Weight loss advice U.S. obese adults receive from health care professionals

Jean Y. Ko; David R. Brown; Deborah A. Galuska; Jian Zhang; Heidi M. Blanck; Barbara Ainsworth

doi:10.1016/j.ypmed.2008.09.007

Weight loss advice U.S. obese adults receive from health care professionals

Jean Y. Ko, David R. Brown, Deborah A. Galuska, Jian Zhang, Heidi M. Blanck, Barbara Ainsworth

Research output: Contribution to journal › Article › peer-review

67 Scopus citations

Abstract

Objectives: To estimate the prevalence of obese patients advised by health professionals about weight loss and weight loss strategies. Methods: A national sample of 1873 obese adults (body mass index ≥ 30 kg/m², ≥ 18 years) was surveyed. Multivariable linear regression was used to determine characteristics associated with receiving weight loss advice, and advice on diet and physical activity. Linear regression was used to evaluate characteristics associated with how much weight loss was advised. Results: Among obese adults visiting a physician (past 12 months), 39.0% reported being advised to lose weight. Men had lower odds of being advised to lose weight. Adults 40-49 years of age, reporting fair/poor health, and chronic diseases had greater odds of being advised to lose weight compared to referent groups. Among adults receiving advice on amount of weight to lose, a mean 20.9% total body weight reduction was recommended. Of those advised to lose weight, 64.2% were told to change their diet, 85.7% to increase physical activity, and 58.5% to use both strategies. Conclusions: Obese adults should be advised by health professionals more frequently about weight loss and the use of caloric reduction and increased physical activity as the recommended weight loss strategy.

Original language	English (US)
Pages (from-to)	587-592
Number of pages	6
Journal	Preventive Medicine
Volume	47
Issue number	6
DOIs	https://doi.org/10.1016/j.ypmed.2008.09.007
State	Published - Dec 2008

Keywords

Diet
Obesity
Physical activity
Physician counseling
Weight loss

ASJC Scopus subject areas

Epidemiology
Public Health, Environmental and Occupational Health

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10.1016/j.ypmed.2008.09.007

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@article{eba66e43de724227b84186f899d1e306,

title = "Weight loss advice U.S. obese adults receive from health care professionals",

abstract = "Objectives: To estimate the prevalence of obese patients advised by health professionals about weight loss and weight loss strategies. Methods: A national sample of 1873 obese adults (body mass index ≥ 30 kg/m2, ≥ 18 years) was surveyed. Multivariable linear regression was used to determine characteristics associated with receiving weight loss advice, and advice on diet and physical activity. Linear regression was used to evaluate characteristics associated with how much weight loss was advised. Results: Among obese adults visiting a physician (past 12 months), 39.0% reported being advised to lose weight. Men had lower odds of being advised to lose weight. Adults 40-49 years of age, reporting fair/poor health, and chronic diseases had greater odds of being advised to lose weight compared to referent groups. Among adults receiving advice on amount of weight to lose, a mean 20.9% total body weight reduction was recommended. Of those advised to lose weight, 64.2% were told to change their diet, 85.7% to increase physical activity, and 58.5% to use both strategies. Conclusions: Obese adults should be advised by health professionals more frequently about weight loss and the use of caloric reduction and increased physical activity as the recommended weight loss strategy.",

keywords = "Diet, Obesity, Physical activity, Physician counseling, Weight loss",

author = "Ko, {Jean Y.} and Brown, {David R.} and Galuska, {Deborah A.} and Jian Zhang and Blanck, {Heidi M.} and Barbara Ainsworth",

note = "Funding Information: The authors would like to thank Heather Bowles from the University of South Carolina, and Deborah A. Hipp from CDC for their help in the coordination of the survey and management of the data. This paper was completed during an internship by Ms. Ko, a doctoral student with Johns Hopkins Bloomberg School of Public Health under the guidance of Drs. Brown and Galuska. The internship was funded by cooperative agreement #U36-CCU-300430-24 from the CDC through the Association of Schools of Public Health. The study was primarily funded by the Centers for Disease Control and Prevention with partial support provided by the Office of Dietary Supplements, National Institutes of Health, and the Robert Wood Johnson Foundation Active Living Research Program. ",

year = "2008",

month = dec,

doi = "10.1016/j.ypmed.2008.09.007",

language = "English (US)",

volume = "47",

pages = "587--592",

journal = "Preventive Medicine",

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T1 - Weight loss advice U.S. obese adults receive from health care professionals

AU - Ko, Jean Y.

AU - Brown, David R.

AU - Galuska, Deborah A.

AU - Zhang, Jian

AU - Blanck, Heidi M.

AU - Ainsworth, Barbara

N1 - Funding Information: The authors would like to thank Heather Bowles from the University of South Carolina, and Deborah A. Hipp from CDC for their help in the coordination of the survey and management of the data. This paper was completed during an internship by Ms. Ko, a doctoral student with Johns Hopkins Bloomberg School of Public Health under the guidance of Drs. Brown and Galuska. The internship was funded by cooperative agreement #U36-CCU-300430-24 from the CDC through the Association of Schools of Public Health. The study was primarily funded by the Centers for Disease Control and Prevention with partial support provided by the Office of Dietary Supplements, National Institutes of Health, and the Robert Wood Johnson Foundation Active Living Research Program.

PY - 2008/12

Y1 - 2008/12

N2 - Objectives: To estimate the prevalence of obese patients advised by health professionals about weight loss and weight loss strategies. Methods: A national sample of 1873 obese adults (body mass index ≥ 30 kg/m2, ≥ 18 years) was surveyed. Multivariable linear regression was used to determine characteristics associated with receiving weight loss advice, and advice on diet and physical activity. Linear regression was used to evaluate characteristics associated with how much weight loss was advised. Results: Among obese adults visiting a physician (past 12 months), 39.0% reported being advised to lose weight. Men had lower odds of being advised to lose weight. Adults 40-49 years of age, reporting fair/poor health, and chronic diseases had greater odds of being advised to lose weight compared to referent groups. Among adults receiving advice on amount of weight to lose, a mean 20.9% total body weight reduction was recommended. Of those advised to lose weight, 64.2% were told to change their diet, 85.7% to increase physical activity, and 58.5% to use both strategies. Conclusions: Obese adults should be advised by health professionals more frequently about weight loss and the use of caloric reduction and increased physical activity as the recommended weight loss strategy.

AB - Objectives: To estimate the prevalence of obese patients advised by health professionals about weight loss and weight loss strategies. Methods: A national sample of 1873 obese adults (body mass index ≥ 30 kg/m2, ≥ 18 years) was surveyed. Multivariable linear regression was used to determine characteristics associated with receiving weight loss advice, and advice on diet and physical activity. Linear regression was used to evaluate characteristics associated with how much weight loss was advised. Results: Among obese adults visiting a physician (past 12 months), 39.0% reported being advised to lose weight. Men had lower odds of being advised to lose weight. Adults 40-49 years of age, reporting fair/poor health, and chronic diseases had greater odds of being advised to lose weight compared to referent groups. Among adults receiving advice on amount of weight to lose, a mean 20.9% total body weight reduction was recommended. Of those advised to lose weight, 64.2% were told to change their diet, 85.7% to increase physical activity, and 58.5% to use both strategies. Conclusions: Obese adults should be advised by health professionals more frequently about weight loss and the use of caloric reduction and increased physical activity as the recommended weight loss strategy.

KW - Diet

KW - Obesity

KW - Physical activity

KW - Physician counseling

KW - Weight loss

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Weight loss advice U.S. obese adults receive from health care professionals

Abstract

Keywords

ASJC Scopus subject areas

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