• Arch G Mainous, Zhigang Xie, Samuel B Dickmann, James F Medley, and Young-Rock Hong.
• From the Department of Community Health and Family Medicine, University of Florida, Gainesville (AGM, SBD, JFM); Department of Health Services Research, Management, and Policy, University of Florida, Gainesville (AGM, YRH); Department of Public Health, University of North Florida, Jacksonville (ZX). arch.mainous@ufl.edu.
• J Am Board Fam Med. 2023 Apr 3; 36 (2): 325332325-332.

IntroductionAn ongoing patient-physician relationship may increase the likelihood of acknowledging obesity and providing a treatment plan. The purpose of the study was to investigate if continuity of care was associated with recording of obesity and receipt of a weight-loss treatment plan.MethodsWe analyzed data from the 2016 and 2018 National Ambulatory Medical Care Survey. Only adult patients with measured body mass index of ≥ 30 were included. Our primary measures were acknowledgment of obesity, treatment of obesity, continuity of care, and obesity-associated comorbid conditions.ResultsAmong patients who were objectively obese, only 30.6% had an acknowledgment of the patient's body composition in the visit. In adjusted analyses, continuity of care was not significantly related to recording of obesity but did significantly increase the likelihood of treatment for obesity. Continuity of care was only significantly related to obesity treatment when defined as a visit with the patient's established primary care physician. The effect was not seen with continuity with the practice.DiscussionThere are many missed opportunities for prevention of obesity-related disease. Continuity of care with a primary care physician was associated with benefits in treatment likelihood, but greater emphasis on managing obesity in a primary care visit seems warranted.© Copyright by the American Board of Family Medicine.

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