title: Prevalence and Predictors of Obesity-Related Counseling Provided by Outpatient Psychiatrists in the United States.
abstract: This study sought to identify rates and predictors of obesity counseling performed by outpatient psychiatrists in the United States.
  
  
  
  The 2005-2010 National Ambulatory Medical Care Surveys provided data from 7,309 outpatient psychiatry visits. Logistic regression was used to examine associations between patient, visit, and practice characteristics and outcomes.
  
  
  
  Most (81%) visits occurred in a private practice setting. Nine percent (N=657) of visits included measurement of patient body mass index (BMI); 30% of these visits were with patients who met the obesity criterion (BMI ≥30.0 kg/m2). Among visits with obese patients, 16% included exercise counseling, 22% included weight reduction counseling, and 24% included diet or nutrition counseling. Patients with obesity were more likely than patients without obesity to receive diet or nutrition counseling (p<.05) and weight reduction counseling (p<.05), but not exercise counseling. Black patients were significantly less likely to receive any form of counseling (p<.05).
  
  
  
  There is a significant need to improve psychiatrists' obesity counseling.
authors.affiliation: Dr. Rogers is with the Division of Research and Dr. Sherman and Dr. Jay are with the Department of Medicine, all at the Veterans Affairs New York Harbor Healthcare System, New York City (e-mail: erin.rogers2@va.gov ). Dr. Rogers and Dr. Sherman are also with the Department of Population Health, New York University, where Dr. Jay is with the Department of Medicine and Dr. Malaspina is with the Department of Psychiatry.
authors.forename: Erin S
authors.initials: ES
authors.lastname: Rogers
authors.affiliation: Dr. Rogers is with the Division of Research and Dr. Sherman and Dr. Jay are with the Department of Medicine, all at the Veterans Affairs New York Harbor Healthcare System, New York City (e-mail: erin.rogers2@va.gov ). Dr. Rogers and Dr. Sherman are also with the Department of Population Health, New York University, where Dr. Jay is with the Department of Medicine and Dr. Malaspina is with the Department of Psychiatry.
authors.forename: Scott E
authors.initials: SE
authors.lastname: Sherman
authors.affiliation: Dr. Rogers is with the Division of Research and Dr. Sherman and Dr. Jay are with the Department of Medicine, all at the Veterans Affairs New York Harbor Healthcare System, New York City (e-mail: erin.rogers2@va.gov ). Dr. Rogers and Dr. Sherman are also with the Department of Population Health, New York University, where Dr. Jay is with the Department of Medicine and Dr. Malaspina is with the Department of Psychiatry.
authors.forename: Dolores
authors.initials: D
authors.lastname: Malaspina
authors.affiliation: Dr. Rogers is with the Division of Research and Dr. Sherman and Dr. Jay are with the Department of Medicine, all at the Veterans Affairs New York Harbor Healthcare System, New York City (e-mail: erin.rogers2@va.gov ). Dr. Rogers and Dr. Sherman are also with the Department of Population Health, New York University, where Dr. Jay is with the Department of Medicine and Dr. Malaspina is with the Department of Psychiatry.
authors.forename: Melanie
authors.initials: M
authors.lastname: Jay
mesh_terms: D000293:Adolescent; D000328:Adult; D003376:Counseling / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000175:diagnosis / Q000628:therapy*; D010045:Outpatients / Q000706:statistics & numerical data*; D015995:Prevalence; D011570:Psychiatry / Q000706:statistics & numerical data*; D014481:United States; D055815:Young Adult