title: The impact of physician weight discussion on weight loss in US adults.
abstract: OBJECTIVE
  The increasing prevalence of overweight and obesity in the United States and worldwide is at epidemic levels. Physicians may play a vital role in addressing this epidemic. We aimed to examine the association of a physician's discussion of patients’ weight status with self-reported weight loss. We hypothesized that physician discussion of patients’ being overweight is associated with increased weight loss in patients with overweight and obesity.
  
  
  METHODS
  Data analysis of participants (n = 5054) in the National Health and Nutritional Examination Survey (NHANES) in 2005-2008. The main outcome was rates of self-reported weight loss and the association with physicians’ discussion of their patients’ weight status.
  
  
  RESULTS
  Overweight and obese participants were significantly more likely to report a 5% weight loss in the past year if their doctor had told them they were overweight (adjusted OR (AOR) 1.88; 95% CI 1.45-2.44; AOR 1.79; 95% CI 1.30-2.46, respectively).
  
  
  CONCLUSIONS
  Physicians’ direct discussion of their patients’ weight status is associated with clinically significant patient weight loss and may be a targetable intervention. Further studies are needed to determine if increasing physician discussion of patients’ weight status leads to significant weight loss.
authors.affiliation: Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA, United States.
authors.forename: Andrew C
authors.initials: AC
authors.lastname: Pool
authors.affiliation: Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA, United States.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Kraschnewski
authors.affiliation: Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA, United States.
authors.forename: Lindsay A
authors.initials: LA
authors.lastname: Cover
authors.affiliation: Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA, United States.
authors.forename: Erik B
authors.initials: EB
authors.lastname: Lehman
authors.affiliation: Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA, United States.
authors.forename: Heather L
authors.initials: HL
authors.lastname: Stuckey
authors.affiliation: Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA, United States.
authors.forename: Kevin O
authors.initials: KO
authors.lastname: Hwang
authors.affiliation: Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA, United States.
authors.forename: Kathryn I
authors.initials: KI
authors.lastname: Pollak
authors.affiliation: Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, PA, United States.
authors.forename: Christopher N
authors.initials: CN
authors.lastname: Sciamanna
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D015992:Body Mass Index; D003142:Communication; D037001:Directive Counseling; D005260:Female; D015438:Health Behavior; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009749:Nutrition Surveys; D050177:Overweight / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology*; D017060:Patient Satisfaction; D010465:Perception; D010817:Physician-Patient Relations; D015995:Prevalence; D012017:Referral and Consultation; D014481:United States / Q000453:epidemiology; D015431:Weight Loss; D061217:Weight Reduction Programs / Q000706:statistics & numerical data*
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