Loprinzi Paul D, Davis Robert E
1 Department of Health, Exercise Science and Recreation Management, School of Applied Sciences, University of Mississippi, University, MS, USA.
Am J Health Promot. 2017 Sep;31(5):417-421. doi: 10.1177/0890117116667369. Epub 2016 Sep 7.
Despite evidence demonstrating that health-care providers (HCPs) can effectively promote health behaviors and weight loss among their patients, the extent to which HCPs promote weight loss among overweight and obese adults is not fully understood as the studies on this topic have mostly been conducted in convenience samples. Therefore, the purpose of this study was to examine the extent to which HCPs promote weight loss among overweight and obese adults.
Cross-sectional.
National Health and Nutrition Examination Survey 2011-2012.
A total of 2291 overweight or obese adults (males 46%, females 54%) of varying racial/ethnic backgrounds.
Weight loss/maintenance promotion from HCP was assessed via patient self-report, with weight status assessed via measured body mass index.
Descriptive statistics and regression.
Among those receiving health care in the past 12 months, 19.4% of overweight, 46.8% of obese class 1, 62.8% of obese class 2, and 76.9% of obese class 3 adults were advised to lose/control their weight, and the odds of being advised to control/lose weight by HCP increased accordingly. These results were similar when evaluated across various subpopulations (eg, age, gender). Those who received advice to lose/control weight had 3 times the odds of adopting weight loss/control behaviors (odds ratio = 3.1).
Additional weight loss promotion among overweight and all classes of obese adults is needed from HCP.
尽管有证据表明医疗保健提供者（HCPs）能够有效地促进患者的健康行为和体重减轻，但由于关于这一主题的研究大多是在便利样本中进行的，HCPs在超重和肥胖成年人中促进体重减轻的程度尚未得到充分了解。因此，本研究的目的是检验HCPs在超重和肥胖成年人中促进体重减轻的程度。
横断面研究。
2011 - 2012年国家健康与营养检查调查。
共有2291名不同种族/族裔背景的超重或肥胖成年人（男性占46%，女性占54%）。
通过患者自我报告评估HCPs对体重减轻/维持的促进情况，通过测量体重指数评估体重状况。
描述性统计和回归分析。
在过去12个月接受医疗保健的人群中，19.4%的超重成年人、46.8%的1级肥胖成年人、62.8%的2级肥胖成年人以及76.9%的3级肥胖成年人被建议减轻体重或控制体重，并且被HCPs建议控制/减轻体重的几率也相应增加。在不同亚人群（如年龄、性别）中进行评估时，结果相似。那些接受减轻体重/控制体重建议的人采取体重减轻/控制行为的几率是其他人的3倍（优势比 = 3.1）。
HCPs需要在超重和所有肥胖等级的成年人中进一步加强体重减轻促进工作。
