RT journal article
T1 Evaluation of Obesity Management Recorded in Electronic Clinical History: A Cohort Study
A1 Trujillo Garrido, Nuria
A1 Bernal Jiménez, María Ángeles
A1 Santi Cano, Josefa
A2 Enfermería y Fisioterapia
K1 obesity
K1 clinical guidelines
K1 primary care
K1 evidence-based practice
AB Background: The prevalence of obesity is increasing worldwide. Because of their close proximity to the population, primary care physicians and nurses are in a unique position to motivate and advise patients with obesity on a healthy diet and increased physical activity. Drawing from information recorded in electronic clinical records, we evaluated how the general recommendations included in obesity guidelines are being implemented in routine clinical practice. Methods: This study drew from the following data from a cohort of 209 patients with obesity that attended primary care consultations: electronic clinical records, body mass index (BMI), waist circumference (WC), cardiovascular risk factors, comorbidities and whether their health professional documented compliance with the recommendations of the evidence-based obesity guidelines in their electronic history. Results: Only 25.4% of the clinical records met all the criteria established in the therapeutic guidelines regarding diet prescription, 1.4% for physical activity and 1.5% for behavioral change activities. The patients whose records mentioned diet prescription and physical activity and who received follow-up consultations for both factors had lower average BMI and WC, although this relationship was not significant after adjusting for baseline. Conclusions: We found that only a small number of records in the electronic clinical histories followed the evidence-based obesity guidelines. Recording dietetic prescription and physical exercise in the patient's clinical record is associated with better control of obesity.
PB MDPI
SN 2077-0383
YR 2020
FD 2020-08
LK http://hdl.handle.net/10498/23883
UL http://hdl.handle.net/10498/23883
LA eng
NO Universidad de Cádiz
DS Repositorio Institucional de la Universidad de Cádiz
RD 10-may-2026