Department of Preventive Medicine, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus st. 9, LT-44307, Kaunas, Lithuania.
Department of Family Medicine, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus st. 9, LT-44307, Kaunas, Lithuania.
BMC Fam Pract. 2021 Feb 15;22(1):37. doi: 10.1186/s12875-021-01383-2.
The attitudes towards obesity may have an important role on healthier behavior. The goal of the present study was to explore the attitudes towards obesity and to investigate how these attitudes were associated with lifestyle-changing behavior among the patients attending primary care centers, health care professionals and public health experts.
This cross-sectional survey study was performed in 10 primary care offices in different regions in Lithuania and in 2 public health institutions. Nine hundred thirty-four patients, 97 nurses, 65 physicians and 30 public health experts have filled the questionnaire about attitudes towards obesity and presented data about lifestyle-changing activities during last 12 months. The attitudes were compared between different respondent groups and factors associated with healthier behaviors were analyzed among overweight/obese individuals in our study population.
Participants failed to visually recognize correct figure corresponding to male and female with obesity. Majority of respondents' perceived obesity as a risk factor for heart diseases and diabetes but had less knowledge about other diseases associated with weight. About one third of respondents changed their lifestyle during last 12 months. Overweight individuals with age < 45 years (OR 1.64, 1.06-2.55; p = 0.025) were more likely and those who overestimated current weight (OR 0.44, 0.20-0.96; p = 0.036) less likely to change their lifestyle. Disappointment with their current weight (OR 2.57, 1.36-4.84; p = 0.003) was associated with healthier behavior among participants with obesity.
Participants had similar body size perception and knowledge about obesity. Younger age had significant association with lifestyle changing behavior among overweight individuals and disappointment with current weight among obese participants.
对肥胖的态度可能对更健康的行为有重要作用。本研究的目的是探讨对肥胖的态度，并调查这些态度与参加基层保健中心的患者、保健专业人员和公共卫生专家改变生活方式的行为之间的关系。
本横断面调查研究在立陶宛不同地区的 10 个基层医疗办公室和 2 个公共卫生机构进行。934 名患者、97 名护士、65 名医生和 30 名公共卫生专家填写了关于肥胖态度的问卷，并提供了过去 12 个月改变生活方式活动的数据。比较了不同受访者群体之间的态度，并分析了研究人群中超重/肥胖个体中与更健康行为相关的因素。
参与者无法正确识别出肥胖男性和肥胖女性的形象。大多数受访者认为肥胖是心脏病和糖尿病的危险因素，但对与体重相关的其他疾病了解较少。大约三分之一的受访者在过去 12 个月内改变了生活方式。年龄<45 岁的超重个体（OR 1.64，1.06-2.55；p=0.025）更有可能改变生活方式，而那些高估当前体重的个体（OR 0.44，0.20-0.96；p=0.036）则不太可能改变生活方式。对当前体重的失望（OR 2.57，1.36-4.84；p=0.003）与肥胖参与者的更健康行为有关。
参与者对肥胖的体型感知和肥胖相关知识相似。年轻与超重个体改变生活方式的行为有显著关联，而肥胖参与者对当前体重的失望与更健康的行为有关。
