ArticleBMC health services research2011
The time burden of overweight and obesity in primary care.
Article in BMC health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed.
- Insights from the POWER practice-based weight loss trial: a focus group study on the PCP's role in weight management.Journal of general internal medicine · 2014Trial
- The burden of obesity in primary care in Italy: Italian real-world overweight/obesity study (ITROS).Eating and weight disorders : EWD · 2025Observational
- Review
- Healthy lifestyle counseling, and barriers perceived by general practitioners in Poland.Frontiers in public health · 2023Article
- Interest, Resources, and Preferences for Weight Loss Programs among Primary Care Patients with Obesity.Patient education and counseling · 2020Article
- Evidence of a gap in understanding obesity among physicians.Obesity science & practice · 2018Article
- A new marker of primary care utilization - annual accumulated duration of time of visits.Israel journal of health policy research · 2017Article
- The prevalence of obesity documentation in Primary Care Electronic Medical Records. Are we acknowledging the problem?Applied clinical informatics · 2017Article
- Raphanus sativus cv. Sango Sprout Juice Decreases Diet-Induced Obesity in Sprague Dawley Rats and Ameliorates Related Disorders.PloS one · 2016Article
- Six Month Outcomes of a Primary Care-Based Weight Loss Trial Using a Lay-Trained Counselor.Journal of obesity & weight loss therapy · 2014Article
- Identifying Opportunities for Advancing Weight Management in Primary Care.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOverweight and obesity are associated with many conditions treated in primary care. Our objectives were: 1) to determine the frequency of weight-related conditions in a national sample of outpatient visits in the United States; 2) to establish the percentage of diagnosis codes and visit codes attributable to overweight and obesity; and 3) to estimate time spent to address these conditions, including time attributable to overweight and obesity itself.
methodsWe analyzed primary care visits from the 2005 and 2006 National Ambulatory Medical Care Survey (NAMCS) in the United States. Weight-related conditions included diabetes, hypertension, hyperlipidemia, obesity, cardiovascular disease, osteoarthritis, and low back pain. We used multivariable logistic regression to estimate an odds ratio for each weight-related condition, which we then converted to an attributable fraction (AF). The AF represents the percentage of diagnosis codes and visit codes attributable to excess weight for that condition. We then divided total visit time among all diagnoses and clinical items addressed at the primary care visit. Finally, to calculate the time attributable to overweight and obesity, we multiplied the AFs by the time spent on each weight-related condition.
resultsThe total number of clinical items (diagnoses + medications + tests + counseling) was estimated to be 7.6 per patient, of which 2.2 were weight-related. Of a total visit time of 21.77 minutes, time spent addressing weight-related conditions was 5.65 minutes (30%), including 1.75 minutes (8.0%) attributable to overweight and obesity.
conclusionsApproximately 8% of time from primary care visits is attributable to overweight and obesity. This estimate is conservative because the NAMCS only allows for coding of three diagnoses addressed per visit. Estimates of the time burden of overweight and obesity provide data to prioritize weight management for prevention and treatment.
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