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Health profiles of overweight and obese youth attending general practice
  1. Winifred D Paulis1,
  2. Millicent Palmer2,
  3. Patty Chondros2,
  4. Sylvia Kauer2,
  5. Marienke van Middelkoop1,
  6. Lena A Sanci2
  1. 1Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
  2. 2General Practice and Primary Health Care Academic Centre, The University of Melbourne, Melbourne, Australia
  1. Correspondence to W D Paulis, Department of General Practice, Erasmus MC, P.O. Box 2040, Rotterdam 3000 CA, The Netherlands; w.paulis{at}erasmusmc.nl

Abstract

Background Literature suggests that overweight and obese young people use healthcare services more often, but this awaits confirmation in primary care.

Objective To identify health profiles of underweight, overweight and obese young people attending general practice and compare them to normal-weight youth and also to explore the weight-related health risks of eating and exercise behaviour in the four different weight categories.

Methods This study used a cross-sectional design with baseline data from a trial including 683 young people (14–24 years of age) presenting to general practice. Through computer-assisted telephone interviews data were obtained on number and type of health complaints and consultations, emotional distress, health-related quality of life (HRQoL) and eating and exercise behaviour.

Results General practitioners (GPs) were consulted more often by overweight (incidence rate ratio (IRR): 1.28, 95% CI (1.04 to 1.57)) and obese youth (IRR: 1.54, 95% CI (1.21 to 1.97), but not for different health problems compared with normal-weight youth. The reason for presentation was seldom a weight issue. Obese youth reported lower physical HRQoL. Obese and underweight youth were less likely to be satisfied with their eating behaviour than their normal-weight peers. Exercise levels were low in the entire cohort.

Conclusions Our study highlights the need for effective weight management given that overweight and obese youth consult their GP more often. Since young people do not present with weight issues, it becomes important for GPs to find ways to initiate the discussion about weight, healthy eating and exercise with youth.

Trial registration number ISRCTN16059206.

  • Adolescent Health
  • Obesity
  • General Practice
  • Quality of Life

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Footnotes

  • Contributors WDP analysed the data and drafted the manuscript. MP analysed the data and helped to draft the manuscript. PC participated in the design of the study and helped do draft the manuscript. SK participated in the design of the study and helped do draft the manuscript MvM revised the manuscript critically for important intellectual content LAS participated in its design, coordinated the study and has been involved in drafting the manuscript. All authors read and approved the final manuscript.

  • Funding Australian Health Ministers' Advisory Council Australian Primary Health Care Research Institute. National Health and Medical Research Council.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Ethics approval Ethics approval for the party study and all analyses were obtained from the University of Melbourne Human Research Ethics Committee.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement The design paper shows which data are available. LAS is coordinator of the project and data belong at the University of Melbourne.

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