VA New York Harbor and Division of General Internal Medicine, NYU School of Medicine, New York, NY, USA.
Ann Behav Med. 2013 Apr;45(2):239-48. doi: 10.1007/s12160-012-9452-8.
Obesity is associated with poor asthma outcomes; weight loss improves such outcomes. Inaccurate recognition of obesity may impede weight control.
We examined perception of weight by early adolescents with uncontrolled asthma and their caregivers, and tested the relationship between medical visit frequency and accuracy of perceived weight status.
A total of 373 adolescents and their caregivers reported the adolescent's height/weight and weight perception; caregivers reported healthcare utilization. We measured height/weight. Logistic regression modeled accuracy of weight perception.
A total of 43.7 % of the overweight/obese adolescents and caregivers accurately perceived weight status. BMI percentile [odds ratio (OR) = 1.19, confidence interval (CI) = 1.10-1.28] and total medical visits (OR = 1.18, CI = 1.05-1.33) were associated with higher accuracy in caregivers. Total medical visits (OR = 0.84, CI = 0.74-0.96) was associated with lower accuracy in adolescents.
Accurate perception of weight status was poor for overweight adolescents with uncontrolled asthma and their caregivers. Frequent medical visits were associated with improved caregivers' but not adolescents' perceptions.
肥胖与哮喘不良结局相关；减肥可改善此类结局。对肥胖的不准确识别可能会阻碍体重控制。
我们研究了未控制哮喘的青少年及其照顾者对体重的认知，并检验了就诊频率与感知体重状况准确性之间的关系。
共有 373 名青少年及其照顾者报告了青少年的身高/体重和体重感知；照顾者报告了医疗保健的使用情况。我们测量了身高/体重。采用逻辑回归模型来分析体重感知的准确性。
超重/肥胖青少年及其照顾者中，约 43.7%的人准确地感知了体重状况。BMI 百分位数（比值比（OR）=1.19，置信区间（CI）=1.10-1.28）和总就诊次数（OR=1.18，CI=1.05-1.33）与照顾者更高的准确性相关。总就诊次数（OR=0.84，CI=0.74-0.96）与青少年感知准确性降低相关。
对于未控制哮喘的超重青少年及其照顾者，对体重状况的准确感知较差。就诊次数频繁与照顾者感知的改善相关，但与青少年感知的改善无关。
