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Table 5 Documentation of Risk Factors in 47,628 Patients in 12 Primary Care Clinics Stratified by BMI Category and History of CVD or Diabetes

From: Documentation of body mass index and control of associated risk factors in a large primary care network

Risk Factors

Total

Obese

n = 14,290

Overweight

n = 16,402

Normal Weight

n = 16,936

P value

History of CVD

n

%

n

%

n

%

n

%

 

   H/O CVD n = 7,208

  

H/O CVD N = 2,647

H/O CVD N = 2,699

H/O CVD N = 1,862

 

   NO H/O CVD n = 40,420

  

No H/O CVD N = 11,643

NO H/O CVD N = 13,703

NO H/O CVD N = 15,074

 

BP

  

n = 10,900

n = 12,890

n = 13,144

 

   H/O CVD

5,297

73.5

1,931

73.0

1,991

73.8

1,375

73.9

0.26

   NO H/O CVD

31,637

78.3

8,969

77.0

10,899

79.5

11,769

78.1

 

LDL

  

n = 11,239

n = 12,013

n = 10,175

 

   H/O CVD

6,199

86.0

2,393

90.4

2,358

87.4

1,448

77.8

0.15

   NO H/O CVD

27,228

67.4

8,846

76.0

9,655

70.5

8,727

57.9

 

Casual glucose

  

n = 11,216

n = 11,901

n = 11,472

 

   H/O CVD

6,305

87.5

2,355

89.0

2,322

86.0

1,628

87.4

0.0001

   NO H/O CVD

28,284

70.0

8,861

76.1

9,579

69.9

9,844

65.3

 

Fasting glucose

  

n = 5,347

n = 4,804

n = 3,270

 

   H/O CVD

2,741

38.0

1,158

43.8

1,023

37.9

560

30.1

<0.0001

   NO H/O CVD

10,680

26.4

4,189

36.0

3,781

27.6

2,710

18.0

 

All 3 risk factors

  

n = 8,247

n = 8,797

n = 6,986

 

   H/O CVD

4,417

61.3

1,696

64.1

1,693

62.7

1,028

55.2

<0.0001

   NO H/O CVD

19,613

48.5

6,551

56.3

7,104

51.8

5,958

39.5

 

History of DM

  

n

%

n

%

n

%

 

   H/O diabetes n = 5,851

  

H/O diabetes N = 3,238

H/O diabetes N = 1,789

H/O diabetes N = 824

 

NO H/O diabetes

n = 41,777

  

NO H/O diabetes N = 11,052

NO H/O diabetes N = 14,613

NO H/O diabetes N = 16,112

 

BP

  

n = 10,900

n = 12,890

n = 13,144

 

   H/O diabetes

4,398

75.2

2,447

75.6

1,366

76.4

585

71.0

0.002

   NO H/O diabetes

32,536

77.9

8,453

76.5

11,524

78.9

12,559

78.0

 

LDL

  

n = 11,239

n = 12,013

n = 10,175

 

   H/O diabetes

5,285

90.3

2,963

91.5

1,617

90.4

705

86.2

0.51

   NO H/O diabetes

28,142

67.4

8,276

74.9

10,396

71.1

9,470

58.8

 

Casual glucose

  

n = 11,216

n = 11,901

n = 11,472

 

   H/O diabetes

5,225

89.3

2,884

89.1

1,596

89.2

745

90.4

<0.0001

   NO H/O diabetes

29,634

70.9

8,332

75.4

10,305

70.5

10,727

66.6

 

Fasting glucose

  

n = 5,347

n = 4,804

n = 3,270

 

   H/O diabetes

2,736

46.8

1,619

50.0

812

45.4

305

37.0

0.003

   NO H/O diabetes

10,685

25.6

3,728

33.7

3,992

27.3

2,965

18.4

 

All 3 risk factors

  

n = 8,247

n = 8,797

n = 6,986

 

   H/O diabetes

3,936

67.3

2,197

67.9

1,240

69.3

499

60.6

0.001

   NO H/O diabetes

20,094

48.1

6,050

54.7

7,557

51.7

6,487

40.3

 
  1. P-value compares homogeneity of odds ratios across groups. CVD = Cardiovascular Disease, BMI = Body Mass Index (weight in kilograms/height in meters2), BP = Blood Pressure, LDL = low density lipoprotein cholesterol, HDL = high density lipoprotein cholesterol. All 3 risk factors documented = documentation of BP + LDL + casual OR fasting glucose. Numbers and percentages in table reflect percentage of risk factor documented by BMI type in patients either with or without a history of CVD or DM (i.e., 1,931 = 73% of 2,647 patients who are obese with BP documented with a history of CVD).
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BMC Health Services Research

ISSN: 1472-6963

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