Rodríguez José E, Burg Jean R, Brown L Steven
Florida State University College of Medicine, Tallahassee, FL, USA.
J Natl Med Assoc. 2006 Nov;98(11):1792-6.
To provide educational material to the Bronx community in their places of recreation as well as uncover attitudes and perceptions about the obesity epidemic.
Our medical team equipped a mobile health unit, called Vehicle Assisted Nutrition (VAN), with educational material and drove it to seven recreation sites in the Bronx. At these sites, participants completed a short survey, and our staff took body mass index (BMI) measurements. The medical team also distributed patient education materials pertaining to lifestyle modification and obesity. BMI and survey responses were compared and analyzed with statistical software.
Obesity rates at these sites averaged 29.9% normal weight, 40.2% overweight, 18% class-1 obese and 11% class-2 obese or greater. Only 22.2% of normal weight, 23.3% of overweight and 43.6% of class-1 obese respondents stated that their weight was a problem (p<0.001). Most (80.6%) of the class-2 obese or greater respondents, however, stated that their weight was a problem (p<0.001). More than 44% of normal weight, 59.4% of overweight, 71.3 of class-1 obese and 90.3% of the class-2 obese or greater participants stated they were willing to do something about it (p=0.006). Of those surveyed, 37.5% of the normal weight, 54.7% of the overweight, 56.9% of the class-1 obese and 63.6% of the class-2 obese or greater indicated that they would like our help (p=0.035). More than 66% of normal weight, 41.8% of the overweight, 56.9% of the class-1 obese, and 68.9% of the class-2 obese or greater stated that they would be interested in a class to lose weight (p=0.008).
Medical practitioners need to recognize the role of patients' attitudes about weight loss and clarify for patients the definitions of exercise.
在布朗克斯社区的娱乐场所提供教育材料,并了解对肥胖流行的态度和看法。
我们的医疗团队为一辆名为“车辆辅助营养(VAN)”的移动健康单元配备教育材料,并将其开到布朗克斯的七个娱乐场所。在这些场所,参与者完成一份简短的调查问卷,我们的工作人员测量体重指数(BMI)。医疗团队还分发了与生活方式改变和肥胖相关的患者教育材料。使用统计软件对BMI和调查问卷的回复进行比较和分析。
这些场所的肥胖率平均为正常体重29.9%,超重40.2%,1级肥胖18%,2级及以上肥胖11%。只有22.2%的正常体重者、23.3%的超重者和43.6%的1级肥胖受访者表示他们的体重是个问题(p<0.001)。然而,2级及以上肥胖受访者中大多数(80.6%)表示他们的体重是个问题(p<0.001)。超过44%的正常体重者、59.4%的超重者、71.3%的1级肥胖者和90.3%的2级及以上肥胖参与者表示他们愿意采取措施解决体重问题(p=0.006)。在接受调查的人中,37.5%的正常体重者、54.7%的超重者、56.9%的1级肥胖者和63.6%的2级及以上肥胖者表示他们希望得到我们的帮助(p=0.035)。超过66%的正常体重者、41.8%的超重者、56.9%的1级肥胖者和68.9%的2级及以上肥胖者表示他们有兴趣参加减肥课程(p=0.008)。
医学从业者需要认识到患者对减肥态度的作用,并向患者阐明运动的定义。