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患者对理想体重的认知及体重指数的影响。

Patient perception of ideal body weight and the effect of body mass index.

作者信息

Naghshizadian Rozhin, Rahnemai-Azar Amir A, Kella Kruthi, Weber Michael M, Calin Marius L, Bibi Shahida, Farkas Daniel T

机构信息

Department of Surgery, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, 1650 Selwyn Avenue, Suite 4E, Bronx, NY 10457, USA.

出版信息

J Obes. 2014;2014:491280. doi: 10.1155/2014/491280. Epub 2014 Dec 29.

DOI:10.1155/2014/491280
PMID:25614830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4295128/
Abstract

OBJECTIVE

Despite much effort, obesity remains a significant public health problem. One of the main contributing factors is patients' perception of their target ideal body weight. This study aimed to assess this perception.

METHODS

The study took place in an urban area, with the majority of participants in the study being Hispanic (65.7%) or African-American (28.0%). Patients presented to an outpatient clinic were surveyed regarding their ideal body weight and their ideal BMI calculated. Subsequently they were classified into different categories based on their actual measured BMI. Their responses for ideal BMI were compared.

RESULTS

In 254 surveys, mean measured BMI was 31.71 ± 8.01. Responses to ideal BMI had a range of 18.89-38.15 with a mean of 25.96 ± 3.25. Mean (±SD) ideal BMI for patients with a measured BMI of <18.5, 18.5-24.9, 25-29.9, and ≥30 was 20.14 ± 1.46, 23.11 ± 1.68, 25.69 ± 2.19, and 27.22 ± 3.31, respectively. These differences were highly significant (P < 0.001, ANOVA).

CONCLUSIONS

Most patients had an inflated sense of their target ideal body weight. Patients with higher measured BMI had higher target numbers for their ideal BMI. Better education of patients is critical for obesity prevention programs.

摘要

目的

尽管付出了诸多努力,但肥胖仍然是一个重大的公共卫生问题。主要促成因素之一是患者对其目标理想体重的认知。本研究旨在评估这种认知。

方法

该研究在一个城市地区进行,研究中的大多数参与者为西班牙裔(65.7%)或非裔美国人(28.0%)。对到门诊就诊的患者就其理想体重进行了调查,并计算了他们的理想体重指数(BMI)。随后根据他们实际测量的BMI将他们分为不同类别。比较了他们对理想BMI的回答。

结果

在254份调查问卷中,平均测量的BMI为31.71±8.01。对理想BMI的回答范围为18.89 - 38.15,平均值为25.96±3.25。测量的BMI<18.5、18.5 - 24.9、25 - 29.9和≥30的患者的平均(±标准差)理想BMI分别为20.14±1.46、23.11±1.68、25.69±2.19和27.22±3.31。这些差异具有高度显著性(P<0.001,方差分析)。

结论

大多数患者对其目标理想体重的认知过高。测量的BMI较高的患者其理想BMI的目标数值也较高。对患者进行更好的教育对于肥胖预防项目至关重要。

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