Underassessment of weight and weight management in patients with diabetes: One more reason in support of weight management advice

Abstract Aims The purpose of this study was to determine whether underassessment of weight affects weight management behaviors of overweight and obese individuals with diabetes and to determine whether weight management advice from health care professionals modifies the effect of underassessment of...

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Veröffentlicht in:Primary care diabetes 2012-12, Vol.6 (4), p.253-259
Hauptverfasser: Ekezue, Bola F, Platonova, Elena A
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Platonova, Elena A
description Abstract Aims The purpose of this study was to determine whether underassessment of weight affects weight management behaviors of overweight and obese individuals with diabetes and to determine whether weight management advice from health care professionals modifies the effect of underassessment of weight. Methods Data ( n = 979) from the 2006 and 2008 National Health and Nutrition Examination Survey were analyzed. Multivariate logistic regression was used to identify factors associated with underassessment of weight, weight management behaviors, and receipt of weight management advice from health care professionals. Results Underassessment of weight was common (26%). Men, overweight persons, Blacks and Hispanics were more likely to underassess their weight. Those who underassessed their weight were 53% less likely to report weight management behaviors, odds ratio 0.47 (95% CI = 0.31–0.73). Weight management advice increased weight management behaviors among individuals who underassessed their weight, 3.49 (95% CI = 1.70–7.18). Conclusions Underassessment of weight can negatively affect weight management behaviors of overweight and obese individuals with diabetes. Weight management advice from health care professionals is important, and can modify the effect of underassessment of weight on weight management behaviors in this high risk group.
doi_str_mv 10.1016/j.pcd.2012.08.002
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Methods Data ( n = 979) from the 2006 and 2008 National Health and Nutrition Examination Survey were analyzed. Multivariate logistic regression was used to identify factors associated with underassessment of weight, weight management behaviors, and receipt of weight management advice from health care professionals. Results Underassessment of weight was common (26%). Men, overweight persons, Blacks and Hispanics were more likely to underassess their weight. Those who underassessed their weight were 53% less likely to report weight management behaviors, odds ratio 0.47 (95% CI = 0.31–0.73). Weight management advice increased weight management behaviors among individuals who underassessed their weight, 3.49 (95% CI = 1.70–7.18). Conclusions Underassessment of weight can negatively affect weight management behaviors of overweight and obese individuals with diabetes. Weight management advice from health care professionals is important, and can modify the effect of underassessment of weight on weight management behaviors in this high risk group.</description><identifier>ISSN: 1751-9918</identifier><identifier>EISSN: 1878-0210</identifier><identifier>DOI: 10.1016/j.pcd.2012.08.002</identifier><identifier>PMID: 22985913</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; African Americans - psychology ; Aged ; Body Weight - ethnology ; Chi-Square Distribution ; Counseling ; Cross-Sectional Studies ; Diabetes Mellitus - diagnosis ; Diabetes Mellitus - ethnology ; Diabetes Mellitus - therapy ; Endocrinology &amp; Metabolism ; Female ; Health Behavior - ethnology ; Health Knowledge, Attitudes, Practice - ethnology ; Hispanic Americans - psychology ; Humans ; Internal Medicine ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Nutrition Surveys ; Obese/overweight individuals with diabetes ; Obesity - diagnosis ; Obesity - ethnology ; Obesity - therapy ; Odds Ratio ; Overweight - diagnosis ; Overweight - ethnology ; Overweight - therapy ; Risk Factors ; Underassessment of weight ; United States - epidemiology ; Weight management advice ; Weight management behaviors ; Weight Perception ; Weight Reduction Programs ; Young Adult</subject><ispartof>Primary care diabetes, 2012-12, Vol.6 (4), p.253-259</ispartof><rights>Primary Care Diabetes Europe</rights><rights>2012 Primary Care Diabetes Europe</rights><rights>Copyright © 2012 Primary Care Diabetes Europe. