Author/Editor		Kravos, Andrej
Title		Debelost v ambulanti splošne medicine - kako dobro bolniki ocenjujejo svojo prehranjenost
Translated title		Obesity in GP surgery - how well patients know their nutritional status
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 39, št. 11-12
Publication year		2000
Volume		str. 258-62
Language		slo
Abstract		Obesity is a great problem in Slovenia, as it is in ofher developed countries. lts prevalency is increasing and has reached an epidemic extent. Obesity is related with lower quality of life, greater morbidity and greater mortality. A family doctor should know the extent of this problem among his patients and should know how to treat obese patients. In June 1999, all patients that visited the GP office in Žalec were asked about their weight, height and about their opinion regarding their weight. Then their weight and height were measured and body mass index (BMI) was calculated. Finally we offered them advice about their weight and healthy life style. From all 92 patients, 79 patients participated. 54% of them were obese - BMI was 25 or more. Patients knew their weight well, their height badly and least of all they were able fo properly estimate their weight. Only one third of patients accepted advice. Patients that visit our offices need advice about healthy life style and their nutritional status. We have to motivate them to change their life style and make them participate in relevant trearment programmes.
Summary		Debelost je v Sloveniji tako kot po svetu problem, ki narašča in dosega že razsežnosti epidemije. Njen pomen je velik, ker pomeni slabšo kakovost življenja, večjo obolevnost za določenimi boleznimi in večjo umrljivost. Družinski zdravnik bi moral poznati obsežnost problema debelosti pri svojih bolnikih in jim znati svetovati. V svoji ambulanti v Zdravstvenemu domu Žalec smo zaporedne 3 dni v juniju 1999 vprašali vsakega obiskovalca, ki je prišel v ambulanto, koliko je težak in visok ter ali misli, da je predebel. Nato smo ga izmerili, stehtali in mu ponudili še kratek nasvet in zloženko. Od 92 oseb jih je sodelovalo 79. Čezmerno telesno težo, to je indeks telesne teže 25 in več, je imelo 54% bolnikov. Ugotovil sem, da bolniki dobro ocenjujejo svojo telesno težo, slabše višino in še slabše svojo prehranjenost, ki jo kar četrtina ni pravilno ocenila. Še slabše je s pripravljenostjo bolnikov za nasvet. Bolniki nujno potrebujejo vzgojo in svetovanje, kako živeti zdravo in ohraniti primerno telesno težo. Bolnike s tveganjem in že debele pa je potrebno motivirati, da spremenijo svoj življenjski slog, in jim nato ponuditi vključitev v ustrezne programe zdravljenja.
Descriptors		FAMILY PRACTICE OBESITY BODY MASS INDEX HEALTH EDUCATION BODY WEIGHT BODY HEIGHT