Having a regular physician and attempted weight loss after screening for hypertension or hypercholesterolemia

Int J Obes (Lond). 2005 Feb;29(2):223-7. doi: 10.1038/sj.ijo.0802863.


Objective: To examine the relationship between having a regular physician, results of screening tests for cardiovascular risk (hypertension, hypercholesterolemia) and efforts to lose weight among obese adults.

Design: Analysis of a population-based telephone survey (2002 Behavioral Risk Factor Surveillance System).

Setting: Four states (Iowa, South Carolina, South Dakota, Virginia) in the US.

Participants: Adults (> or =18 y old) who were obese (body mass index > or =30 kg/m(2)) (unweighted n=1735).

Main outcome measures: Currently attempting to lose weight; changes in diet or exercise as strategies to lose weight.

Results: Obese individuals with a personal physician were more likely to report attempts to lose weight in the face of screening normal for hypertension or hypercholesterolemia than those without a personal physician (75.6 vs 60.5% for hypercholesterolemia, P=0.03; 74.6 vs 57.7% for hypertension, P=0.01). In adjusted models, obese individuals screening normal for hypertension but having a personal physician were significantly more likely to attempt to lose weight than individuals without a personal physician (OR 1.71, 95% CI 1.12-2.60).

Conclusions: Having a regular physician is associated with a higher likelihood of attempted weight loss among obese individuals who believe that they do not have hypertension or hypercholesterolemia, than their counterparts with no regular physician. This suggests a previously unrecognized benefit of having a personal physician.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cardiovascular Diseases / etiology
  • Continuity of Patient Care*
  • Female
  • Health Behavior
  • Humans
  • Hypercholesterolemia / complications
  • Hypercholesterolemia / diagnosis*
  • Hypertension / complications
  • Hypertension / diagnosis*
  • Male
  • Mass Screening / psychology
  • Middle Aged
  • Obesity / psychology
  • Obesity / therapy*
  • Risk Factors
  • Socioeconomic Factors
  • United States
  • Weight Loss*