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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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| Published in: | Obesity science & practice 2016-12, Vol.2 (4), p.399-406 |
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| container_title | Obesity science & practice |
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| creator | Fleming, J. Wood, G. C. Seiler, C. Cook, A. Lent, M. R. Still, C. D. Benotti, P. N. Irving, B. A. |
| description | 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 |
| doi_str_mv | 10.1002/osp4.67 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5192538</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2290156327</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4617-e78382bb8a3304a5f591a4f4afda91a506f5671b31464c37b45d2e8f081adadc3</originalsourceid><addsrcrecordid>eNp1kdtqFTEUhoMottTiG0jACwXdNefJeCFIqQcoVFCvw5pMps1mdjImmcrc-Qg-o09ihl1LFbzKIv_Hvw4_Qo8pOaGEsFcxT-JENffQISNSbhjj-v6d-gAd57wlhFDZKsroQ3TANGkJF_IQbc9GZ0uKwVsYxwVbmMqcXP8ST1C8C-XXj5_JTTEV1-Ppaskrh4c52OJjeI0hYL9bZQgFX_tSxewv62fAsXPZlwXvXO-tD-4RejDAmN3xzXuEvr47-3L6YXN-8f7j6dvzjRWKNhvXaK5Z12ngnAiQg2wpiEHA0EOtJFGDVA3tOBVKWN50QvbM6YFoCj30lh-hN3vfae5qb1uXSDCaKfkdpMVE8OZvJfgrcxmvjaQtk1xXg-c3Bil-m10uZuezdeMIwcU5G6oVlZwR0lb06T_oNs4p1PUMY229uOKsqdSzPWVTzDm54XYYSswaoVkjNGoln9yd_Zb7E1gFXuyB7350y_98zMXnT6La_QZjIqfW</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2290156327</pqid></control><display><type>article</type><title>Electronically captured, patient‐reported physical function: an important vital sign in obesity medicine</title><source>Open Access: PubMed Central</source><source>Publicly Available Content Database</source><source>Wiley-Blackwell Open Access Titles(OpenAccess)</source><creator>Fleming, J. ; Wood, G. C. ; Seiler, C. ; Cook, A. ; Lent, M. R. ; Still, C. D. ; Benotti, P. N. ; Irving, B. A.</creator><creatorcontrib>Fleming, J. ; Wood, G. C. ; Seiler, C. ; Cook, A. ; Lent, M. R. ; Still, C. D. ; Benotti, P. N. ; Irving, B. A.</creatorcontrib><description>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 < 0.0001), class 3 (−17.0%tile, p < 0.0001) and super obesity (−25.1%tile, p < 0.0001) compared to class 1 obesity.
Conclusion
In patients referred for weight management, patient reported physical function was progressively lower in a dose‐dependent fashion with increasing levels of obesity, independent of gender, age, education and CCI.</description><identifier>ISSN: 2055-2238</identifier><identifier>EISSN: 2055-2238</identifier><identifier>DOI: 10.1002/osp4.67</identifier><identifier>PMID: 28090345</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>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</subject><ispartof>Obesity science & practice, 2016-12, Vol.2 (4), p.399-406</ispartof><rights>2016 The Authors. Obesity Science & Practice published by John Wiley & Sons Ltd, World Obesity and The Obesity Society.</rights><rights>2016. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4617-e78382bb8a3304a5f591a4f4afda91a506f5671b31464c37b45d2e8f081adadc3</citedby><cites>FETCH-LOGICAL-c4617-e78382bb8a3304a5f591a4f4afda91a506f5671b31464c37b45d2e8f081adadc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2290156327/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2290156327?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,25753,27924,27925,37012,37013,44590,46052,46476,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28090345$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fleming, J.</creatorcontrib><creatorcontrib>Wood, G. C.</creatorcontrib><creatorcontrib>Seiler, C.</creatorcontrib><creatorcontrib>Cook, A.</creatorcontrib><creatorcontrib>Lent, M. R.</creatorcontrib><creatorcontrib>Still, C. D.</creatorcontrib><creatorcontrib>Benotti, P. N.</creatorcontrib><creatorcontrib>Irving, B. A.</creatorcontrib><title>Electronically captured, patient‐reported physical function: an important vital sign in obesity medicine</title><title>Obesity science & practice</title><addtitle>Obes Sci Pract</addtitle><description>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 < 0.0001), class 3 (−17.0%tile, p < 0.0001) and super obesity (−25.1%tile, p < 0.0001) compared to class 1 obesity.
