TITLE

Advising overweight persons about diet and physical activity in primary health care: Lithuanian health behaviour monitoring study

AUTHOR(S)
Klumbiene, Jurate; Petkeviciene, Janina; Vaisvalavicius, Vytautas; Miseviciene, Irena
PUB. DATE
January 2006
SOURCE
BMC Public Health;2006, Vol. 6 Issue 1, p30
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Obesity is a globally spreading health problem. Behavioural interventions aimed at modifying dietary habits and physical activity patterns are essential in prevention and management of obesity. General practitioners (GP) have a unique opportunity to counsel overweight patients on weight control. The purpose of the study was to assess the level of giving advice on diet and physical activity by GPs using the data of Lithuanian health behaviour monitoring among adult population. Methods: Data from cross-sectional postal surveys of 2000, 2002 and 2004 were analysed. Nationally representative random samples were drawn from the population register. Each sample consisted of 3000 persons aged 20-64 years. The response rates were 74.4% in 2000, 63.4% in 2002 and 61.7% in 2004. Self-reported body weight and height were used to calculate body mass index (BMI). Information on advising in primary health care was obtained asking whether GP advised overweight patients to change dietary habits and to increase physical activity. The odds of receiving advice on diet and physical activity were calculated using multiple logistic regression analyses according to a range of sociodemographic variables, perceived health, number of visits to GPs and body-weight status. Results: Almost a half of respondents were overweight or obese. Only one fourth of respondents reported that they were advised to change diet. The proportion of persons who received advice on physical activity was even lower. The odds of receiving advice increased with age. A strong association was found between perceived health and receiving advice. The likelihood of receiving advice was related to BMI. GPs were more likely to give advice when BMI was high. More than a half of obese respondents (63.3%) reported that they had tried to lose weight. The association between receiving advice and self-reported attempt to lose weight was found. Conclusion: The low rate of dietary and physical activity advice reported by overweight patients implies that more lifestyle counselling should be provided in primary health care. There is an obvious need for improved training and education of GPs in counselling of overweight patients focusing on methods of giving dietary and physical activity advice.
ACCESSION #
29362179

 

Related Articles

  • Median Regression Analysis of Body Mass Index of Adults in Pakistan. Aslam, Muhammad; Saeed, Aamir; Pasha, G. R.; Altaf, Saima // Pakistan Journal of Nutrition;Jun2010, Vol. 9 Issue 6, p611 

    Body Mass Index (BMI) is considered to be the most popular measure for overweight and obesity. Numerous studies of BMI are limited to compute and interpret different percentiles of BMI and do not account for many other covariates affecting BMI. Conventional regression methods are used for...

  • INITIAL BODY MASS INDEX AND FREE-TIME PHYSICAL ACTIVITY MODERATE EFFECTS OF THE YOUTH FIT FOR LIFE TREATMENT IN AFRICAN-AMERICAN PRE-ADOLESCENTS. ANNESI, JAMES J. // Perceptual & Motor Skills;Jun2010, Vol. 110 Issue 3, p789 

    In about 80% of youth obesity-prevention programs, significant decrease in Body Mass Index has not been observed. A meta-analysis of 16 trials of the 12-wk. Youth Fit For Life intervention suggested better success; however, the effects for children who were overweight or obese remain unclear...

  • Ambulatory Activity and Body Mass Index in White and Non-White Older Adults. Swartz, Ann; Strath, Scott; Parker, Sarah; Miller, Nora; Cieslik, Linda // Journal of Physical Activity & Health;Jul2007, Vol. 4 Issue 3, p294 

    Background: The purpose of this study was to examine the extent to which physical activity (PA) is related to obesity in older adults when accounting for race/ethnicity. Methods: Cross-sectional data were collected on 214 older adults (72.3 ± 8.9 y; body mass index [BMI] 28.9 ± 6.0; 151...

  • Physical Activity-Related Injury and Body Mass Index Among US High School Students. Lowry, Richard; Lee, Sarah M.; Galuska, Deborah A.; Fulton, Janet E.; Barrios, Lisa C.; Kann, Laura // Journal of Physical Activity & Health;Jul2007, Vol. 4 Issue 3, p325 

    Background: Few studies have focused on the relationship between physical activity-related (PA) injury and overweight among youth. Methods: We analyzed data from the 2001 and 2003 Youth Risk Behavior Surveys (n = 28,815). Logistic regression was used to examine the independent effects of BMI and...

  • Association between Overweight, Health Behaviors, and Insulin Resistance in School Children. Hirschler, V.; Molinari, C. G.; Gonzalez, C. // ISRN Public Health;2012, p1 

    The aim of the paper was to determine the association between children's BMI, health behaviors, and HOMA-IR. 1065 students (535M) aged 9.5 ± 2.1 y from 6 schools were examined. Questionnaires for healthy habits were completed. As all components could not contribute equally to...

  • Sobrepeso e obesidade em crianças e adolescentes: comparação de três critérios de classificação baseados no índice de massa corporal. Dumith, Samuel C.; Júnior, José Cazuza Farias // Pan American Journal of Public Health;Jul2010, Vol. 28 Issue 1, p30 

    Objective. To describe and compare the nutritional status of children and adolescents using three body mass index (BMI)-based criteria; to analyze the agreement between these criteria in terms of frequency of excess weight; and to investigate if the factors associated with excess weight were...

  • Are Dietary Patterns of Mothers during Pregnancy Related to Children's Weight Status? Evidence from the Lifeways Cross-Generational Cohort Study. Murrin, Celine M.; Heinen, Mirjam M.; Kelleher, Cecily C. // AIMS Public Health;2015, Vol. 2 Issue 3, p274 

    Children's diet patterns are likely to be influenced by their mothers' diet pattern. The primary objective of this study was to examine whether children's adiposity could be influenced by diet patterns of mothers during pregnancy. A secondary objective was to study the relative influence of...

  • Determinantes do índice de massa corporal em adolescentes de escolas públicas de Piracicaba, São Paulo. Romero, Alexandre; Slater, Betzabeth; Florindo, Alex Antonio; Latorre, Maria do Rosário Dias de Oliveira; Cezar, Cláudia; da Silva, Marina Vieira // Revista Ciência & Saúde Coletiva;2010, Vol. 15 Issue 1, p141 

    The objective of this study was to assess determining factors of body mass index (BMI) in adolescents enrolled in public schools in Piracicaba, São Paulo. The sample had 328 adolescents from both genders; minimum age was 10 years old. We have assessed weight, height, sexual maturity, physical...

  • Active Commuting to School and Association With Physical Activity and Adiposity Among US Youth. Mendoza, Jason A.; Watson, Kathy; Nguyen, Nga; Cerin, Ester; Baranowski, Tom; Nicklas, Theresa A. // Journal of Physical Activity & Health;May2011, Vol. 8 Issue 4, p488 

    Background: Walking or bicycling to school (ie, active commuting) has shown promise for improving physical activity and preventing obesity in youth. Our objectives were to examine, among US youth, whether active commuting was inversely associated with adiposity and positively associated with...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics