Obesity impacts on general practice appointments

Broom, John I., Brown, Jenny E., McQuigg, Maria S., Laws, Rachel A., Reckless, John P., Kumar, Sudhesh, Noble, Paula A. and Hole, David J. 2005, Obesity impacts on general practice appointments, Obesity: a research journal, vol. 13, no. 8, pp. 1442-1449, doi: 10.1038/oby.2005.174.

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Title Obesity impacts on general practice appointments
Author(s) Broom, John I.
Brown, Jenny E.
McQuigg, Maria S.
Laws, Rachel A.ORCID iD for Laws, Rachel A. orcid.org/0000-0003-4328-1116
Reckless, John P.
Kumar, Sudhesh
Noble, Paula A.
Hole, David J.
Journal name Obesity: a research journal
Volume number 13
Issue number 8
Start page 1442
End page 1449
Total pages 8
Publisher Wiley
Place of publication London, Eng.
Publication date 2005-08
ISSN 1071-7323
Keyword(s) consultation
general practitioner
practice nurse
Summary Objective: To quantify the impact of obesity on the number of visits to both primary and secondary care teams.

Research Methods and Procedures: The adult populations of 80 general practices throughout the United Kingdom were classified according to their BMI. We undertook a cross-sectional survey of computer-generated and handwritten records of 6150 obese people (BMI ≥ 30 kg/m2) and 1150 normal weight (BMI = 18.5 to 24.9 kg/m2) control subjects over an 18-month retrospective period.

Results: Obese patients made significantly more visits to the general practitioner (GP), practice nurse (PN), and hospital outpatient units than normal weight patients (all p < 0.001), and they were admitted to the hospital more often (p = 0.034). For both GP and PN visits, the relationship remained after adjusting for age, sex, social deprivation category, country, and number of comorbidities. Among obese patients, there was an increasing relationship between frequent GP visits (at least four appointments) and greater BMI, which remained significant after adjustment had been made for age, sex, deprivation, country, and number of comorbidities.

Discussion: The human resource burden to general practice is significantly higher in the obese population than in the normal weight population, even when adjusted for confounding factors. The increase in prevalence of obesity will continue to put pressure on GP and PN time unless appropriate action is taken.
Language eng
DOI 10.1038/oby.2005.174
Field of Research 110699 Human Movement and Sports Science not elsewhere classified
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2005, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30083472

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