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荷兰全科医生对体重指数,超重和肥胖的记录实践:一项观察性研究
Willemijn J van den Hout1, Petra G van Peet2, Mattijs E Numans2
1Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands. w.j.van_den_hout@lumc.nl.
BMC primary care
|January 3, 2025
概括
荷兰的全科医生仅在约30%的成年患者中记录了体重指数 (BMI),主要是那些患有慢性疾病的患者. 常规的BMI记录并不是标准实践,尽管它在控制肥胖方面很重要.
科学领域:
- 公共卫生 公共卫生
- 一般的做法一般的做法
- 流行病学 流行病学
背景情况:
- 在电子健康记录 (EHR) 中定期记录体重指数 (BMI) 可以帮助全科医生 (GPs) 管理肥胖患者.
- 这项研究评估了荷兰初级保健中成年人BMI,超重和肥胖记录的做法.
研究的目的:
- 评估目前在成人初级保健患者中记录BMI,超重和肥胖诊断的现行做法.
- 根据年龄,性别和并发症进行子组分析.
主要方法:
- 一项观察性研究利用了来自荷兰外围LUMC学术网络 (ELAN) 的常规医疗保健数据.
- 分析了2007年至2023年期间注册的18岁及以上个体的数据.
- 结果包括BMI发病率,BMI记录比例跨并发症,和诊断比例超重/肥胖相对于记录的BMI.
主要成果:
- 在676,708人中,大约30%的人有BMI记录,在71-80年龄组中观察到的发病率最高.
- 在患有慢性疾病的患者中,BMI的比例更高,例如II型糖尿病 (86.3%) 和高血压 (70.6%).
- 超重和/或肥胖的诊断记录在11.5%的BMI为25~30 kg/m2的个人和36.4%的BMI≥30 kg/m2的个人中.
结论:
- 荷兰的全科医生记录BMI是罕见的,主要发生在患有慢性疾病的患者中.
- 目前的做法表明,常规的BMI记录不是初级保健的标准.
- 鉴于肥胖及其相关并发症的患病率不断上升,建议在初级保健中实施例行BMI记录.
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