Table 3 Referrals for evaluation for obesity-related comorbidities, dietitian and endocrine counseling, prescriptions of anti-obesity medications and change in BMI-Z scores during a 1–2-year interval according to the presence of overweight or obesity and the recorded diagnosis of overweight or obesity.

 Total

9536 (34.2)

11,600 (41.7)

2158 (7.7)

4556 (16.4)

 males

5121 (53.7)^a

5901 (50.9)^b

1254 (58.1)^c

2480 (54.4)^d

<0.001

 females

4415 (46.3)

5699 (49.1)

904 (41.9)

2076 (45.6)

 males

456 (8.9)^a

2011 (34.1)^b

131 (10.4)^a

1026 (41.4)^c

<0.001

 females

332 (7.5)^a

1934 (33.9)^b

90 (10.0)^c

821 (39.5)^d

<0.001

P2

0.016

0.889

0.765

0.223

 males

1632 (31.9)^a

2915 (49.4)^b

410 (32.7)^a

1512 (61.0)^c

<0.001

 females

1337 (30.3)^a

3038 (53.3)^b

310 (34.3)^c

1318 (63.5)^d

<0.001

 P2

0.1

<0.001

0.465

0.086

 males

198 (3.9)^a

1166 (19.8)^b

65 (5.2)^c

915 (36.9)^d

<0.001

 females

198 (4.5)^a

1503 (26.4)^b

57 (6.3)^c

883 (42.5)^d

<0.001

 P2

0.145

<0.001

0.308

<0.001

 males

1828 (35.7)^a

3144 (53.3)^b

456 (36.4)^a

1594 (64.3)^c

<0.001

 females

1484 (33.6)^a

3228 (56.6)^b

332 (36.7)^a

1367 (65.8)^c

<0.001

 P2

0.035

<0.001

0.899

0.281

 males

984 (19.2)^a

2151 (36.5)^b

261 (20.8)^a

1318 (53.1)^c

<0.001

 females

849 (19.2)^a

2469 (43.3)^b

229 (25.3)^c

1179 (56.8)^d

<0.001

 P2

0.895

<0.001

0.016

0.015

 males

165 (3.2)^a

383 (6.5)^b

45 (3.6)^a

244 (9.8)^c

<0.001

 females

174 (3.9)^a

553 (9.7)^b

40 (4.4)^a

274 (13.2)^c

<0.001

 P2

0.066

<0.001

0.383

<0.001

 males

52 (1.0)^a

90 (1.5)^b

17 (1.4)^ab

79 (3.2)^c

<0.001

 females

34 (0.8)^a

64 (1.1)^a

6 (0.7)^a

56 (2.7)^b

<0.001

 P2

0.248

0.07

0.183

0.379

 males

132 (2.6)^a

677 (11.5)^b

50 (4.0)^c

669 (27.0)^d

<0.001

 females

140 (3.2)^a

1063 (18.7)^b

55 (6.1)^c

759 (36.6)^d

<0.001

 P2

0.094

<0.001

0.033

<0.001

 males

191 (3.7)^a

350 (5.9)^b

30 (2.4)^c

282 (11.4)^d

<0.001

 females

169 (3.8)^a

516 (9.1)^b

23 (2.5)^c

336 (16.2)^d

<0.001

 P2

0.844

<0.001

0.933

<0.001

 males

3429 (67.0)^a

5081 (86.1)^b

716 (57.1)^c

2153 (86.8)^d

<0.001

 females

2875 (65.1)^a

4969 (87.2)^b

497 (55.0)^c

1759 (84.7)^d

<0.001

 P2

0.061

0.091

0.35

0.049

 males

(n = 1478) −0.99 ^a (−1.66, −0.37)

(n = 2751) −0.38 ^b (−1.16, 0.38)

(n = 281) −1.59 ^c (-2.89, -0.56)

(n = 1161) −0.20 ^b (−1.02, 0.49)

<0.001

 females

(n = 1194) −0.97 ^a (−1.62, −0.32)

(n = 2727) −0.30 ^b (−0.89, 0.30)

(n = 217) −1.32 ^c (−2.36, −0.44)

(n = 975) −0.32 ^b (−0.99, 0.24)

<0.001

 P2

0.443

0.016

0.105

0.002

 Total

112,604 (32.9)

117,102 (34.2)

20,829 (6.1)

92,244 (26.9)

 males

57,965 (51.5)^a

57,534 (49.1)^b

12,551 (60.3)^c

51,832 (56.2)^d

<0.001

 females

54,639 (48.5)

59,568 (50.9)

8278 (39.7)

