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that 60% did not know the minimum body mass index (BMI) for diagnosing obesity, 69% did not recognize waist circumference as a reasonable measure of obesity, and 39% incorrectly reported their own BMI. The same study found that only 30% reported treatment success and 9


2010, Sesselberg, et al, conducted a national survey of 445 family physicians and found that 71% were familiar with BMI guidelines; 41% were familiar with American Academy of Family Physician recommendations about overweight. Most (78%) had tools available to calculate BMI; fewer have enough time for overweight screening (55%), and only 45% reported computing BMI percentile at most or every well visit for children older than 2. The same study found that only 43% believed their counseling was effective.11


et al, conducted a cross-sectional study of 250 physicians conformed by internal medicine, pediatricians and  obesity and 46% were successful at treating obesity.10


In In 2009, Jay,


An inclusion and exclusion criteria was made. Only studies between 1995 and 2015 that perceived the level of nutrition training (quality, quantity, counseling, etc) was included for both chiropractors and allopathic physicians.


Chiropractic nutritional counseling practice patterns for patients with obesity was made by a search of the pubmed and google scholar electronic database.


Only studies measuring the percent of chiropractors who performed nutritional counseling for obesity was included.


Allopathic nutritional counseling practice patterns for patients with obesity was made by a search of the pubmed and google scholar electronic database.


Only studies measuring the percent of visits where nutritional counseling was performed were included.


In 2010, Ndetan, et al, conducted an analysis of the 2006 National Health Interview Survey data involving 24,275 patients (34.9% were overweight and 26.0% were obese) and found that the levels of compliance were similar when allopathic or chiropractic physicians advised (88.2% vs 88.7, respectively). There was a decreased odd that patients having seen only a chiropractor within the last 12 months would report they were advised when compared to those reporting seeing only an allopathic doctor (38.9% / 21%).13


Ndetan, et al, conducted an analysis of the 2006 National Health Interview Survey data involving 6,374 patients diagnosed with arthritis for recommendations for known         differences in weight loss and increased exercise health promotion efforts between chiropractors and allopathic physicians.14


While the aforementioned studies compared counseling effectiveness and health promotion efforts between chiropractic and allopathic physicians, this study evaluates the correlation between perceived level of training in nutrition and nutrition counseling for obese patients. The purpose of this study is to compare the correlation between chiropractic and allopathic perceived level of nutrition training in relation to nutritional counseling practice patterns for patients with obesity.


METHODS


For chiropractic and allopathic perceived level of training in nutrition and chiropractic nutrition counseling practice patterns in patients with obesity, a search of the pubmed and google scholar electronic database using the keywords: chiropractic, physician, nutrition, counseling, 


286 Also in 2010,


A few studies have compared counseling effectiveness and health promotion efforts between chiropractic and allopathic physicians. In 2009. Ndetan, et al, conducted an analysis of the National Health Interview Survey of 2005 involving 31,248 patients and found that chiropractor- only patients were more likely to be physically active and less likely to be obese compared to medical doctor- only patients.12


RESULTS


Three studies were found for the perception of the level of nutrition training for chiropractors.The total sample population of chiropractors was 574 for the three studies. Four studies were found for the perception of the level of nutrition training for allopathic physicians. The total sample population of allopathic physicians was 1,568 for the three studies.A higher percentage of chiropractors perceive their education training as adequate compared to allopathic doctors (43/22).


Four studies were found for chiropractic practice patterns of nutritional counseling for patients with obesity or weight loss counseling in general. The total sample population of chiropractors was 1,485 for the four studies. Seven studies were found for allopathic practice patterns of nutritional counseling for patients with obesity. The total sample population of patient visits was 11,717,600 for the seven studies. 59% of chiropractors provided nutritional counseling for patients with obesity while allopathic doctors provided nutritional counseling to obese patients in 40% of the visits.


DISCUSSION


The plausibility of a correlation between perceived level of nutrition training and nutritional counseling practice patterns for patients with obesity was discussed in the introduction. Another plausible explanation for the positive correlation between perceived level of nutrition training and practice patterns is the quantity of nutrition classroom hours. Adams, et al, reported an average of 23.9 hours, 19.6 hours and 19 hours of nutrition classroom for US medical schools for 2006, 2010 and 2014 respectively.15,16,17


On the other hand, 5 out of the 18 chiropractic schools (Logan, National, Northwestern, Parker and Southern California) teach 60 hours or more of clinical nutrition in addition to basic nutrition classes.18,19,20,21,22


A topic not mentioned in this study is exercise counseling


THE ORIGINAL INTERNIST JUNE 2015 (Continued on next page)


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