Physician diagnosis of overweight status predicts attempted and successful weight loss in patients with cardiovascular disease and central obesity.
Physician diagnosis of overweight status predicts attempted and successful weight loss in patients with cardiovascular disease and central obesity.
复制标题
医生对超重状态的诊断可以预测患有心血管疾病和中心性肥胖的患者尝试并成功减肥。
DOI：
10.1016/j.ahj.2010.07.023
复制
发表时间：
2010
影响因子：
4.8
通讯作者：
Lopez-Jimenez,Francisco
中科院分区：
文献类型：
--
作者：
Singh,Siddharth;Somers,VirendK;Clark,MatthewM;Vickers,Kristin;Hensrud,DonaldD;Korenfeld,Yoel;Lopez-Jimenez,Francisco
INTRODUCTIONDespite the association of central obesity with adverse outcomes, most patients with cardiovascular disease (CVD) are unable to successfully lose weight. We undertook this analysis to evaluate the effect of motivational factors, and clinical factors, including physician diagnosis of overweight, on weight loss in patients with CVD and central obesity in the United States.METHODS AND RESULTSWe used data from the National Health and Nutrition Examination Survey 1999 to 2004. Waist circumference ≥102 cm in men and ≥88 cm in women were used to classify central obesity. We examined demographic, motivational and clinical determinants of attempted and successful weight loss using multivariable logistic regression. Successful weight loss was defined as ≥5% weight loss in the preceding year. There were 907 respondents with CVD and central obesity of which 78% were aware of their overweight status and 80% were desirous to weigh less. Despite this awareness and desire, only 49% of centrally obese adults had attempted weight loss in the last year. Only 62% (n = 584) reported that they had been informed that they were overweight by a physician. On multivariable analysis, physician diagnosis of overweight was a significant predictor of weight loss attempts (OR 2.42, 95% CI 1.44-4.09, P = .006) and successful weight loss (OR 2.70, 95% CI 1.40-5.19, P = .001).CONCLUSIONIn a nationally representative sample of adults with CVD and central obesity, physician diagnosis of overweight status emerged as a significant predictor of attempted and successful weight loss.
