One-Year Evaluation of Family Medicine Obesity Clinic Applications

Öz

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.

Anahtar Kelimeler

• Obesity,family medicine,primary care,obesity management

Kaynakça

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