Dataset Information

Weight Loss for Patients With Obesity: An Analysis of Long-Term Electronic Health Record Data.

ABSTRACT:

Background

Numerous studies have reported that losing as little as 5% of one's total body weight (TBW) can improve health, but no studies have used electronic health record data to examine long-term changes in weight, particularly for adults with severe obesity [body mass index (BMI) ?35?kg/m].

Objective

To measure long-term weight changes and examine their predictors for adults in a large academic health care system.

Research design

Observational study.

Subjects

We included 59,816 patients aged 18-70 years who had at least 2 BMI measurements 5 years apart. Patients who were underweight, pregnant, diagnosed with cancer, or had undergone bariatric surgery were excluded.

Measures

Over a 5-year period: (1) ?5% TBW loss; (2) weight loss into a nonobese BMI category (BMI <30?kg/m); and (3) predictors of %TBW change via quantile regression.

Results

Of those with class 2 or 3 obesity, 24.2% and 27.8%, respectively, lost at least 5% TBW. Only 3.2% and 0.2% of patients with class 2 and 3 obesity, respectively, lost enough weight to attain a BMI <30?kg/m. In quantile regression, the median weight change for the population was a net gain of 2.5% TBW.

Conclusions

Although adults with severe obesity were more likely to lose at least 5% TBW compared with overweight patients and patients with class 1 obesity, sufficient weight loss to attain a nonobese weight class was very uncommon. The pattern of ongoing weight gain found in our study population requires solutions at societal and health systems levels.

SUBMITTER: Liu N

PROVIDER: S-EPMC7218679 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Publications

Weight Loss for Patients With Obesity: An Analysis of Long-Term Electronic Health Record Data.

Liu Natalie N Birstler Jen J Venkatesh Manasa M Hanrahan Lawrence P LP Chen Guanhua G Funk Luke M LM

Medical care 20200301 3

<h4>Background</h4>Numerous studies have reported that losing as little as 5% of one's total body weight (TBW) can improve health, but no studies have used electronic health record data to examine long-term changes in weight, particularly for adults with severe obesity [body mass index (BMI) ≥35 kg/m].<h4>Objective</h4>To measure long-term weight changes and examine their predictors for adults in a large academic health care system.<h4>Research design</h4>Observational study.<h4>Subjects</h4>We ...[more]

PMID: 31876663

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Dataset Information

Weight Loss for Patients With Obesity: An Analysis of Long-Term Electronic Health Record Data.

Background

Objective

Research design

Subjects

Measures

Results

Conclusions

Publications

Weight Loss for Patients With Obesity: An Analysis of Long-Term Electronic Health Record Data.

Similar Datasets

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