Eating behaviors among low-income obese adults in the United States: Does health care provider's advice carry any weight

Preventive Medicine
Cori Lorts, Punam Ohri-Vachaspati

Abstract

The U.S. Preventive Task Force recommends that all patients be screened for obesity and given appropriate weight loss advice, if needed, as nutrition counseling by primary care physicians is a key objective for Healthy People 2020. This study assesses the association between health care provider's (HCP) advice to lose weight and eating behaviors among obese individuals. Data were collected using a household survey of adults in five New Jersey cities in 2009-10. Analyses presented are limited to 548 obese participants. Negative-binomial regression analysis determined the association of participants' eating behaviors and HCP's advice to lose weight, after adjusting for the participant's attempt to lose weight and demographic variables. Despite being obese, only 48% of the participants received weight loss advice from their HCP while 68% stated they were attempting to lose weight. HCP's advice to lose weight was associated with increased salad and fruit consumption (PR 1.3, 95% CI 1.06-1.61; PR 1.23, 95% CI 1.02-1.48). Attempting to lose weight was positively associated with a higher consumption of fruit (PR 1.39, 95% CI 1.13-1.72), vegetables (PR 1.22, 95% CI 1.07-1.39), and with eating fruits and vegetables as snacks (PR 1.62, 9...Continue Reading

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Citations

Oct 7, 2016·Preventing Chronic Disease·Cori Lorts, Punam Ohri-Vachaspati
Mar 20, 2019·International Journal of Environmental Research and Public Health·Mary L GreaneyDeborah Riebe
Jun 24, 2017·Journal of Primary Care & Community Health·Chanita Hughes HalbertKemi M Chukwuka

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