Electronically captured, patient‐reported physical function: an important vital sign in obesity medicine

Summary Objectives Impaired physical function (i.e., inability to walk 200 feet, climb a flight of stairs or perform activities of daily living) predicts poor clinical outcomes and adversely impacts medical and surgical weight management. However, routine assessment physical function is seldom perfo...

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Bibliographic Details
Published in:Obesity science & practice 2016-12, Vol.2 (4), p.399-406
Main Authors: Fleming, J., Wood, G. C., Seiler, C., Cook, A., Lent, M. R., Still, C. D., Benotti, P. N., Irving, B. A.
Format: Article
Language:English
Subjects:
Accreditation
Activities of daily living
Age
Assessment centers
Body weight
Clinical outcomes
Clinics
Comorbidity
Education
Gastrointestinal surgery
Gender
Metabolism
Morbid obesity
Nutrition
Obesity
Objectives
Original
Patient Protection & Affordable Care Act 2010-US
Patients
PROMIS
Quality of life
Quality standards
Questionnaires
risk stratification
Studies
Surgical outcomes
Websites
Weight control
weight management
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Summary:Summary Objectives Impaired physical function (i.e., inability to walk 200 feet, climb a flight of stairs or perform activities of daily living) predicts poor clinical outcomes and adversely impacts medical and surgical weight management. However, routine assessment physical function is seldom performed clinically. The PROMIS Physical Function Short Form 20a (SF‐20a) is a validated questionnaire for assessing patient reported physical function, which includes published T‐score percentiles adjusted for gender, age and education. However, the effect that increasing levels of obesity has on these percentiles is unclear. We hypothesized that physical function would decline with increasing level of obesity independent of gender, age, education and comorbidity. Materials and Methods This study included 1,627 consecutive weight management patients [(mean ± SEM), 44.7 ± 0.3 years and 45.1 ± 0.2 kg/m2] that completed the PROMIS SF‐20a during their initial consultation. We evaluated the association between obesity level and PROMIS T‐score percentiles using multiple linear regression adjusting for gender, age, education and Charlson Comorbidity Index (CCI). Results Multiple linear regression T‐score percentiles were lower in obesity class 2 (−12.4%tile, p 
ISSN:2055-2238
2055-2238
DOI:10.1002/osp4.67