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Original Article

Willingness for Weight Loss Intervention Among Overweight and Obese Inpatients

Kelley N. Wachsberg, MD, Joseph Feinglass, PhD, Mark V. Williams, MD, FACP, FHM, Kevin J. O’Leary, MD, MS
Volume: 104 Issue: 6 June, 2011

Abstract:

Objectives: To determine whether overweight and obese inpatients are receptive to weight-loss interventions while hospitalized and whether interest in weight-loss intervention correlates with accurate self-perception of weight.


Methods: We conducted a cross-sectional survey of overweight and obese patients admitted to the general medicine service at a large urban academic medical center from September 17, 2007 through October 16, 2007. Subjects were identified based on body mass index (BMI) on admission ≥25 and surveyed using a 14-question instrument. The main outcome measure was patient willingness to consider weight-loss intervention.


Results: Of 67 eligible patients, 64 (95.5%) agreed to be interviewed. BMI ranged from 25 to 50. Overall, 52.6% (10 of 19) of overweight patients did not believe they were overweight and 46.7% (21 of 45) of those with a BMI over 30 were unaware that they met criteria for obesity. Among all patients surveyed, 56.3% stated they would be interested in weight-loss intervention while hospitalized. In obese patients specifically, 68.9% expressed interest. Interest correlated with BMI (Pearson correlation coefficient (r) = 0.261, P = 0.04), accurate self-perception of weight (P = 0.03), diagnostic delays related to weight (P = 0.01) and a history of past weight-loss attempts (P = 0.04). None of the patients we interviewed received weight-loss intervention of any kind while hospitalized.


Conclusion: Inpatients who recognize that they are overweight or obese are interested in pursuing weight-loss initiatives. Despite their interest, most do not receive weight-loss interventions while hospitalized.

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