Annual prevalence and factors associated with body mass index documentation in German general practices—A retrospective cross‐sectional study

Diabetes Obes MetabPublished Retrospective cross-sectional study

Authors' conclusion

BMI is not documented routinely by GPs in Germany. However, older age and the presence of several disorders increase the likelihood of recording this information. These findings underscore a need to prioritize obesity assessment and management in primary care settings in Germany.

Study context

Population
Patients aged ≥18 years who visited their GP in 2023, IQVIA Disease Analyzer database (>3000 office-based general practitioners (GPs) and specialists), Germany
Participants
989,955 patients
Outcome
Prevalence of BMI documentation by GPs
Follow-up
2023
Methodological detailsIQVIA Disease Analyzer database, multivariable logistic regression
  • IQVIA Disease Analyzer database
  • Multivariable logistic regression

Main finding

As reported in the abstract

BMI documentation

Patients with documented body mass index (BMI)

10.8%

Observational data: associations, not effects.

Further findings

Factors associated with BMI documentation (multivariable logistic regression)

OR (95% CI)
61-70 yearsStrongest associations with BMI documentation1.46 (1.43–1.49)
ObesityStrongest associations with BMI documentation2.15 (2.01–2.21)
Type 2 diabetes mellitusStrongest associations with BMI documentation2.12 (2.08–2.17)
OutcomeValues
BMI documentation by age · 2023≤40 years 7.3% · >70 years 13.8%
BMI documentation by number of health disorders · 2023No disorders 7.3% · >4 disorders 23.2%

BMI documentation by age · 2023

Prevalence increased with age

BMI documentation by number of health disorders · 2023

Prevalence increased with number of health disorders

Factors associated with BMI documentation (multivariable logistic regression)

No notable differences between sexes or insurance

Original publication

Annual prevalence and factors associated with body mass index documentation in German general practices—A retrospective cross‐sectional study. Diabetes Obes Metab. Published 10 February 2025. doi:10.1111/dom.16243

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