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Related Concept Videos

Obesity01:24

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The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
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Assessment of Child Anthropometry in a Large Epidemiologic Study
09:36

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Published on: February 2, 2017

Screening for obesity: clinical tools in evolution, a WREN study.

Paul D Smith1, Peggy O'Halloran, David L Hahn

  • 1University of Wisconsin, Department of Family Medicine, 1100 Delaplaine Ct, Madison, WI 53715, USA. paul.smith@fammed.wisc.edu

WMJ : Official Publication of the State Medical Society of Wisconsin
|November 12, 2010
PubMed
Summary

Most Wisconsin family physicians support obesity screening, but fewer believe it is feasible. A toolkit was introduced, but its causal effect on trends remains undetermined.

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Family Medicine

Background:

  • The US Preventive Services Task Force (USPSTF) recommends obesity screening for all adults.
  • Current recommendations lack evidence of patient-oriented benefits like reduced morbidity or mortality.

Purpose of the Study:

  • To assess trends in clinician attitudes towards obesity screening before and after the introduction of an American Academy of Family Physicians (AAFP) toolkit.
  • To evaluate changes in the use of body mass index (BMI) and other screening modalities.

Main Methods:

  • Three cross-sectional attitudinal surveys of Wisconsin family physicians were conducted between 2005 and 2007.
  • Surveys were administered before and after physicians received the Americans In Motion (AIM) to Change Toolkit.

Main Results:

  • Routine measurement of adult weight was nearly universal (98%-99%).
  • Routine measurement of adult height increased significantly (57% to 74%), enabling BMI calculation.
  • While most clinicians agreed on the importance of obesity screening (91%-96%), fewer found it feasible or effective.

Conclusions:

  • Many Wisconsin family physicians support obesity screening, yet concerns about feasibility persist.
  • The study could not establish a causal link between the AIM toolkit's distribution and observed temporal trends in screening attitudes.