Only 1 in 10 Patients Told to Lose Weight Seek Help From a Health Professional: A Nationally Representative Sample
Only 1 in 10 Patients Told to Lose Weight Seek Help From a Health Professional: A Nationally Representative Sample
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DOI：
10.1177/0890117119839904
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发表时间：
2019-09-01
影响因子：
2.7
通讯作者：
Warren, Meghan
中科院分区：
文献类型：
--
作者：
de Heer, Hendrik (Dirk);Kinslow, Brian;Warren, Meghan
目的：从医疗保健提供者那里获得减肥建议与更多的减肥努力和更大的减肥成功率相关。然而，患者在收到减肥建议后是否向其提供者或其他健康专业人士寻求减肥帮助在很大程度上是未知的。设计：2011年至2012年国家健康和营养检查调查（NHANES）的横断面数据。样本：总共3862名超重/肥胖成年人。措施：问卷调查询问参与者是否接受过减肥建议，以及他们是否寻求健康专业人士的体重管理帮助。 2011 年至 2012 年的 NHANES 是提出这两个问题的最近一年。分析：考虑到 NHANES 抽样和设计，频率分布描述了人口统计数据和比例。逻辑回归通过人口统计学估计寻求减肥帮助的几率。结果：在 3682 名超重/肥胖成年人中，1908 人被告知他们超重或建议减肥。在 1908 人中，68% 的人表示正在努力减肥，但只有 10.9% 的人寻求健康专业人士的帮助（营养师/营养师 4.7%，私人教练 3.0%，医生 2.8%）。女性、拥有健康保险和医疗保健利用率高的人寻求帮助的几率高出 1.5 至 3.5 倍；年龄、种族和收入与寻求体重管理帮助并无显着相关性。结论：在全国代表性样本中，只有 10.9% 的被医疗服务提供者告知要减肥的超重/肥胖成年人向健康专业人士寻求减肥帮助。这强调了健康专业人士除了提供建议之外还有更多机会参与体重管理。
Purpose: Receiving weight loss advice from a health-care provider has been associated with more weight loss efforts and greater odds of achieving weight loss. However, whether patients seek help from their provider or other health professional with weight loss after receiving advice from them to lose weight is largely unknown.Design: Cross-sectional data from the 2011 to 2012 National Health and Nutrition Examination Survey (NHANES).Sample: A total of 3862 overweight/obese adults.Measures: Questionnaires asked whether participants received advice to lose weight, and whether they sought health professional's assistance with weight management. The NHANES 2011 to 2012 was the most recent year both questions were asked.Analysis: Accounting for NHANES sampling and design, frequency distributions characterized demographics and proportions. Logistic regressions estimated odds of seeking weight loss help by demographics.Results: Of 3682 overweight/obese adults, 1908 were told they were overweight or recommended to lose weight. Of 1908 people, 68% reported weight loss efforts, but only health 10.9% sought a health professional's help (dietician/nutritionist 4.7%, personal trainer 3.0%, doctor 2.8%). Females, people with health insurance and high health-care utilization had 1.5 to 3.5 times greater odds of seeking help; age, ethnicity, and income were not significantly associated with seeking help with weight management.Conclusion: In a nationally representative sample, only 10.9% of overweight/obese adults told to lose weight by a provider sought help from a health professional with weight loss. This underscores the opportunity for greater health professional involvement with weight management beyond giving recommendations.