ArticleMedical care2017
Electronic Health Record Data Versus the National Health and Nutrition Examination Survey (NHANES): A Comparison of Overweight and Obesity Rates.
Article in Medical care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Electronic health record data quality assessment and tools: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2023Pooled it
- Ninety-Day Readmission and Morbidity Following Liver Transplantation for MASLD.Clinical transplantation · 2026Article
- Evaluating the economic impact of bariatric surgery: A multi-year comparative analysis.American journal of surgery · 2026Article
- Trends in Pediatric Obesity Prevalence Among Community Health Center Patients by Latino Ethnicity and Nativity, 2012-2020.Annals of family medicine · 2025Article
- Using Machine Learning to Predict Weight Gain in Adults: an Observational Analysis From the All of Us Research Program.The Journal of surgical research · 2025Observational
- U.S. weight trends: a longitudinal analysis of an NIH-partnered dataset.International journal of obesity (2005) · 2025Article
- Identifying Young Adults at High Risk for Weight Gain Using Machine Learning.The Journal of surgical research · 2023Article
- Trends and all-cause mortality associated with multimorbidity of non-communicable diseases among adults in the United States, 1999-2018: a retrospective cohort study.Epidemiology and health · 2023Article
- Immune marker reductions in black and white Americans following sleeve gastrectomy in the short-term phase of surgical weight loss.PloS one · 2023Article
- The use of electronic health records to inform cancer surveillance efforts: a scoping review and test of indicators for public health surveillance of cancer prevention and control.BMC medical informatics and decision making · 2022Article
- Cross-national comparisons of health indicators require standardized definitions and common data sources.Archives of public health = Archives belges de sante publique · 2021Article
- Obesity and BMI Cut Points for Associated Comorbidities: Electronic Health Record Study.Journal of medical Internet research · 2021Article
- Joint-adjacent Adipose Tissue by MRI is Associated With Prevalence and Progression of Knee Degenerative Changes: Data from the Osteoarthritis Initiative.Journal of magnetic resonance imaging : JMRI · 2021Article
- Cardiovascular Risk Factors Following Vertical Sleeve Gastrectomy in Black Americans Compared with White Americans.Obesity surgery · 2021Article
- Small area estimation and childhood obesity surveillance using electronic health records.PloS one · 2021Article
- Beyond insurance: race-based disparities in the use of metabolic and bariatric surgery for the management of severe pediatric obesity.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2020Article
- Weight Loss for Patients With Obesity: An Analysis of Long-Term Electronic Health Record Data.Medical care · 2020Observational
- Inverse-probability weighting and multiple imputation for evaluating selection bias in the estimation of childhood obesity prevalence using data from electronic health records.BMC medical informatics and decision making · 2020Article
- US Pediatrician Practices on Early Nutrition, Feeding, and Growth.Journal of nutrition education and behavior · 2020Article
- Characterization of adult obesity in Florida using the OneFlorida clinical research consortium.Obesity science & practice · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundEstimating population-level obesity rates is important for informing policy and targeting treatment. The current gold standard for obesity measurement in the United States-the National Health and Nutrition Examination Survey (NHANES)-samples <0.1% of the population and does not target state-level or health system-level measurement.
objectiveTo assess the feasibility of using body mass index (BMI) data from the electronic health record (EHR) to assess rates of overweight and obesity and compare these rates to national NHANES estimates. RESEARCH
designUsing outpatient data from 42 clinics, we studied 388,762 patients in a large health system with at least 1 primary care visit in 2011-2012. MEASURES: We compared crude and adjusted overweight and obesity rates by age category and ethnicity (white, black, Hispanic, Other) between EHR and NHANES participants. Adjusted overweight (BMI≥25) and obesity rates were calculated by a 2-step process. Step 1 accounted for missing BMI data using inverse probability weighting, whereas step 2 included a poststratification correction to adjust the EHR population to a nationally representative sample.
resultsAdjusted rates of obesity (BMI≥30) for EHR patients were 37.3% [95% confidence interval (95% CI), 37.1-37.5] compared with 35.1% (95% CI, 32.3-38.1) for NHANES patients. Among the 16 different obesity class, ethnicity, and sex strata that were compared between EHR and NHANES patients, 14 (87.5%) contained similar obesity estimates (ie, overlapping 95% CIs).
conclusionsEHRs may be an ideal tool for identifying and targeting patients with obesity for implementation of public health and/or individual level interventions.
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Registered trials
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