One-Year Evaluation of Family Medicine Obesity Clinic Applications

Year 2019, Volume: 13 Issue: 4, 481 - 486, 20.12.2019

Emre Yılmaz Pemra Cöbek Ünalan , Arzu Uzuner , Burcu Başaran Güngör

https://doi.org/10.21763/tjfmpc.651372

Abstract

Aim/Background: Obesity is a public health problem that can affect an individual's
quality of life, causing an increase in mortality and morbidity. The
aim of the present study is to evaluate the characteristics of the obese
patients who were admitted to Family Medicine Outpatient Clinic of Marmara
University Hospital in order to improve their management. Methods: This is a descriptive study
assessing 297 patients applied to Marmara University Family Medicine Obesity
Clinic between 01/01/2014 and 01/01/2015. Participants were evaluated
retrospectively by interview and clinical observation form and a 3-day dietary
log. Results: The study included a total
of 297 participants with mean age 33.7 ± 14.8 years. Of the participants, 81.2%
were ≥19 years of age and 18.8% of them were <19 age group; 86.7% of those
≥19 years of age (n = 209) were women; 65.6% had chronic diseases and education
level of 58% was secondary school and under. Females’ education level was lower
than males and they had more chronic diseases than men; and more diet
experiences (p<0.002, p<0.027,
p<0.001). Those who had diet experience before are willing to lose more weight
(p<0.021). Mean body mass index
(BMI) was higher in patients with chronic diseases, who were married and ho had
low level of education (p<0.001,
p<0.007, p<0.004). Conclusion: Individuals
admitted to the obesity outpatient clinic were mostly women who had a lower
education, who had more chronic illnesses and more attempts to lose weight
previously. Obesity management should be planned according to these
characteristics. In addition, all patients who admit to Family Medicine
Outpatient Clinics for any reason and detected to have a high BMI should be
referred to Obesity Clinic and supported for losing weight.

Giriş ve Amaç: Obezite, bireylerin yaşam kalitesini
etkileyerek mortalite ve morbiditede artışa neden olan bir hastalıktır. Bu
araştırmanın amacı Marmara Üniversitesi Aile Hekimliği polikliniklerinde obez
hasta yönetimini geliştirmek için başvuranları değerlendirmektir. Yöntem: Bu araştırma, Marmara
Üniversitesi Aile Hekimliği obezite polikliniğine 01.01.2014-01.01.2015
tarihleri arasında başvuran hastaların özelliklerini değerlendiren tanımlayıcı
tipte bir araştırmadır. Katılımcılar, görüşme ve klinik izlem formu ile
birlikte 3 günlük yeme günlüğü ile retrospektif olarak değerlendirilmiştir. Bulgular: Toplam 297 katılımcının yaş
ortalaması 33.7±14,8 yıldır. Katılımcıların %81,2’si ≥19 yaş, %18,8’i <19
yaş grubundadır. ≥19 yaş olanların %86,7’si (n=209) kadın olup; %65,6’sının bir
kronik hastalığı vardır, %58’inin eğitim durumu ortaokul ve altı düzeydedir.
Kadınlar erkeklere göre daha düşük eğitim seviyesi ve daha çok kronik hastalığa
sahip, daha önceden diyet yapma deneyimleri daha çoktur (p<0.002, p<0.027, p<0.001). Daha önceden diyet yapmış olanların vermek istedikleri
kilo daha çoktur (p<0.021).
BKİ ortalaması; düşük eğitim seviyesindekilerde, evlilerde ve kronik hastalığı
olanlarda daha yüksek bulunmuştur (p<0.001,
p<0.007, p<0.004). Sonuç: Marmara
Üniversitesi Aile Hekimliği obezite polikliniğine başvuran kişiler, erkeklere
göre eğitim düzeyi düşük, daha çok kronik hastalığa sahip ve kilo vermeyi daha
önceden de denemiş olan kadınlardır. Obezite yönetimi bu özelliklere göre
planlanmalıdır. Ayrıca aile hekimliği polikliniklerine herhangi bir nedenle
başvuran ve BKİ’si yüksek saptanan tüm hastalar obezite polikliniğine
yönlendirilmeli, kilo verme konusunda desteklenmelidir.

Keywords

Obesity, family medicine, primary care, obesity management

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