New research presented at this year's European Obesity Congress (ECO) in Glasgow, Scotland (April 28 – May 1) reveals that a quarter of patients never had their body mass index (BMI) recorded by their GP. The study is authored by Kath Williamson and Professor Mike Lean of the Department of Human Nutrition and Dr. Amy Nimegeer of the Institute of Health and Welfare of the University of Glasgow in the United Kingdom.
The provision of effective and properly targeted weight management services, including those for the remission of type 2 diabetes, depends on accurate and up-to-date IMC data. Data from the national survey show that 29% of Scottish people are classified as obese (BMI above 30kg / m2). The Quality and Outcomes Framework in the United Kingdom aimed to encourage the recording of BMI of BMI, especially for people with obesity. Despite this need, previous research has shown significant underreporting, with only 37% of adults in the United Kingdom having their BMI recorded in the last year and 79% having their BMI recorded.
The extent of routine BMI registration and documentation in Scottish primary care has not been previously investigated. In this new study, the authors reviewed the health records of 77,591 adults aged 16 years or over and 12 general practices covering a broadly socioeconomically representative sample of the Scottish population. The fields of the BMI records were searched for any BMI record, with a specific interest in any measure taken in the previous two years.
The researchers found that a BMI had already been recorded in 75% of the subjects, while less than one-third (31%) of the patients had a recent BMI measurement (less than two years old). The updated BMI registration rates also ranged significantly between practices from 20% to 42%, although the team noticed a marked increase in enrollment rates over the 2-year review period.
For those with BMI recorded in the previous two years, they were divided into the following categories of BMI: less than 18.5 (underweight): 2%; 18.5-24.9 (normal weight) 27%; 25-29.9 (overweight) 33%; 30-39.9 (obesity grades I and II) 31%; and 40+ (severe obesity) 7%. In the two highest categories of BMI, the numbers were higher than those of the Scottish Health Survey 2017 (26% and 3%, respectively), as well as the 2017 Health Survey (25% and 4% respectively), suggesting that both Obesity like severe obesity rates may be higher than previously thought.
The authors conclude: "More comprehensive routine BMI data are needed for accurate planning and delivery of weight management services. Underreporting may prevent stated public health goals from early detection and intervention of type 2 diabetes. quality of data, electronic health records, given their increasing use as a source of research, and to estimate the variation between real-life prevalence rates and national health research rates. "