Perceived judgment about weight can negatively influence weight loss: A cross-sectional study of overweight and obese patients
Perceived judgment about weight can negatively influence weight loss: A cross-sectional study of overweight and obese patients
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DOI：
10.1016/j.ypmed.2014.02.001
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发表时间：
2014-05-01
影响因子：
5.1
通讯作者：
Bleich, Sara N.
中科院分区：
文献类型：
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作者：
Gudzune, Kimberly A.;Bennett, Wendy L.;Bleich, Sara N.
Objective.研究初级保健提供者（PCP）对患者体重的感知判断与自我报告的体重减轻之间的关系。我们在2012年对600名从事初级保健的成年人进行了一项基于互联网的全国性调查，这些成年人的体重指数（BMI）>= 25 kg/m2。我们的减肥结果包括尝试减肥，并在过去12个月内达到>= 10%的体重减轻。我们的自变量是“感觉被我的PCP评判我的体重。“我们在感知判断和PCP之间建立了一种相互作用，将减肥作为一个自变量进行讨论。我们进行了一个多变量logistic回归模型，使用调查权重调整患者和PCP因素。总体而言，21%的人认为他们的PCP会根据他们的体重来判断他们。感知判断的受访者更有可能尝试减肥[比值比（OR）4.67，95%置信区间（CI）1.96-11.14]。他们不太可能达到>= 10%的体重减轻[OR 0.87，95%CI 0.42-1.76]。在PCP讨论减肥的患者中，20.1%的患者在没有感知PCP判断的情况下实现了>= 10%的减肥，而感知判断的患者则为13.5%。患者和PCP之间的减肥讨论可能会导致更大的减肥关系，患者不认为对他们的体重的判断。(C)2014爱思唯尔公司All rights reserved.
Objective. To examine the association between patient-perceived judgments about weight by primary care providers (PCPs) and self-reported weight loss.Methods. We conducted a national internet-based survey of 600 adults engaged in primary care with a body mass index (BMI) >= 25 kg/m(2) in 2012. Our weight loss outcomes included attempted weight loss and achieved >= 10% weight loss in the last 12 months. Our independent variable was "feeling judged about my weight by my PCP." We created an interaction between perceiving judgment and PCP discussing weight loss as an independent variable. We conducted a multivariate logistic regression model adjusted for patient and PCP factors using survey weights.Results. Overall, 21% perceived that their PCP judged them about their weight. Respondents who perceived judgment were significantly more likely to attempt weight loss [odds ratios (OR) 4.67, 95% confidence interval (CI) 1.96-11.14]. They were not more likely to achieve >= 10% weight loss [OR 0.87, 95%CI 0.42-1.76]. Among patients whose PCPs discussed weight loss, 20.1% achieved >= 10% weight loss if they did not perceive judgment by their PCP as compared to 13.5% who perceived judgment.Conclusions. Weight loss discussions between patients and PCPs may lead to greater weight loss in relationships where patients do not perceive judgment about their weight. (C) 2014 Elsevier Inc. All rights reserved.