One-Year Evaluation of Family Medicine Obesity Clinic Applications

Aim/Background : Obesity is a public health problem that can affect an individual's quality of life, causing an increase in mortality and morbidity. The aim of the present study is to evaluate the characteristics of the obese patients who were admitted to Family Medicine Outpatient Clinic of Marmara University Hospital in order to improve their management. Methods : This is a descriptive study assessing 297 patients applied to Marmara University Family Medicine Obesity Clinic between 01/01/2014 and 01/01/2015. Participants were evaluated retrospectively by interview and clinical observation form and a 3-day dietary log. Results : The study included a total of 297 participants with mean age 33.7 ± 14.8 years. Of the participants, 81.2% were ≥19 years of age and 18.8% of them were <19 age group; 86.7% of those ≥19 years of age (n = 209) were women; 65.6% had chronic diseases and education level of 58% was secondary school and under. Females’ education level was lower than males and they had more chronic diseases than men; and more diet experiences (p<0.002, p<0.027, p<0.001). Those who had diet experience before are willing to lose more weight ( p<0.021) . Mean body mass index (BMI) was higher in patients with chronic diseases, who were married and ho had low level of education (p<0.001, p<0.007, p<0.004). Conclusion : Individuals admitted to the obesity outpatient clinic were mostly women who had a lower education, who had more chronic illnesses and more attempts to lose weight previously. Obesity management should be planned according to these characteristics. In addition, all patients who admit to Family Medicine Outpatient Clinics for any reason and detected to have a high BMI should be referred to Obesity Clinic and supported for losing weight. Giris ve Amac: Obezite, bireylerin yasam kalitesini etkileyerek mortalite ve morbiditede artisa neden olan bir hastaliktir. Bu arastirmanin amaci Marmara Universitesi Aile Hekimligi polikliniklerinde obez hasta yonetimini gelistirmek icin basvuranlari degerlendirmektir. Yontem: Bu arastirma, Marmara Universitesi Aile Hekimligi obezite poliklinigine 01.01. 2014-01.01. 2015 tarihleri arasinda basvuran hastalarin ozelliklerini degerlendiren tanimlayici tipte bir arastirmadir. Katilimcilar, gorusme ve klinik izlem formu ile birlikte 3 gunluk yeme gunlugu ile retrospektif olarak degerlendirilmistir. Bulgular: Toplam 297 katilimcinin yas ortalamasi 33.7±14,8 yildir. Katilimcilarin %81,2’si ≥19 yas, %18,8’i <19 yas grubundadir. ≥19 yas olanlarin %86,7’si (n=209) kadin olup; %65,6’sinin bir kronik hastaligi vardir, %58’inin egitim durumu ortaokul ve alti duzeydedir. Kadinlar erkeklere gore daha dusuk egitim seviyesi ve daha cok kronik hastaliga sahip, daha onceden diyet yapma deneyimleri daha coktur ( p<0.002, p<0.027, p<0.001 ). Daha onceden diyet yapmis olanlarin vermek istedikleri kilo daha coktur (p<0.021). BKI ortalamasi; dusuk egitim seviyesindekilerde, evlilerde ve kronik hastaligi olanlarda daha yuksek bulunmustur ( p<0.001, p<0.007, p<0.004). Sonuc: Marmara Universitesi Aile Hekimligi obezite poliklinigine basvuran kisiler, erkeklere gore egitim duzeyi dusuk, daha cok kronik hastaliga sahip ve kilo vermeyi daha onceden de denemis olan kadinlardir. Obezite yonetimi bu ozelliklere gore planlanmalidir. Ayrica aile hekimligi polikliniklerine herhangi bir nedenle basvuran ve BKI’si yuksek saptanan tum hastalar obezite poliklinigine yonlendirilmeli, kilo verme konusunda desteklenmelidir.