• Printer-friendly All Life Cycles Clinical Measure 14b: Overweight or Obesity-Adults Detail Sheet (Acrobat/pdf)

Adults who have a BMI of 30 or greater who have, in the previous 24 months, received documented healthy weight counseling and/or other intervention or treatment.

All adults 20 years and older, who have a BMI of 30 or greater.

Healthy People 2010 Objectives are as follows: 19-2 – Reduce the proportion of adults who are obese.
Baseline: 23 percent of adults aged 20 years and older were considered obese during 1988-1994.
See: http://www.healthypeople.gov/LHI/lhiwhat.htm

In 1997, only 15 percent of adults performed the recommended amount of physical activity, and 40 percent of adults engaged in no leisure-time physical activity.
See: http://www.cdc.gov/nchs/nhances.htm

From registry or EHR/EMR if available.

If chart audit, then sample from the sample frame of persons meeting denominator criteria.

Overweight and obesity are increasing in epidemic proportion in the United States as well as other countries. In the United States, the prevalence of obesity (body mass index >30) has increased more than 50% during the last 20 years. Currently about 97 million adults in the U.S. are overweight or obese, with low income persons, particularly women and people of color, having the highest rates.

Obesity has been implicated with a variety of long-term chronic health conditions, including type 2 diabetes, hypertension, dyslipidemia, coronary heart disease, stroke; gallbladder disease, osteoarthritis, sleep apnea and other respiratory disorders, endometrial, breast, prostate, and colon cancers. Recognition of obesity as a chronic disease requiring not only preventative and treatment strategies but also long-term management has begun to expand the focus on this condition.(http://medscape.com/viewarticle/44925?src=search )

Physical activity and healthy weight are two of the ten health indicators of Healthy People 2010: http://www.healthypeople.gov/LHI/lhiwhat.htm

This measure indicates health centers’ competence and diligence regarding recognition and intervention intended to reduce the myriad of serious health problems associated with obesity. Analysis of this measure requires addressing screening, reminder, recall and follow-up, adherence to practice guidelines, patient and provider education.

See:
Clinical Guideline on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. NIH NHLBI, September, 1998 at http://www.nhlbi.nih.gov/guidelines/obesity/ob_home.htm

Centers for Disease Control & Prevention – Overweight & Obesity
http://www.cdc.gov/nccdphp/dnpa/obesity/index.htm
also: http://www.cdc.gov/growthcharts/

This measure is also in the Health Disparities Collaborative, Prevention Pilot, Measure #3b http://healthdisparities.net/hdc/html/collaboratives.topics.prevention.asp

U.S. Preventive Services Task Force:
http://www.ahrq.gov/clinic/uspstf/uspsobes.htm