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Table 6 Control 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

Outcome Total Documented   Total Controlled   Obese   Overweight   Normal   P value
History of CVD n % n % n % n % n %  
H/O CVD n = 7,208            
NO H/O CVD
n = 40,420
           
BP < 130 and < 85 mmHg      H/O CVD N = 1,931 H/O CVD N = 1,991 H/O CVD N = 1,375  
      NO H/O CVD 8,969 NO H/O CVD N = 10,899 NO H/O CVD N = 11,769  
      n = 6,801 n = 9,202 n = 10,733  
   H/O CVD 5,297 73.5 3,338 63.0 1,155 59.8 1,256 63.1 927 67.4 <0.0001
   NO H/O CVD 31,637 78.3 23,399 74.0 5,647 63.0 7,946 72.9 9,806 83.3  
LDL < 130 md/dL      H/O CVD N = 2,393 H/O CVD N = 2,358 H/O CVD N = 1,448  
      NO H/O CVD N = 8,846 NO H/O CVD N = 9,655 NO H/O CVD N = 6,989  
      n = 8,777 n = 9,273 n = 8,278  
   H/O CVD 6,199 86.0 5,515 89.0 2,152 89.9 2,074 88.0 1,289 89.0 0.002
   NO H/O CVD 27,228 67.4 20,813 76.4 6,625 74.9 7,199 74.6 6,989 80.1  
Casual glucose < 200 mg/dL      H/O CVD N = 2,355 H/O CVD N = 2,322 H/O CVD N = 1,628  
      NO H/O CVD N = 8,861 NO H/O CVD N = 9,579 NO H/O CVD N = 9,844  
      n = 10,707 n = 11,635 n = 11,356  
   H/O CVD 6,305 87.5 5,979 94.8 2,173 92.3 2,218 95.5 1,588 97.5 0.13
   NO H/O CVD 28,284 70.0 27,719 98.0 8,534 96.3 9,417 98.3 9,768 99.2  
Fasting glucose < 100 mg/dL      H/O CVD N = 1,158 H/O CVD N = 1,023 H/O CVD N = 560  
      NO H/O CVD N = 4,189 NO H/O CVD N = 3,781 NO H/O CVD N = 2,710  
      n = 2,753 n = 3,146 n = 2,583  
   H/O CVD 2,741 38.0 1,325 48.3 415 35.8 561 54.8 349 62.3 0.0005
   NO H/O CVD 10,680 26.4 7,157 67.0 2,338 55.8 2,585 68.4 2,234 82.4  
All 3 risk factors      H/O CVD N = 829 H/O CVD N = 1,693 H/O CVD N = 1,028  
      NO H/O CVD N = 2,767 NO H/O CVD N = 7,104 NO H/O CVD N = 5,958  
      n = 3,596 n = 4,344 n = 4,327  
   H/O CVD 4,417 61.3 2,252 51.0 829 48.9 850 50.2 573 55.7 <0.0001
   NO H/O CVD 19,613 48.5 10,015 51.1 2,767 42.2 3,494 49.2 3,754 63.0  
History of diabetes            
H/O diabetes n = 5,851            
NO H/O diabetes n = 41,777            
BP < 130 and < 85 mmHg      H/O diabetes N = 2,447 H/O diabetes N = 1,366 H/O diabetes N = 585  
      NO H/O diabetes 8,453 NO H/O diabetes N = 11,524 NO H/O diabetes N = 12,559  
      n = 6,801 n = 9,202 n = 10,733  
   H/O diabetes 4,398 75.2 2,775 63.1 1,476 60.3 919 67.3 380 65.0 <0.0001
   NO H/O diabetes 32,536 77.9 23,961 73.6 5,325 63.0 8,283 71.9 10,353 82  
LDL < 130 md/dL      H/O diabetes N = 2,963 H/O diabetes N = 1,617 H/O diabetes N = 705  
      NO H/O diabetes N = 8,276 NO H/O diabetes N = 10,396 NO H/O diabetes N = 9,470  
      n = 8,777 n = 9,273 n = 8,278  
   H/O diabetes 5,285 90.3 4,746 89.8 2,635 88.9 1,462 90.4 649 92.1 0.57
   NO H/O diabetes 28,142 67.4 21,583 76.7 6,143 74.2 7,811 75.1 7,629 80.6  
Casual glucose < 200 mg/dL      H/O diabetes N = 2,884 H/O diabetes N = 1,596 H/O diabetes N = 745  
      NO H/O diabetes N = 8,332 NO H/O diabetes N = 10,305 NO H/O diabetes N = 10,727  
      n = 10,707 n = 11,635 n = 11,356  
   H/O diabetes 5,225 89.3 4,383 83.9 2,400 83.2 1,342 84.1 641 86.0 0.015
   NO H/O diabetes 29,634 70.9 29,315 98.9 8,307 99.7 10,293 99.9 10,715 99.9  
Fasting glucose < 100 mg/dL      H/O diabetes N = 1,619   H/O diabetes N = 812   H/O diabetes N = 305   0.24
      NO H/O diabetes N = 3,728   NO H/O diabetes N = 3,992   NO H/O diabetes 2,965   
      n = 2,753 n = 3,146 n = 2,583  
   H/O diabetes 2,736 46.8 554 20.2 285 17.6 170 20.9 99 32.5  
   NO H/O diabetes 10,685 25.6 7,928 74.2 2,468 66.2 2,976 74.6 2,484 83.8  
All 3 risk factors      H/O diabetes N = 2,197 H/O diabetes N = 1,240 H/O diabetes N = 499 <0.0001
      NO H/O diabetes N = 6,050 NO H/O diabetes N = 7,557 NO H/O diabetes N = 6,487  
      n = 3,596 n = 4,344 n = 4,327  
   H/O diabetes 3,936 67.3 1,754 44.6 929 42.3 587 47.3 238 47.7  
   NO H/O diabetes 20,094 48.1 10,513 52.3 2,667 44.1 3,757 49.7 4,089 63.0  
  1. P-value compares homogeneity of the 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. Risk factor control rates are from patients with risk factors documented. 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). All 3 risk factors controlled = control of BP + LDL + casual OR fasting glucose. Documentation or control of all 3 risk factors defined as BP, LDL, and fasting or casual glucose below the thresholds indicated.