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Overweight and obese adults have low intentions of seeking weight-related care: a cross-sectional survey

BACKGROUND: The prevalence of obesity is growing worldwide. Obesity guidelines recommend increasing the level of weight-related care for persons with elevated levels of weight-related health risk (WRHR). However, there seems to be a discrepancy between need for and use of weight-related care. The pr...

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Autores principales: Tol, Jacqueline, Swinkels, Ilse C, De Bakker, Dinny H, Veenhof, Cindy, Seidell, Jaap C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4085466/
https://www.ncbi.nlm.nih.gov/pubmed/24916037
http://dx.doi.org/10.1186/1471-2458-14-582
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author Tol, Jacqueline
Swinkels, Ilse C
De Bakker, Dinny H
Veenhof, Cindy
Seidell, Jaap C
author_facet Tol, Jacqueline
Swinkels, Ilse C
De Bakker, Dinny H
Veenhof, Cindy
Seidell, Jaap C
author_sort Tol, Jacqueline
collection PubMed
description BACKGROUND: The prevalence of obesity is growing worldwide. Obesity guidelines recommend increasing the level of weight-related care for persons with elevated levels of weight-related health risk (WRHR). However, there seems to be a discrepancy between need for and use of weight-related care. The primary aim of this study is to examine predisposing factors that may influence readiness to lose weight and intention to use weight-related care in an overweight population. METHODS: A population-based, cross-sectional survey was conducted. Data were collected using an online self-administered questionnaire sent to a population-representative sample of 1,500 Dutch adults on the Health Care Consumer Panel (n = 861 responded). Data were used from individuals (n = 445) with a mildly, moderately or severely elevated level of WRHR. WRHR status was based on self-reported data on Body Mass Index, risk assessment for diabetes mellitus type 2 (DM2) and cardiovascular disease (CVD), or co-morbidities. RESULTS: 55.1% of persons with increased WRHR were ready to lose weight (n = 245). Depending on level of WRHR; educational level, marital status, individuals with an accurate perception of their weight and better perceptions and expectations of dietitians were significantly related to readiness to lose weight. Most of them preferred individual weight-loss methods (82.0% of n = 245). 11% (n = 26 of n = 245) intended to use weight-related care. Weight-related care seeking was higher for those with moderate or severe WRHR. Expectations and trust in dietitians did not seem to influence care seeking. CONCLUSIONS: Many Dutch adults who are medically in need of weight-related care are ready to lose weight. Most intend to lose weight individually, and only a few intend to use weight-related care. Therefore, obesity prevention initiatives should focus on monitoring weight change and weight-loss plans, and timely referral to obesity management. However, many people are not ready to lose weight. For this group, strategies for behaviour change may depend on WRHR, perceptions of weight and dietitians, educational level and marital status. Obesity prevention initiatives should focus on increasing the awareness of the seriousness of their condition and offering individually appropriate weight management programmes.
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spelling pubmed-40854662014-07-09 Overweight and obese adults have low intentions of seeking weight-related care: a cross-sectional survey Tol, Jacqueline Swinkels, Ilse C De Bakker, Dinny H Veenhof, Cindy Seidell, Jaap C BMC Public Health Research Article BACKGROUND: The prevalence of obesity is growing worldwide. Obesity guidelines recommend increasing the level of weight-related care for persons with elevated levels of weight-related health risk (WRHR). However, there seems to be a discrepancy between need for and use of weight-related care. The primary aim of this study is to examine predisposing factors that may influence readiness to lose weight and intention to use weight-related care in an overweight population. METHODS: A population-based, cross-sectional survey was conducted. Data were collected using an online self-administered questionnaire sent to a population-representative sample of 1,500 Dutch adults on the Health Care Consumer Panel (n = 861 responded). Data were used from individuals (n = 445) with a mildly, moderately or severely elevated level of WRHR. WRHR status was based on self-reported data on Body Mass Index, risk assessment for diabetes mellitus type 2 (DM2) and cardiovascular disease (CVD), or co-morbidities. RESULTS: 55.1% of persons with increased WRHR were ready to lose weight (n = 245). Depending on level of WRHR; educational level, marital status, individuals with an accurate perception of their weight and better perceptions and expectations of dietitians were significantly related to readiness to lose weight. Most of them preferred individual weight-loss methods (82.0% of n = 245). 11% (n = 26 of n = 245) intended to use weight-related care. Weight-related care seeking was higher for those with moderate or severe WRHR. Expectations and trust in dietitians did not seem to influence care seeking. CONCLUSIONS: Many Dutch adults who are medically in need of weight-related care are ready to lose weight. Most intend to lose weight individually, and only a few intend to use weight-related care. Therefore, obesity prevention initiatives should focus on monitoring weight change and weight-loss plans, and timely referral to obesity management. However, many people are not ready to lose weight. For this group, strategies for behaviour change may depend on WRHR, perceptions of weight and dietitians, educational level and marital status. Obesity prevention initiatives should focus on increasing the awareness of the seriousness of their condition and offering individually appropriate weight management programmes. BioMed Central 2014-06-11 /pmc/articles/PMC4085466/ /pubmed/24916037 http://dx.doi.org/10.1186/1471-2458-14-582 Text en Copyright © 2014 Tol et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Tol, Jacqueline
Swinkels, Ilse C
De Bakker, Dinny H
Veenhof, Cindy
Seidell, Jaap C
Overweight and obese adults have low intentions of seeking weight-related care: a cross-sectional survey
title Overweight and obese adults have low intentions of seeking weight-related care: a cross-sectional survey
title_full Overweight and obese adults have low intentions of seeking weight-related care: a cross-sectional survey
title_fullStr Overweight and obese adults have low intentions of seeking weight-related care: a cross-sectional survey
title_full_unstemmed Overweight and obese adults have low intentions of seeking weight-related care: a cross-sectional survey
title_short Overweight and obese adults have low intentions of seeking weight-related care: a cross-sectional survey
title_sort overweight and obese adults have low intentions of seeking weight-related care: a cross-sectional survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4085466/
https://www.ncbi.nlm.nih.gov/pubmed/24916037
http://dx.doi.org/10.1186/1471-2458-14-582
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