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-1c18a9ee2aa8c01ad62196d51b4b7202287eabbbd55832bcd0f69872ff46ab763</citedby><cites>FETCH-LOGICAL-c441t-1c18a9ee2aa8c01ad62196d51b4b7202287eabbbd55832bcd0f69872ff46ab763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pcd.2012.08.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22985913$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ekezue, Bola F</creatorcontrib><creatorcontrib>Platonova, Elena A</creatorcontrib><title>Underassessment of weight and weight management in patients with diabetes: One more reason in support of weight management advice</title><title>Primary care diabetes</title><addtitle>Prim Care Diabetes</addtitle><description>Abstract Aims The purpose of this study was to determine whether underassessment of weight affects weight management behaviors of overweight and obese individuals with diabetes and to determine whether weight management advice from health care professionals modifies the effect of underassessment of weight. Methods Data ( n = 979) from the 2006 and 2008 National Health and Nutrition Examination Survey were analyzed. Multivariate logistic regression was used to identify factors associated with underassessment of weight, weight management behaviors, and receipt of weight management advice from health care professionals. Results Underassessment of weight was common (26%). Men, overweight persons, Blacks and Hispanics were more likely to underassess their weight. Those who underassessed their weight were 53% less likely to report weight management behaviors, odds ratio 0.47 (95% CI = 0.31–0.73). Weight management advice increased weight management behaviors among individuals who underassessed their weight, 3.49 (95% CI = 1.70–7.18). Conclusions Underassessment of weight can negatively affect weight management behaviors of overweight and obese individuals with diabetes. Weight management advice from health care professionals is important, and can modify the effect of underassessment of weight on weight management behaviors in this high risk group.</description><subject>Adolescent</subject><subject>Adult</subject><subject>African Americans - psychology</subject><subject>Aged</subject><subject>Body Weight - ethnology</subject><subject>Chi-Square Distribution</subject><subject>Counseling</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus - diagnosis</subject><subject>Diabetes Mellitus - ethnology</subject><subject>Diabetes Mellitus - therapy</subject><subject>Endocrinology &amp; Metabolism</subject><subject>Female</subject><subject>Health Behavior - ethnology</subject><subject>Health Knowledge, Attitudes, Practice - ethnology</subject><subject>Hispanic Americans - psychology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Nutrition Surveys</subject><subject>Obese/overweight individuals with diabetes</subject><subject>Obesity - diagnosis</subject><subject>Obesity - ethnology</subject><subject>Obesity - therapy</subject><subject>Odds Ratio</subject><subject>Overweight - diagnosis</subject><subject>Overweight - ethnology</subject><subject>Overweight - therapy</subject><subject>Risk Factors</subject><subject>Underassessment of weight</subject><subject>United States - epidemiology</subject><subject>Weight management advice</subject><subject>Weight management behaviors</subject><subject>Weight Perception</subject><subject>Weight Reduction Programs</subject><subject>Young Adult</subject><issn>1751-9918</issn><issn>1878-0210</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1r10AQxoNY7It-AC-So5fEmc3bRkGQolUo9KA9L5vdSbt_k03cSVp69Ju78d9K8dDTPDDP88D8JkleI-QIWL_b5bOxuQAUOcgcQDxLjlA2MgOB8DzqpsKsbVEeJsfMO4AaC9m8SA6FaGXVYnGU_L70loJmJuaR_JJOfXpL7up6SbW3D3LUXl_R373z6awXFyWnt265Tq3THS3E79MLT-k4BUoDaZ78ZuV1nqfwuPVRlbY3ztDL5KDXA9Or-3mSXH75_OP0a3Z-cfbt9NN5ZsoSlwwNSt0SCa2lAdS2FtjWtsKu7BoBQsiGdNd1tqpkITpjoa9b2Yi-L2vdNXVxkrzd985h-rUSL2p0bGgYtKdpZYVYYQMxvFlxbzVhYg7Uqzm4UYc7haA28mqnInm1kVcgVSQfM2_u69duJPsv8YA6Gj7sDRSPvHEUFJuI0ZB1gcyi7OSerP_4X9oMzjujh590R7yb1uAjPYWKY0Z9316_fR4FAEJdFn8AxO6q7A</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Ekezue, Bola F</creator><creator>Platonova, Elena A</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20121201</creationdate><title>Underassessment of weight and weight management in patients with diabetes: One more reason in support of weight management advice</title><author>Ekezue, Bola F ; Platonova, Elena