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超重/肥胖的黑人和西班牙裔成年人中肥胖对健康影响的相关知识。

Knowledge of the health consequences of obesity among overweight/obese Black and Hispanic adults.

作者信息

Winston Ginger J, Caesar-Phillips Erica, Peterson Janey C, Wells Martin T, Martinez Johanna, Chen Xi, Boutin-Foster Carla, Charlson Mary

出版信息

Patient Educ Couns. 2014 Jan;94(1):123-7. doi: 10.1016/j.pec.2013.09.022.

Abstract

OBJECTIVE

To measure knowledge of the health consequences of obesity among overweight/obese Black and Hispanic adults and examine the relationship to prior weight loss.

METHODS

Knowledge of the health consequences of obesity was assessed among 410 Black and Hispanic adults with BMI ≥ 25 kg/m2 enrolled in a behavior change weight loss study. The relationship between obesity risk knowledge and previous weight loss was also examined.

RESULTS

The majority of participants were knowledgeable of the risk of hypertension (94%), diabetes (96%), high cholesterol (91%), joint pains/arthritis (89%) and sleep apnea (89%) associated with obesity. Among post-menopausal age women, 53% were aware of the increased risk of breast cancer. There was no significant relationship between obesity risk knowledge and previous weight loss of 10 pounds or more (OR = 1.075, 95% CI: [0.808, 1.430]).

CONCLUSIONS

We found that knowledge of the health consequences of obesity was high, except for knowledge of the risk of breast cancer. Obesity risk knowledge was not associated with past weight loss.

PRACTICE IMPLICATIONS

Further health education is needed regarding the increased risk of breast cancer associated with obesity. Our data suggest that knowledge of the health consequences of obesity is not associated with weight loss success.

摘要

目的

测量超重/肥胖的黑人和西班牙裔成年人对肥胖健康后果的认知,并研究其与既往体重减轻的关系。

方法

在一项行为改变减肥研究中,对410名体重指数(BMI)≥25千克/平方米的黑人和西班牙裔成年人评估了对肥胖健康后果的认知。还研究了肥胖风险认知与既往体重减轻之间的关系。

结果

大多数参与者了解与肥胖相关的高血压风险(94%)、糖尿病风险(96%)、高胆固醇风险(91%)、关节疼痛/关节炎风险(89%)和睡眠呼吸暂停风险(89%)。在绝经后年龄的女性中,53%意识到患乳腺癌的风险增加。肥胖风险认知与既往体重减轻10磅或更多之间没有显著关系(比值比=1.075,95%置信区间:[0.808,1.430])。

结论

我们发现,除了对乳腺癌风险的认知外,对肥胖健康后果的认知程度较高。肥胖风险认知与过去的体重减轻无关。

实践意义

需要针对与肥胖相关的乳腺癌风险增加进行进一步的健康教育。我们的数据表明,对肥胖健康后果的认知与减肥成功无关。

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