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Dietetic care attributes to the public health of overweight patients in the Netherlands, 2006–2011.
Tol, J., Swinkels, I.C.S., Veenhof, C. Dietetic care attributes to the public health of overweight patients in the Netherlands, 2006–2011. European Journal of Public Health: 2011, 21(suppl. 1), p. 75. Abstract. 4th European Public Health Conference: 'Public Health and Welfare - Welfare Development and Public Health' 9-12 november 2011, Copenhagen.
Background: Overweight is an important risk factor for several diseases such as diabetes and heart diseases, though the factors that cause overweight are complex. Worldwide dietitians are challenged to treat overweight; however the results of treatment by a dietitian have not been studied in a large setting. Methods: Data were used from the National Information Service for Allied Health Care (LiPZ). LiPZ is a Dutch registration network of allied health care professionals, including extramurally working dietitians. Data were selected from 30 registered dietitians working in solo practices located throughout the Netherlands, and from 6,196 patients with overweight (70% of the total population) who underwent dietetic treatment between 2006 and 2011. Data collection was based on computerized registration of patients’ healthcare-related information, e.g., comorbidity, using a specific software program for reimbursement. The outcomes in this study included the percentage of achieved aims, Body Mass Index (BMI) and the percentage of patient who met the Dutch Norm for Health-enhancing Physical Activity (DNHPA). The DNHPA recommends that adults need to be physical active with a moderate-intensity for 30 minutes on at least five days each week. Descriptive statistics and two sample t-tests were performed to test whether there was a significant difference in outcome measures. Results: Comorbidity existed in 61% of overweight patients. Common comorbidities of overweight were diabetes, hypertension, hypercholesterolemia or a combination of these diagnoses. At the end of the treatment 39% of the patients achieved at least 75% of the treatment aims and 12% failed to achieve the treatment aims. Patients’ mean BMI decreased from 32.0Aˆ 5.0 at the start of the treatment to 30.7Aˆ 5.0 at the end of the treatment (p < 0,001). The percentage of patients who met the DNHPA improved from 42% at the start to 63% at the end of the treatment (p < 0,001). Conclusions: Treatment of overweight by a registered dietitian can result in positive health outcomes in terms of improved BMI and physical activity levels. Improvement of these health outcomes are important factors in the prevention of several chronic diseases. Therefore treatment by a registered dietitian can help benefit public health. (aut. ref.)
Background: Overweight is an important risk factor for several diseases such as diabetes and heart diseases, though the factors that cause overweight are complex. Worldwide dietitians are challenged to treat overweight; however the results of treatment by a dietitian have not been studied in a large setting. Methods: Data were used from the National Information Service for Allied Health Care (LiPZ). LiPZ is a Dutch registration network of allied health care professionals, including extramurally working dietitians. Data were selected from 30 registered dietitians working in solo practices located throughout the Netherlands, and from 6,196 patients with overweight (70% of the total population) who underwent dietetic treatment between 2006 and 2011. Data collection was based on computerized registration of patients’ healthcare-related information, e.g., comorbidity, using a specific software program for reimbursement. The outcomes in this study included the percentage of achieved aims, Body Mass Index (BMI) and the percentage of patient who met the Dutch Norm for Health-enhancing Physical Activity (DNHPA). The DNHPA recommends that adults need to be physical active with a moderate-intensity for 30 minutes on at least five days each week. Descriptive statistics and two sample t-tests were performed to test whether there was a significant difference in outcome measures. Results: Comorbidity existed in 61% of overweight patients. Common comorbidities of overweight were diabetes, hypertension, hypercholesterolemia or a combination of these diagnoses. At the end of the treatment 39% of the patients achieved at least 75% of the treatment aims and 12% failed to achieve the treatment aims. Patients’ mean BMI decreased from 32.0Aˆ 5.0 at the start of the treatment to 30.7Aˆ 5.0 at the end of the treatment (p < 0,001). The percentage of patients who met the DNHPA improved from 42% at the start to 63% at the end of the treatment (p < 0,001). Conclusions: Treatment of overweight by a registered dietitian can result in positive health outcomes in terms of improved BMI and physical activity levels. Improvement of these health outcomes are important factors in the prevention of several chronic diseases. Therefore treatment by a registered dietitian can help benefit public health. (aut. ref.)
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