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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Weight management advice: what do doctors recommend to their patients?
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Weight management advice: what do doctors recommend to their patients?

机译：体重管理建议：医生向患者推荐什么？

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OBJECTIVE: To examine the weight management interventions that a broad population of adults reported receiving from physicians and assess what drug-related and behavioral information physicians provided when they prescribe weight loss medications. METHODS: A random-digit dialed telephone survey was conducted in 2005-2006 with a representative sample of 3,500 American adults. RESULTS: The most frequently reported interventions were having a doctor tell them about the health problems associated with being overweight (48.0%), or suggesting diet and exercise (46.5%). Few respondents reported having been referred to a formal diet program (5.2%), prescribed a weight loss medication (4.0%), recommended a non-prescription weight loss product (1.8%), or recommended stomach bypass surgery (1.5%). The proportion of individuals who reported each intervention increased across levels of body mass index (p<0.001). Of those who reported being prescribed a weight loss medication (n=155), only 29.5% (n=44) reported receiving all six counseling interventions that were assessed. CONCLUSIONS: Many overweight patients have not been advised to lose weight, diet, or exercise, and physicians have been particularly reluctant to recommend medications. When physicians do prescribe medications, appropriate counseling too often fails to accompany the prescription. Efforts are needed to increase the involvement of physicians in guiding patients to effective weight management approaches.
机译：目的：审查重量管理干预措施，即大众数人口报告从医生接受，并评估当检出体重减轻药物时提供的药物有关和行为信息医生。方法：2005 - 2006年随机拨打电话调查，具有3,500名美国成年人的代表性样本。结果：最常报告的干预措施都有医生告诉他们与超重相关的健康问题（48.0％），或建议饮食和运动（46.5％）。据报道，少数受访者已被提交给正规饮食计划（5.2％），规定减肥药（4.0％），建议非处方减肥产品（1.8％），或推荐胃旁路手术（1.5％）。报告每种干预的个体比例在体重指数水平上增加（P <0.001）。在报告的那些被规定的人进行减肥药物（n = 155），只有29.5％（n = 44）报告获得评估的所有六种咨询干预措施。结论：许多超重患者未被建议减肥，饮食或运动，而医生尤为不愿意推荐药物。当医生进行药物药物时，适当的咨询经常未能陪同处方。需要努力来增加医生参与指导患者以获得有效的体重管理方法。

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