A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-1c18a9ee2aa8c01ad62196d51b4b7202287eabbbd55832bcd0f69872ff46ab763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>African Americans - psychology</topic><topic>Aged</topic><topic>Body Weight - ethnology</topic><topic>Chi-Square Distribution</topic><topic>Counseling</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus - diagnosis</topic><topic>Diabetes Mellitus - ethnology</topic><topic>Diabetes Mellitus - therapy</topic><topic>Endocrinology &amp; Metabolism</topic><topic>Female</topic><topic>Health Behavior - ethnology</topic><topic>Health Knowledge, Attitudes, Practice - ethnology</topic><topic>Hispanic Americans - psychology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Nutrition Surveys</topic><topic>Obese/overweight individuals with diabetes</topic><topic>Obesity - diagnosis</topic><topic>Obesity - ethnology</topic><topic>Obesity - therapy</topic><topic>Odds Ratio</topic><topic>Overweight - diagnosis</topic><topic>Overweight - ethnology</topic><topic>Overweight - therapy</topic><topic>Risk Factors</topic><topic>Underassessment of weight</topic><topic>United States - epidemiology</topic><topic>Weight management advice</topic><topic>Weight management behaviors</topic><topic>Weight Perception</topic><topic>Weight Reduction Programs</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ekezue, Bola F</creatorcontrib><creatorcontrib>Platonova, Elena A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Primary care diabetes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ekezue, Bola F</au><au>Platonova, Elena A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Underassessment of weight and weight management in patients with diabetes: One more reason in support of weight management advice</atitle><jtitle>Primary care diabetes</jtitle><addtitle>Prim Care Diabetes</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>6</volume><issue>4</issue><spage>253</spage><epage>259</epage><pages>253-259</pages><issn>1751-9918</issn><eissn>1878-0210</eissn><abstract>Abstract Aims The purpose of this study was to determine whether underassessment of weight affects weight management behaviors of overweight and obese individuals with diabetes and to determine whether weight management advice from health care professionals modifies the effect of underassessment of weight. Methods Data ( n = 979) from the 2006 and 2008 National Health and Nutrition Examination Survey were analyzed. Multivariate logistic regression was used to identify factors associated with underassessment of weight, weight management behaviors, and receipt of weight management advice from health care professionals. Results Underassessment of weight was common (26%). Men, overweight persons, Blacks and Hispanics were more likely to underassess their weight. Those who underassessed their weight were 53% less likely to report weight management behaviors, odds ratio 0.47 (95% CI = 0.31–0.73). Weight management advice increased weight management behaviors among individuals who underassessed their weight, 3.49 (95% CI = 1.70–7.18). Conclusions Underassessment of weight can negatively affect weight management behaviors of overweight and obese individuals with diabetes. Weight management advice from health care professionals is important, and can modify the effect of underassessment of weight on weight management behaviors in this high risk group.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>22985913</pmid><doi>10.1016/j.pcd.2012.08.002</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adolescent
Adult
African Americans - psychology
Aged
Body Weight - ethnology
Chi-Square Distribution
Counseling
Cross-Sectional Studies
Diabetes Mellitus - diagnosis
Diabetes Mellitus - ethnology
Diabetes Mellitus - therapy
Endocrinology & Metabolism
Female
Health Behavior - ethnology
Health Knowledge, Attitudes, Practice - ethnology
Hispanic Americans - psychology
Humans
Internal Medicine
Logistic Models
Male
Middle Aged
Multivariate Analysis
Nutrition Surveys
Obese/overweight individuals with diabetes
Obesity - diagnosis
Obesity - ethnology
Obesity - therapy
Odds Ratio
Overweight - diagnosis
Overweight - ethnology
Overweight - therapy
Risk Factors
Underassessment of weight
United States - epidemiology
Weight management advice
Weight management behaviors
Weight Perception
Weight Reduction Programs
Young Adult
title Underassessment of weight and weight management in patients with diabetes: One more reason in support of weight management advice
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