Servizio di Dietetica e Nutrizione Clinica, Istituti Clinici di Perfezionamento, Milano, Italy.
Public Health Nutr. 2011 Oct;14(10):1813-22. doi: 10.1017/S136898001100005X. Epub 2011 Feb 22.
To evaluate the awareness and knowledge about weight status and its management.
A 1 d cross-sectional survey. Basic anthropometric assessments (weight, height, BMI and waist circumference) and a self-administered questionnaire were considered.
Nineteen Clinical Nutrition or Endocrinology and Metabolic Disorders Units or Dietetics Services in the Italian region of Lombardy.
All adults attending the 'Obesity Day' initiative.
A total of 914 participants (605 female and 309 male) were recruited. Although most of the participants (83·5 %) considered obesity to be a disease, 38·5 % were likely to misperceive their weight status. In particular, 38·8 % of normal-weight adults believed themselves to be overweight, whereas 71·1 % and 37·5 % of classes I and II/III obese adults classified themselves as being overweight and mildly obese, respectively. However, most of the overweight (90·2 %), mildly (96·8 %) and moderately/severely obese adults (99·1 %) recognized the need to lose weight. In all, 37·8 % of the sample underestimated the role of physical activity in weight management. Interestingly, only 17·2 % of dieters (previous or current) declared being advised by their doctor to lose weight. Multivariate models revealed that higher age, low education and higher BMI were important determinants of poor weight control and management. In addition, previous dieting appeared not to provide better knowledge, whereas the role of physical activity was recognized mainly by those practising it.
The present study suggests that in Italy knowledge about weight management should be improved not only in the general population but also among health-care professionals. To confirm this finding, there is now the rationale for a nationally representative survey. New educational programmes can be designed on the basis of the information collected.
评估对体重状况及其管理的认识和了解。
横断面调查 1 天。基本人体测量评估（体重、身高、BMI 和腰围）和自我管理问卷调查。
意大利伦巴第地区的 19 个临床营养、内分泌和代谢紊乱科或饮食服务单位。
所有参加“肥胖日”活动的成年人。
共招募 914 名参与者（605 名女性和 309 名男性）。尽管大多数参与者（83.5%）认为肥胖是一种疾病，但 38.5%的人可能会错误地判断自己的体重状况。特别是，38.8%的正常体重成年人认为自己超重，而 71.1%和 37.5%的 I 类和 II/III 类肥胖成年人分别将自己归类为超重和轻度肥胖。然而，大多数超重（90.2%）、轻度肥胖（96.8%）和中度/重度肥胖（99.1%）的成年人认为需要减肥。总的来说，37.8%的样本低估了体力活动在体重管理中的作用。有趣的是，只有 17.2%的节食者（过去或现在）声称是在医生的建议下减肥的。多变量模型显示，年龄较大、教育程度较低和 BMI 较高是体重控制和管理不良的重要决定因素。此外，之前的节食似乎并没有提供更好的知识，而体力活动的作用主要是由那些实际参与的人所认识到的。
本研究表明，在意大利，不仅要在普通人群中，而且要在医疗保健专业人员中提高对体重管理的认识。为了证实这一发现，现在有理由进行一次全国代表性调查。可以根据收集到的信息设计新的教育计划。
