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

Rose, Stephanie A; Turchin, Alexander; Grant, Richard W; Meigs, James B

doi:10.1186/1472-6963-9-236

BMC Health Services Research

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

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.

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