---
title: "Underdiagnosis of obesity in adults in US outpt settings. | Sutter Health"
description: "Research on obesity screening and diagnosis in US outpatient settings is limited."
url: "https://www.sutterhealth.org/research/publications/under-dx-obesity-adults-outpatient-settings-1055312856"
---

1.  [Home](https://www.sutterhealth.org/) /
2.  [Research](https://www.sutterhealth.org/research) /
3.  [Research publications](https://www.sutterhealth.org/research/publications) /
4.  Underdiagnosis of obesity in adults in US outpt settings.

# Underdiagnosis of obesity in adults in US outpatient settings.

Ma Jun, Xiao Lan, & Stafford RS.

_Arch Intern Med. 169(3):312-316. doi:10.1001/archinternmed.2008.582._

2009-02-09

## Abstract

Obesity affects nearly 32%—more than 60 million—American adults. The obesity epidemic imposes an enormous cost on the nation's health and economy. Evidence-based clinical guidelines recommend that treatment for obesity incorporates a 2-step process: assessment and management.Routine screening and accurate diagnosis are among the first steps leading to proper treatment. However, research on obesity screening and diagnosis in US outpatient settings is limited.

[PubMed abstract](http://archinte.jamanetwork.com/article.aspx?articleid=414758)

## Research topics

-   [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22)
-   [Obesity](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Obesity%5C%22%22)

## Related publications

[View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication)

-   Publication
    
    ### [Association between monetary deposits and weight loss in online commitment contracts.](https://www.sutterhealth.org/research/publications/monetary-deposits-wt-loss-commitmt-contracts-1055312494)
    
    Lesser LI, Thompson CA, Luft HS.
    
    Am J Health Promot. \[Epub ahead of print\] doi:10.1177/0890117116661157
    
    2016 Aug 08
    
-   Publication
    
    ### [Measurement of self-monitoring web technology acceptance and use in an eHealth weight-loss trial](https://www.sutterhealth.org/research/publications/technology-use-in-an-e-health-weigh-loss-trial-1055312620)
    
    Ma J, Xiao L, Blonstein AC.
    
    Telemed J E Health. 19(10):739-45. doi: 10.1089/tmj.2013.0009. Epub 2013 Aug 17.
    
    2013 Oct 01
    
-   Publication
    
    ### [Abdominal and general adiposity and level of asthma control in adults with uncontrolled asthma.](https://www.sutterhealth.org/research/publications/adiposity-and-level-of-asthma-control-1055312908)
    
    Lv N, Xiao L, Camargo CA Jr, Wilson SR, Buist AS, Strub P, Nadeau KC, Ma J.
    
    Ann Am Thorac Soc. 11(8):1218-24. doi: 10.1513/AnnalsATS.201405-214OC.
    
    2014 Oct 01
    
-   Publication
    
    ### [Baseline obesity status modifies effectiveness of adapted diabetes prevention program lifestyle interventions for weight management in primary care.](https://www.sutterhealth.org/research/publications/obesity-status-modifies-dpp-program-for-wt-mgmt-1055312603)
    
    Azar KM, Xiao L, Ma J.
    
    Biomed Res Int. 2013:191209. doi: 10.1155/2013/191209. Epub 2013 Dec 4.
    
    2013 Dec 04
    
-   Publication
    
    ### [Weight management interventions in adult and pediatric asthma populations: a systematic review.](https://www.sutterhealth.org/research/publications/weight-mgmt-interventions-asthma-review-1055312909)
    
    Lv N, Xiao L, Ma J.
    
    J Pulm Respir Med. 5(232). pii: 1000232.
    
    2015 Oct 01
    

[View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication)

```json
{"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]}
```

```json
{"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/under-dx-obesity-adults-outpatient-settings-1055312856#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Underdiagnosis of obesity in adults in US outpt settings."}]}
```

```json
{"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/under-dx-obesity-adults-outpatient-settings-1055312856#medicalscholarlyarticle","name":"Underdiagnosis of obesity in adults in US outpatient settings.","headline":"Underdiagnosis of obesity in adults in US outpt settings.","abstract":"Obesity affects nearly 32%—more than 60 million—American adults. The obesity epidemic imposes an enormous cost on the nation's health and economy. Evidence-based clinical guidelines recommend that treatment for obesity incorporates a 2-step process: assessment and management.Routine screening and accurate diagnosis are among the first steps leading to proper treatment. However, research on obesity screening and diagnosis in US outpatient settings is limited.","description":"Research on obesity screening and diagnosis in US outpatient settings is limited.","keywords":["Disease Management","Obesity"],"datePublished":"2009-02-09","url":"https://www.sutterhealth.org/research/publications/under-dx-obesity-adults-outpatient-settings-1055312856","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"DOI","value":"10.1001/archinternmed.2008.582"}],"sameAs":["https://doi.org/10.1001/archinternmed.2008.582"],"isPartOf":{"@type":"Periodical","name":"Arch Intern Med"},"author":[{"@type":"Person","name":"Ma Jun"},{"@type":"Person","name":"Xiao Lan"},{"@type":"Person","name":"Stafford RS"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Disease Management","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Disease+Management%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Obesity","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Obesity%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/under-dx-obesity-adults-outpatient-settings-1055312856","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/under-dx-obesity-adults-outpatient-settings-1055312856#breadcrumblist"}}}
```
