Under-documentation of diagnosis and follow-up procedures for overweight and obesity compared to other cardiovascular risk factors in hospitalised patients: A single centre, retrospective analysis

IF 2.4 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Obesity research & clinical practice Pub Date : 2025-09-01 Epub Date: 2025-10-23 DOI:10.1016/j.orcp.2025.10.005

Josefine Ruder , Lukas Schilliger , Athanasios Kogias , Cathrin Rekeczki , Stephan Böhm , Michael Haidinger , Manuel Fischler , Anders Jensen

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引用次数: 0

Abstract

Background

Overweight and obesity, defined by a body-mass index (BMI) of 25–30 kg/m² and ≥ 30 kg/m² respectively, constitute a chronic disease with rising prevalence, leading to increased morbidity and mortality. Despite advances in understanding its pathophysiology and novel treatment options, overweight and obesity remain under-diagnosed and under-treated. This study aims to assess the registration of diagnosis and management procedures related to overweight and obesity compared to other cardiovascular risk factors in hospitalized patients.

Methods

We conducted a single-centre, retrospective analysis of all patients hospitalized in October 2023 at the Department of Internal Medicine, Hospital of Bülach, Switzerland. Data were extracted from electronic patient records, focusing on the documentation of overweight and obesity, and related diagnosis-specific management procedures. We then compared the documentation and management of overweight and obesity with other cardiovascular risk factors being hypertension, type 2 diabetes mellitus (T2DM), and dyslipidemia.

Results

Among the 275 patients included, a BMI could be calculated in 242 individuals. Of these, 44 % had a BMI of ≥ 25 kg/m² but only 9 % had a documented diagnosis of overweight or obesity. Diagnosis-specific procedures were documented in only 11 % of patients with overweight or obesity, compared to 27 % and 30 % for hypertension and T2DM respectively.

Discussion

The study suggests a substantial gap in the registration and management of overweight and obesity compared to other cardiovascular risk factors in hospitalized patients. This highlights the need for improved education of medical staff as well as protocols to enhance the diagnosis and treatment of obesity in hospital settings, ensuring comprehensive care and mitigating related health risks.

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与住院患者的其他心血管危险因素相比，超重和肥胖的诊断和随访程序记录不足：单中心回顾性分析

背景：体重指数（BMI）分别为25-30 kg/m²和≥ 30 kg/m²定义的超重和肥胖是一种患病率不断上升的慢性疾病，导致发病率和死亡率增加。尽管在了解其病理生理学和新的治疗选择方面取得了进展，但超重和肥胖仍然未得到充分诊断和治疗。本研究旨在评估住院患者中与超重和肥胖相关的诊断和管理程序的登记情况，并与其他心血管危险因素进行比较。方法：我们对2023年10月在瑞士b lach医院内科住院的所有患者进行了单中心回顾性分析。数据从电子病历中提取，重点是超重和肥胖的记录，以及相关的诊断特异性管理程序。然后，我们比较了超重和肥胖与其他心血管危险因素如高血压、2型糖尿病（T2DM）和血脂异常的记录和管理。结果：在纳入的275例患者中，有242例可以计算出BMI。其中，44 %的人BMI≥ 25 kg/m²，但只有9 %的人有超重或肥胖的诊断。只有11. %的超重或肥胖患者记录了诊断特异性程序，而高血压和2型糖尿病患者分别为27. %和30. %。讨论：该研究表明，与住院患者的其他心血管危险因素相比，超重和肥胖的登记和管理存在实质性差距。这突出表明需要改进对医务人员的教育，并制定加强医院肥胖诊断和治疗的规程，确保全面护理并减轻相关的健康风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity research & clinical practice 医学-内分泌学与代谢

CiteScore

7.10

自引率

0.00%

发文量

审稿时长

49 days

期刊介绍： The aim of Obesity Research & Clinical Practice (ORCP) is to publish high quality clinical and basic research relating to the epidemiology, mechanism, complications and treatment of obesity and the complication of obesity. Studies relating to the Asia Oceania region are particularly welcome, given the increasing burden of obesity in Asia Pacific, compounded by specific regional population-based and genetic issues, and the devastating personal and economic consequences. The journal aims to expose health care practitioners, clinical researchers, basic scientists, epidemiologists, and public health officials in the region to all areas of obesity research and practice. In addition to original research the ORCP publishes reviews, patient reports, short communications, and letters to the editor (including comments on published papers). The proceedings and abstracts of the Annual Meeting of the Asia Oceania Association for the Study of Obesity is published as a supplement each year.