The Prevalence of Obesity and Select Clinical Characteristics Associated with Obesity among African American Women in Nurse-Managed Clinics

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Hdl Handle:
http://hdl.handle.net/10755/308569
Category:
Abstract
Type:
Presentation
Title:
The Prevalence of Obesity and Select Clinical Characteristics Associated with Obesity among African American Women in Nurse-Managed Clinics
Author(s):
Campbell, Kelly S.; Zhang, Jiannan; Goodwin, Grace; Topp, Robert; Nicoloff, Peter; Betlej, Lisa
Lead Author STTI Affiliation:
Beta Eta-at-Large
Author Details:
Kelly S. Campbell, MSN, APNP-BC, CCM, kelly.s.campbell@marquette.edu; Jiannan Zhang, BSN; Grace Goodwin, Undergraduate student; Robert Topp, RN, PhD; Peter Nicoloff, Undergraduate student; Lisa Betlej, Undergraduate student
Abstract:

Session presented on: Monday, November 18, 2013

The purpose of this study is to describe the prevalence of obesity and selected clinical characteristics associated with obesity among adult African-American (AA) females who attend two nurse managed clinics (NMCs).  These clinics provide healthcare services to primarily minority patients residing in the adjacent urban neighborhoods.  A descriptive cross sectional study reviewed the charts of a random number of adult (>18years) AA female patients who during the previous 12 months attended a For Profit (n=149) or Free (n=152) NMC.  Data collectors extracted from each subjects healthcare record their age, marital status, education, height, weight, resting heart rate, blood pressure, results of a lipid profile (TCHOL, HDL, TRI, LDL) blood glucose, HgA1C, number of prescribed medications and diagnosed health problems or ICD-9 code listed on chart’s the active problem list. 59% of the sample were obese, 19% were overweight.  The sample from the For Profit and Free clinics exhibited similar clinical characteristics but the For Profit clinic sample was on average seven years younger, was prescribed 5.63 more medications and was being treated for 2.14 more diagnoses.  Obese patients exhibited higher blood pressure, lower HDLs, higher LDLs, a greater number of prescribed medications, diagnoses and were on average 3.88 years younger compared with non-obese patients.  Odds ratios indicated that being obese rather than non-obese increases the detrimental clinical progression of systolic and diastolic blood pressure, HDLs, blood glucose, the number of medications and the number of diagnoses. These findings are consistent with previous literatures on the prevalence of obesity among AA females and that the increased body weight increases the odds of developing detrimental clinical progressions among these patients. Nurses in urban NMCs need to be aware of the impact obesity has on the patient’s clinical characteristics, and to treat obesity more vigorously to achieve desired patient care outcomes.
Keywords:
Underserved; Obesity; African American Women
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Prevalence of Obesity and Select Clinical Characteristics Associated with Obesity among African American Women in Nurse-Managed Clinicsen_GB
dc.contributor.authorCampbell, Kelly S.en_GB
dc.contributor.authorZhang, Jiannanen_GB
dc.contributor.authorGoodwin, Graceen_GB
dc.contributor.authorTopp, Roberten_GB
dc.contributor.authorNicoloff, Peteren_GB
dc.contributor.authorBetlej, Lisaen_GB
dc.contributor.departmentBeta Eta-at-Largeen_GB
dc.author.detailsKelly S. Campbell, MSN, APNP-BC, CCM, kelly.s.campbell@marquette.edu; Jiannan Zhang, BSN; Grace Goodwin, Undergraduate student; Robert Topp, RN, PhD; Peter Nicoloff, Undergraduate student; Lisa Betlej, Undergraduate studenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/308569-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>The purpose of this study is to describe the prevalence of obesity and selected clinical characteristics associated with obesity among adult African-American (AA) females who attend two nurse managed clinics (NMCs).  These clinics provide healthcare services to primarily minority patients residing in the adjacent urban neighborhoods.  A descriptive cross sectional study reviewed the charts of a random number of adult (>18years) AA female patients who during the previous 12 months attended a For Profit (n=149) or Free (n=152) NMC.  Data collectors extracted from each subjects healthcare record their age, marital status, education, height, weight, resting heart rate, blood pressure, results of a lipid profile (TCHOL, HDL, TRI, LDL) blood glucose, HgA1C, number of prescribed medications and diagnosed health problems or ICD-9 code listed on chart’s the active problem list. 59% of the sample were obese, 19% were overweight.  The sample from the For Profit and Free clinics exhibited similar clinical characteristics but the For Profit clinic sample was on average seven years younger, was prescribed 5.63 more medications and was being treated for 2.14 more diagnoses.  Obese patients exhibited higher blood pressure, lower HDLs, higher LDLs, a greater number of prescribed medications, diagnoses and were on average 3.88 years younger compared with non-obese patients.  Odds ratios indicated that being obese rather than non-obese increases the detrimental clinical progression of systolic and diastolic blood pressure, HDLs, blood glucose, the number of medications and the number of diagnoses. These findings are consistent with previous literatures on the prevalence of obesity among AA females and that the increased body weight increases the odds of developing detrimental clinical progressions among these patients. Nurses in urban NMCs need to be aware of the impact obesity has on the patient’s clinical characteristics, and to treat obesity more vigorously to achieve desired patient care outcomes.en_GB
dc.subjectUnderserveden_GB
dc.subjectObesityen_GB
dc.subjectAfrican American Womenen_GB
dc.date.available2013-12-19T17:33:02Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:33:02Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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