Next Article in Journal
Genetic Polymorphisms Associated with the Neutrophil–Lymphocyte Ratio and Their Clinical Implications for Metabolic Risk Factors
Previous Article in Journal
Outcome Prediction of Acute Kidney Injury Biomarkers at Initiation of Dialysis in Critical Units
Open AccessArticle

Recognizing Obesity in Adult Hospitalized Patients: A Retrospective Cohort Study Assessing Rates of Documentation and Prevalence of Obesity

1
Department of Medicine, Jersey Shore University Medical Center, 1945 State Route 33, Neptune, NJ 07753, USA
2
Hackensack-Meridian School of Medicine at Seton Hall University, Hackensack Meridian Health, NJ 07753, USA
3
Department of Medicine, WJB Dorn VA Medical Center, Columbia, SC 29208, USA
4
Division of Nephrology, Salisbury VA Health Care System and University of NC, Chapel Hill, NC 27599, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2018, 7(8), 203; https://doi.org/10.3390/jcm7080203
Received: 6 July 2018 / Revised: 30 July 2018 / Accepted: 3 August 2018 / Published: 7 August 2018
(This article belongs to the Section Endocrinology & Metabolism)
Background: While obesity is a chronic condition that predisposes patients to other more serious disorders, the prevalence and the documentation of obesity as diagnosis has not been extensively studied in hospitalized patients. We conducted a retrospective chart review to investigate the prevalence and documentation of obesity as a diagnosis among patients admitted to our medical center. Method: IRB approval was obtained for this retrospective study. Body mass index (BMI) as per CDC, admission and discharge diagnosis of obesity and common comorbidities (hypertension, diabetes, hyperlipidemia, coronary artery disease, congestive heart disease, chronic kidney disease and chronic obstructive pulmonary disease) were recorded. The length of stay in the hospital was also calculated. We also investigated whether counselling was provided to the obese patients for weight loss. Results: A total of 540 consecutive patients were reviewed with a mean age was 66 ± 6 years. Out of 540 patients only 182 (34%) had normal weight, 188 (35%) of the patients were overweight and 170 (31%) patients were obese. Of the obese group, 55% were female and 45% were male.100 (59%) had class I obesity, 43 (25%) had class II obesity and 27 (16%) class III obesity. Of the obese patients 40/170 (23.5%) patients had obesity documented on the admission problem list and only 21 (12%) had obesity documented as a discharge diagnosis. Only 3 (2%) patients were given appropriate counseling and referral for obesity management during the hospitalization. Comorbidities and their prevalence included, hypertension (68%), diabetes mellitus (35%), hyperlipidemia (36%), coronary artery disease (18%), chronic kidney disease (17%), congestive heart failure (18%) and COPD (24%). The average length of stay in normal weight, overweight and obese patients was similar for all three groups (4.5 ± 0.5 days). Conclusion: A significant number of hospitalized patients were overweight and obese. An overwhelming percentage never had weight status documented. Hospitalization offers health care providers a window of opportunity to identify obesity, communicate risks, and initiate weight management interventions. View Full-Text
Keywords: obesity; prevalence; documentation; comorbidities obesity; prevalence; documentation; comorbidities
Show Figures

Figure 1

MDPI and ACS Style

Hossain, M.A.; Amin, A.; Paul, A.; Qaisar, H.; Akula, M.; Amirpour, A.; Gor, S.; Giglio, S.; Cheng, J.; Mathew, R.; Vachharajani, T.; Bakr, M.; Asif, A. Recognizing Obesity in Adult Hospitalized Patients: A Retrospective Cohort Study Assessing Rates of Documentation and Prevalence of Obesity. J. Clin. Med. 2018, 7, 203.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop