Knowledge of the health consequences of obesity among overweight/obese Black and Hispanic adults

Knowledge of the health consequences of obesity among overweight/obese Black and Hispanic adults
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DOI:
10.1016/j.pec.2013.09.022
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发表时间:
2014-01-01
影响因子:
3.5
通讯作者:
Charlson, Mary
Charlson, Mary
中科院分区:
医学2区
文献类型:
--
作者:
Winston, Ginger J.;Caesar-Phillips, Erica;Charlson, Mary

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目的:测量超重/肥胖黑人和西班牙裔成年人对肥胖健康后果的认识,并考察其与既往体重减轻的关系。方法:对410名参加行为改变减肥研究的黑人和西班牙裔成年人进行肥胖健康后果知识的评估。结果:大多数受试者对肥胖相关的高血压(94%)、糖尿病(96%)、高胆固醇(91%)、关节疼痛/关节炎(89%)和睡眠呼吸暂停(89%)的风险有一定的了解。在绝经后年龄的女性中,53%的人意识到乳腺癌风险的增加。肥胖风险知识与既往体重减轻10磅或以上无显著相关性(OR=1.075,95%CI:[0.808,1.430])。结论:除乳腺癌风险知识外,其他人群对肥胖对健康影响的认识较高。肥胖风险知识与过去的体重减轻无关。实践启示:需要进一步的健康教育,了解与肥胖相关的乳腺癌风险增加。我们的数据表明,了解肥胖对健康的影响与减肥成功无关。(C)2013爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: To measure knowledge of the health consequences of obesity among overweight/obese Black and Hispanic adults and examine the relationship to prior weight loss.Methods: Knowledge of the health consequences of obesity was assessed among 410 Black and Hispanic adults with BMI >= 25 kg/m(2) enrolled in a behavior change weight loss study. The relationship between obesity risk knowledge and previous weight loss was also examined.Results: The majority of participants were knowledgeable of the risk of hypertension (94%), diabetes (96%), high cholesterol (91%), joint pains/arthritis (89%) and sleep apnea (89%) associated with obesity. Among post-menopausal age women, 53% were aware of the increased risk of breast cancer. There was no significant relationship between obesity risk knowledge and previous weight loss of 10 pounds or more (OR = 1.075, 95% CI: [0.808, 1.430]).Conclusions: We found that knowledge of the health consequences of obesity was high, except for knowledge of the risk of breast cancer. Obesity risk knowledge was not associated with past weight loss.Practice implications: Further health education is needed regarding the increased risk of breast cancer associated with obesity. Our data suggest that knowledge of the health consequences of obesity is not associated with weight loss success. (C) 2013 Elsevier Ireland Ltd. All rights reserved.