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BACKGROUND Obesity is associated with increased colon cancer mortality and lower rates of mammography and Pap testing. METHODS We conducted a systematic review to determine whether obesity is associated with lower rates of colon cancer screening. We searched the PubMed, CINAHL, and Cochrane Library databases. Two investigators reviewed citations,(More)
OBJECTIVE To examine the association between patient-perceived judgments about weight by primary care providers (PCPs) and self-reported weight loss. METHODS We conducted a national internet-based survey of 600 adults engaged in primary care with a body mass index (BMI)≥25 kg/m(2) in 2012. Our weight loss outcomes included attempted weight loss and(More)
OBJECTIVE The objective is to evaluate whether physician body mass index (BMI) impacts their patients' trust or perceptions of weight-related stigma. METHODS We used a national cross-sectional survey of 600 non-pregnant overweight and obese patients conducted between April 5 and April 13, 2012. The outcome variables were patient trust (overall and by type(More)
BACKGROUND Commercial and proprietary weight-loss programs are popular obesity treatment options, but their efficacy is unclear. PURPOSE To compare weight loss, adherence, and harms of commercial or proprietary weight-loss programs versus control/education (no intervention, printed materials only, health education curriculum, or <3 sessions with a(More)
BACKGROUND Obesity affects cancer risk and treatment outcomes. Preventing weight gain may prevent some cancers, improve cancer outcomes, reduce cancer recurrence and increase cancer-related survival. We performed a systematic review to identify strategies to prevent weight gain in individuals with or at risk for breast cancer. FINDINGS We included 2(More)
Using a national cross-sectional survey of 500 primary care physicians conducted between 9 February and 1 March 2011, the objective of this study was to assess the impact of physician BMI on obesity care, physician self-efficacy, perceptions of role-modeling weight-related health behaviors, and perceptions of patient trust in weight loss advice. We found(More)
OBJECTIVE To compare the effectiveness of self-management, dietary, physical activity, and/or environmental strategies for the prevention of weight gain among adults in work and college settings. METHOD We conducted a systematic review of work/college-based studies that intervened on adults using one or more of the above strategies with follow up over at(More)
OBJECTIVE To describe the relationship between primary care physicians' (PCPs') beliefs about the causes of obesity with the frequency of nutritional counseling. METHODS We analyzed a national cross-sectional internet-based survey of 500 US PCPs collected between February and March 2011. RESULTS PCPs that identified overconsumption of food as a very(More)
BACKGROUND Micronutrient deficiencies are key concerns after bariatric surgery. We describe the prevalence of perioperative testing and diagnosis of micronutrient deficiencies among a cohort of insured bariatric surgery patients. METHODS We used claims data from seven health insurers to identify bariatric surgery patients from 2002-2008. Our outcomes were(More)
OBJECTIVE Physicians' negative attitudes toward patients with obesity are well documented. Whether or how these beliefs may affect patient-physician communication is unknown. To describe the relationship between patient body mass index (BMI) and physician communication behaviors (biomedical, psychosocial/lifestyle, and rapport building) during typical(More)