Trujillo-Garrido, Nuria
Bernal-Jiménez, María Ángeles
Santi-Cano, María J.
author_sort Trujillo-Garrido, Nuria
collection PubMed
description Background: The prevalence of obesity is increasing worldwide. Because of their close proximity to the population, primary care physicians and nurses are in a unique position to motivate and advise patients with obesity on a healthy diet and increased physical activity. Drawing from information recorded in electronic clinical records, we evaluated how the general recommendations included in obesity guidelines are being implemented in routine clinical practice. Methods: This study drew from the following data from a cohort of 209 patients with obesity that attended primary care consultations: electronic clinical records, body mass index (BMI), waist circumference (WC), cardiovascular risk factors, comorbidities and whether their health professional documented compliance with the recommendations of the evidence-based obesity guidelines in their electronic history. Results: Only 25.4% of the clinical records met all the criteria established in the therapeutic guidelines regarding diet prescription, 1.4% for physical activity and 1.5% for behavioral change activities. The patients whose records mentioned diet prescription and physical activity and who received follow-up consultations for both factors had lower average BMI and WC, although this relationship was not significant after adjusting for baseline. Conclusions: We found that only a small number of records in the electronic clinical histories followed the evidence-based obesity guidelines. Recording dietetic prescription and physical exercise in the patient’s clinical record is associated with better control of obesity.
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spelling pubmed-74659472020-09-04 Evaluation of Obesity Management Recorded in Electronic Clinical History: A Cohort Study Trujillo-Garrido, Nuria Bernal-Jiménez, María Ángeles Santi-Cano, María J. J Clin Med Article Background: The prevalence of obesity is increasing worldwide. Because of their close proximity to the population, primary care physicians and nurses are in a unique position to motivate and advise patients with obesity on a healthy diet and increased physical activity. Drawing from information recorded in electronic clinical records, we evaluated how the general recommendations included in obesity guidelines are being implemented in routine clinical practice. Methods: This study drew from the following data from a cohort of 209 patients with obesity that attended primary care consultations: electronic clinical records, body mass index (BMI), waist circumference (WC), cardiovascular risk factors, comorbidities and whether their health professional documented compliance with the recommendations of the evidence-based obesity guidelines in their electronic history. Results: Only 25.4% of the clinical records met all the criteria established in the therapeutic guidelines regarding diet prescription, 1.4% for physical activity and 1.5% for behavioral change activities. The patients whose records mentioned diet prescription and physical activity and who received follow-up consultations for both factors had lower average BMI and WC, although this relationship was not significant after adjusting for baseline. Conclusions: We found that only a small number of records in the electronic clinical histories followed the evidence-based obesity guidelines. Recording dietetic prescription and physical exercise in the patient’s clinical record is associated with better control of obesity. MDPI 2020-07-23 /pmc/articles/PMC7465947/ /pubmed/32717839 http://dx.doi.org/10.3390/jcm9082345 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Trujillo-Garrido, Nuria
Bernal-Jiménez, María Ángeles
Santi-Cano, María J.
Evaluation of Obesity Management Recorded in Electronic Clinical History: A Cohort Study
title Evaluation of Obesity Management Recorded in Electronic Clinical History: A Cohort Study
title_full Evaluation of Obesity Management Recorded in Electronic Clinical History: A Cohort Study
title_fullStr Evaluation of Obesity Management Recorded in Electronic Clinical History: A Cohort Study
title_full_unstemmed Evaluation of Obesity Management Recorded in Electronic Clinical History: A Cohort Study
title_short Evaluation of Obesity Management Recorded in Electronic Clinical History: A Cohort Study
title_sort evaluation of obesity management recorded in electronic clinical history: a cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7465947/
https://www.ncbi.nlm.nih.gov/pubmed/32717839
http://dx.doi.org/10.3390/jcm9082345
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