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67.9% of obese patients receiving exercise counseling by chiropractors exceeds the national average for exercise counseling. According to the National health Interview Service, the percentage of adults aged 18 and over whose physician or other health professional recommended exercise or physical activity, for obesity was 34.8%, 43.2% and 46.9% for the years 2000, 2005 and 2010 respectively.27


Heaton, et al, reported that in 19.8% of visits obese patients did not receive any type of counseling by their allopathic physician (N= 11,605,132 visits).24


The attitude toward healthy lifestyle habits is also  counseling. In 2009, Dumonthier, et al, conducted a survey of 279 students, faculty, and staff at a chiropractic


TABLE 1


Percentage of Chiropractors that Percieve Their Nutrition Training as Adequate STUDY


Percentage of chiropractors that provide some form of nutritional counseling to promote general health


Walker, 200030 Smith, 200131


Holtzman, 200732 TOTAL/AVERAGE


90% 81% 80% 84%


40% 53% 35% 43%


TABLE 2 Percentage of Allopathic Doctors that Percieve Their Nutrition Training as Adequate


STUDY


Kushner, 199533 Mihalynuk, 200334


Vetter, 200835 Mihalynuk, 201536


Percentage of allopathic doctors that perceive their nutrition training as adequate


13%


33.6% Exposed to nutrition 27.5% 4th year medical school


14% 21.1% TOTAL/AVERAGE 22% THE ORIGINAL INTERNIST JUNE 2015 Sample size of allopathic doctors N=1,030


N=226 Exposed to nutrition N=70 4th year medical school


N=61


N=181 1568


(Continued on next page) 287


Percentage of chiropractors that perceive their nutrition training as adequate


Sample Size of Chiropractors


N=375 N-=74 N=125 574


percent of obese patients receiving both nutritional and exercise counseling by chiropractors. In 2012, Evans, et al, conducted a study involving 530 patient visits from 27 chiropractors in 21 practices. The study found that for the 131 obese patients, exercise counseling was performed on 67.9% of patients and nutrition counseling was performed on 28.2% of these patients. In this study, 9.6% of the 530 patients did not receive any type of counseling.26


The


for patients with obesity. Stafford, Heaton and Krasnewski reported 32.8%, 47% and 25.8% of visits where exercise counseling for patients with obesity was performed by allopathic doctors for the years 2000, 2006 and 2007 respectively.23,24,25


One study measured the


college and found that all surveyed members view doctors of chiropractic as having a responsibility to role model healthy behaviors and to educate their patients with regard to healthy behaviors. The study concluded that in the behavioral domain, the rates of smoking, obesity, and inactivity are lower than what is seen in the general population.28


Board of Chiropractic Examiners practice analysis 57% of chiropractors co-manage obesity in the United States.29


CONCLUSION


In this study, perceived level of nutrition training had a positive correlation with nutritional counseling practice patterns for both chiropractic and allopathic physicians.


A higher percent of chiropractors (43%) who perceive their nutrition training as adequate was associated with the majority of chiropractors (59%) providing nutritional counseling for obese patients while a lower percent of allopathic doctors (22%) who perceive their nutrition training as adequate was associated with nutrition counseling in only (40%) of the patient visits.


Given the alarming mortality rates associated with obesity and overweight patients, physicians may want to consider chiropractic as co-management for this condition. Since this is an observational study, causal inference is not claimed. Further research with other cohort groups and 


According to the 2005 National


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