40,412 (43.8)

 males

24,316 (41.9)^a

36,748 (63.9)^b

3552 (28.3)^c

34,578 (66.7)^d

<0.001

 females

22,054 (40.4)^a

37,836 (63.5)^b

2131 (25.7)^c

26,882 (66.5)^d

<0.001

P2

<0.001

0.209

<0.001

0.545

 males

27,699 (47.8)^a

37,300 (64.8)^b

5140 (41.0)^c

38,362 (73.9)^d

<0.001

 females

31,316 (57.3)^a

44,383 (74.5)^b

3930 (47.5)^c

32,799 (81.2)^d

<0.001

 P2

<0.001

<0.001

<0.001

<0.001

 males

7793 (13.4)^a

19,536 (34.0)^b

1471 (11.7)^c

27,212 (52.5)^d

<0.001

 females

9408 (17.2)^a

25,041 (42.0)^b

1233 (14.9)^c

24,079 (59.6)^d

<0.001

 P2

<0.001

<0.001

<0.001

<0.001

 males

29,342 (50.6)^a

38,891 (67.6)^b

5478 (43.6)^c

3887 (75.0)^d

<0.001

 females

32,748 (59.9)^a

45,658 (76.6)^b

4128 (49.9)^c

33,133 (82.0)^d

<0.001

 P2

<0.001

<0.001

<0.001

<0.001

 males

22,931 (39.6)^a

33,804 (58.8)^b

4268 (34.0)^c

36,625 (70.7)^d

<0.001

 females

27,027 (49.5)^a

41,132 (69.1)^b

3382 (40.9)^c

31,806 (78.7)^d

<0.001

 P2

<0.001

<0.001

<0.001

<0.001

 males

2513 (4.3)^a

4420 (7.7)^b

411 (3.3)^c

6545 (12.6)^d

<0.001

 females

3633 (6.6)^a

7060 (11.9)^b

400 (4.8)^c

7268 (18.0)^d

<0.001

 P2

<0.001

<0.001

<0.001

<0.001

 males

146 (0.3)^a

283 (0.5)^b

37 (0.3)^a

404 (0.8)^c

<0.001

 females

129 (0.2)^a

212 (0.4)^b

19 (0.2)^ab

306 (0.8)^c

<0.001

 P2

0.634

0.002

0.451

0.73

 males

2346 (4.0)^a

6710 (11.7)^b

900 (7.2)^c

14,698 (28.4)^d

<0.001

 females

4672 (8.6)^a

12,596 (21.1)^b

992 (12.0)^c

16,360 (40.5)^d

<0.001

 P2

<0.001

<0.001

<0.001

<0.001

 males

2530 (4.4)^a

3795 (6.6)^b

292 (2.3)^c

4848 (9.4)^d

<0.001

 females

3647 (6.7)^a

5735 (9.6)^b

273 (3.3)^c

5641 (14.0)^d

<0.001

 P2

<0.001

<0.001

<0.001

<0.001

 males

32,768 (56.5)^a

45,602 (79.3)^b

5098 (40.6)^c

41,540 (80.1)^d

<0.001

 females

30,977 (56.7)^a

47,632 (80.0)^b

3212 (38.8)^c

32,906 (81.4)^d

<0.001

 P2

0.585

0.003

0.009

<0.001

 males

13 (0.0)^a

90 (0.2)^b

12 (0.1)^b

472 (0.9)^c

<0.001

 females

41 (0.1)^a

214 (0.4)^b

11 (0.1)^a

711 (1.8)^c

<0.001

 P2

<0.001

<0.001

0.426

<0.001

 males

2 (0.0)^a

12 (0.0)^b

0^a

33 (0.1)^c

<0.001

 females

5 (0.0)^a

42 (0.1)^b

0^a

63 (0.2)^c

<0.001

 P2

0.404

<0.001

<0.001

 males

3 (0.0)^a

132 (0.2)^b

3 (0.0)^a

818 (1.6)^c

<0.001

 females

14 (0.0)^a

567 (1.0)^b

2 (0.0)^a

1427 (3.5)^c

<0.001

 P2

0.011

<0.001

1

<0.001

 males

(n = 12,589) −0.30 ^a (−0.73, 0.08)

(n = 21,614) −0.04 ^b (−0.45, 0.34)

(n = 1781) −0.33 ^c (−0.89, 0.02)

(n = 19,933) −0.01 ^d (−0.42, 0.16)

<0.001

 females

(n = 11,830) -0.22 ^a (−0.58, 0.09)

(n = 22,413) −0.01 ^b (−0.35, 0.33)

(n = 1035) −0.30 ^c (−0.75, 0.02)

(n = 15,379) −0.06 ^d (−0.34, 0.17)

<0.001

 P2

<0.001

<0.001

0.083

<0.001