Conclusion
In patients referred for weight management, patient reported physical function was progressively lower in a dose‐dependent fashion with increasing levels of obesity, independent of gender, age, education and CCI.</description><subject>Accreditation</subject><subject>Activities of daily living</subject><subject>Age</subject><subject>Assessment centers</subject><subject>Body weight</subject><subject>Clinical outcomes</subject><subject>Clinics</subject><subject>Comorbidity</subject><subject>Education</subject><subject>Gastrointestinal surgery</subject><subject>Gender</subject><subject>Metabolism</subject><subject>Morbid obesity</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Objectives</subject><subject>Original</subject><subject>Patient Protection & Affordable Care Act 2010-US</subject><subject>Patients</subject><subject>PROMIS</subject><subject>Quality of life</subject><subject>Quality standards</subject><subject>Questionnaires</subject><subject>risk stratification</subject><subject>Studies</subject><subject>Surgical outcomes</subject><subject>Websites</subject><subject>Weight control</subject><subject>weight management</subject><issn>2055-2238</issn><issn>2055-2238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><recordid>eNp1kdtqFTEUhoMottTiG0jACwXdNefJeCFIqQcoVFCvw5pMps1mdjImmcrc-Qg-o09ihl1LFbzKIv_Hvw4_Qo8pOaGEsFcxT-JENffQISNSbhjj-v6d-gAd57wlhFDZKsroQ3TANGkJF_IQbc9GZ0uKwVsYxwVbmMqcXP8ST1C8C-XXj5_JTTEV1-Ppaskrh4c52OJjeI0hYL9bZQgFX_tSxewv62fAsXPZlwXvXO-tD-4RejDAmN3xzXuEvr47-3L6YXN-8f7j6dvzjRWKNhvXaK5Z12ngnAiQg2wpiEHA0EOtJFGDVA3tOBVKWN50QvbM6YFoCj30lh-hN3vfae5qb1uXSDCaKfkdpMVE8OZvJfgrcxmvjaQtk1xXg-c3Bil-m10uZuezdeMIwcU5G6oVlZwR0lb06T_oNs4p1PUMY229uOKsqdSzPWVTzDm54XYYSswaoVkjNGoln9yd_Zb7E1gFXuyB7350y_98zMXnT6La_QZjIqfW</recordid><startdate>201612</startdate><enddate>201612</enddate><creator>Fleming, J.</creator><creator>Wood, G. C.</creator><creator>Seiler, C.</creator><creator>Cook, A.</creator><creator>Lent, M. R.</creator><creator>Still, C. D.</creator><creator>Benotti, P. N.</creator><creator>Irving, B. A.</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FE</scope><scope>8FH</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201612</creationdate><title>Electronically captured, patient‐reported physical function: an important vital sign in obesity medicine</title><author>Fleming, J. ; Wood, G. C. ; Seiler, C. ; Cook, A. ; Lent, M. R. ; Still, C. D. ; Benotti, P. N. ; Irving, B. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4617-e78382bb8a3304a5f591a4f4afda91a506f5671b31464c37b45d2e8f081adadc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Accreditation</topic><topic>Activities of daily living</topic><topic>Age</topic><topic>Assessment centers</topic><topic>Body weight</topic><topic>Clinical outcomes</topic><topic>Clinics</topic><topic>Comorbidity</topic><topic>Education</topic><topic>Gastrointestinal surgery</topic><topic>Gender</topic><topic>Metabolism</topic><topic>Morbid obesity</topic><topic>Nutrition</topic><topic>Obesity</topic><topic>Objectives</topic><topic>Original</topic><topic>Patient Protection & Affordable Care Act 2010-US</topic><topic>Patients</topic><topic>PROMIS</topic><topic>Quality of life</topic><topic>Quality standards</topic><topic>Questionnaires</topic><topic>risk stratification</topic><topic>Studies</topic><topic>Surgical outcomes</topic><topic>Websites</topic><topic>Weight control</topic><topic>weight management</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fleming, J.</creatorcontrib><creatorcontrib>Wood, G. 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A.</creatorcontrib><collection>Wiley-Blackwell Open Access Titles(OpenAccess)</collection><collection>Wiley Online Library Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>ProQuest Biological Science Journals</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obesity science & practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fleming, J.</au><au>Wood, G. C.</au><au>Seiler, C.</au><au>Cook, A.</au><au>Lent, M. R.</au><au>Still, C. D.</au><au>Benotti, P. N.</au><au>Irving, B. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electronically captured, patient‐reported physical function: an important vital sign in obesity medicine</atitle><jtitle>Obesity science & practice</jtitle><addtitle>Obes Sci Pract</addtitle><date>2016-12</date><risdate>2016</risdate><volume>2</volume><issue>4</issue><spage>399</spage><epage>406</epage><pages>399-406</pages><issn>2055-2238</issn><eissn>2055-2238</eissn><abstract>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 < 0.0001), class 3 (−17.0%tile, p < 0.0001) and super obesity (−25.1%tile, p < 0.0001) compared to class 1 obesity.
Conclusion
In patients referred for weight management, patient reported physical function was progressively lower in a dose‐dependent fashion with increasing levels of obesity, independent of gender, age, education and CCI.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>28090345</pmid><doi>10.1002/osp4.67</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | Open Access: PubMed Central; Publicly Available Content Database; Wiley-Blackwell Open Access Titles(OpenAccess) |
| 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 |
| title | Electronically captured, patient‐reported physical function: an important vital sign in obesity medicine |
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