...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of human nutrition and dietetics >Weight change and initial nonattendance rates in a multidisciplinary clinic.
【24h】

Weight change and initial nonattendance rates in a multidisciplinary clinic.

机译：多学科诊所的体重变化和初始缺勤率。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: The clinic was established in 1998 in response to the need for a local service for patients with obesity. It offers a multidisciplinary approach to managing obesity in a secondary care setting. Key members of the team include doctors, dietitians, physiotherapists and nurses. Referral criteria were a body mass index (BMI) >40 or BMI > 35 with two or more comorbidities. Referrals were accepted from primary or secondary care. The aims of the clinic are to halt further weight gain and promote 5-10% weight loss and then weight maintenance over 2 years. There are few published studies looking at the outcomes of hospital-based obesity clinics. Patients referred to such clinics are likely to have made several attempts at weight loss and be considerably heavier than patients presenting in primary care for weight management. The aims of this study were to assess weight change and initial nonattendance rates in patients referred to a multidisciplinary weight management clinic. Methods: Data were collected from 103 consecutive patients referred to the weight management clinic over 7 months starting in March 2005. The data were collected retrospectively from clinical letters. Data collected included initial weight and BMI, weight at 6 and 12 months and the latest weight available if after 12 months. Absolute weight change and percentage change were calculated as well as the number of patients achieving clinically significant weight losses at each of the time points. Results: Initial nonattendance rates to the clinic was 15%. Table 1 shows the weight change at each of the time-points audited: Discussion: The multidisciplinary clinic resulted in approximately a third of patients continuing to attend the clinic losing a clinically significant amount of weight of 5% or more (Goldstein, 1992). At any time-point most patients continuing to attend lost weight which is encouraging as there is evidence that even lesser degrees of weight loss can be advantageous to health (Stevens et al., 2001). Only 15% of those referred did not attend the initial appointment and approximately 53% of those patients who attended the initial appointment were continuing to attend at 1 year and 39% at approximately 18 months to 2 years. Conclusions: A multidisciplinary clinic is effective in facilitating significant weight loss in patients with morbid obesity. References Goldstein, D.J. (1992) Beneficial health effects of modest weight loss. Int. J. obes. Relat. Meta. Disord. 16, 397-415. Stevens, V.J., Obarzanek, E., Cook, N.R., Lee, I.-M., Appel, L.J., Smithwest, D., Milas, N.C., MaHfeldt-Beman, M., Belden, L., Bragg, C., Millstone, M., Raczynski, J., Brewer, A., Singh, B. & Cohen, J. (2001) Long term weight loss and changes in blood pressure: results of the Trials of Hypertension Prevention, phase II. Ann. Intern. Med.134: 1-11.
机译：背景：该诊所于1998年成立，旨在满足肥胖患者就地服务的需求。它为二级保健机构中的肥胖症管理提供了多学科的方法。团队的主要成员包括医生，营养师，物理治疗师和护士。推荐标准为体重指数（BMI）> 40或BMI> 35，并伴有两种以上合并症。从初级或二级医疗机构接受转诊。该诊所的目的是阻止体重进一步增加，促进5-10％的体重减轻，然后在2年内保持体重。很少有研究针对以医院为基础的肥胖诊所的结局进行研究。转诊至此类诊所的患者可能已经尝试过多种减肥方法，并且比体重管理初级保健中的患者重得多。这项研究的目的是评估转诊至多学科体重管理诊所的患者的体重变化和最初的出勤率。方法：从2005年3月开始的7个月内，从连续103例转诊至体重管理诊所的患者中收集数据。收集的数据包括初始体重和BMI，6和12个月时的体重以及12个月后可获得的最新体重。计算了绝对体重变化和百分比变化以及在每个时间点实现临床意义上的体重减轻的患者数量。结果：诊所的初始缺勤率为15％。表1显示了在每个审核的时间点的体重变化：讨论：多学科诊所导致继续前往诊所的大约三分之一患者的临床体重减轻了5％或更多（Goldstein，1992）。在任何时间点，大多数患者都会继续减肥，这令人鼓舞，因为有证据表明，减轻体重的程度甚至对健康也有好处（Stevens等，2001）。被转诊的患者中只有15％没有参加初诊，参加初诊的患者中约有53％在1年时继续就诊，在约18个月至2年时仍在继续就诊（39％）。结论：多学科诊所可有效地促进病态肥胖患者的体重减轻。参考Goldstein，D.J. （1992）适度减肥的有益健康影响。诠释J.肥胖。相关。元不和谐16，397-415。史蒂文斯（VJ），奥巴扎内克（E.Obarzanek），库克（Cook），NR，李。密西根州（L.），阿珀尔（Appel），LJ，史密斯威斯特（D.） ，Millstone，M.，Raczynski，J.，Brewer，A.，Singh，B.＆Cohen，J.（2001）长期体重减轻和血压变化：高血压预防试验的结果，第二阶段。安实习生。 Med.134：1-11。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号