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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：检查大量成年人报告从医生那里接受的体重管理干预措施，并评估医生在开减肥药时提供的药物相关信息和行为信息。方法：2005-2006年对3500名美国成年人进行了随机数字拨号电话调查。结果：最常报告的干预措施是让医生告诉他们与超重相关的健康问题（48.0%），或建议饮食和锻炼（46.5%）。很少有受访者报告曾参加过正式的饮食计划（5.2%）、开过减肥药（4.0%）、推荐过非处方减肥产品（1.8%）或推荐过胃旁路手术（1.5%）。报告每次干预的个体比例在不同体重指数水平上有所增加（p<0.001）。在那些报告服用减肥药（n=155）的人中，只有29.5%（n=44）报告接受了所有六项评估的咨询干预。结论：许多超重患者没有被建议减肥、节食或锻炼，医生尤其不愿意推荐药物。当医生开处方时，适当的咨询往往无法配合处方。需要努力增加医生的参与，引导患者采用有效的体重管理方法。

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