Document Detail

Physician advice on exercise and diet in a U.S. sample of obese Mexican-American adults.
MedLine Citation:
PMID:  21721967     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To document the prevalence of obese Mexican-Americans never advised by health professionals regarding exercise and diet, and to determine risk factors for no advice.
METHODS: Data came from 1787 obese Mexican-American adults (body mass index ≥30; age ≥18 years) in the Medical Expenditure Panel Survey. The survey included self-reported receipt of health care provider advice on exercise and diet as well as sociodemographic, health-related, and provider-related factors. Multivariable logistic regression models were performed separately for advice regarding exercise and advice regarding diet.
RESULTS: Overall, 45% of respondents reported that they had never received advice from a doctor or health care professional to exercise more, and 52% reported that they have received advice to eat fewer higher-fat/high-cholesterol foods. Men, nonmarried respondents, lower-educated respondents, those who preferred to speak Spanish at home, and those without comorbid chronic conditions were less likely to receive advice.
DISCUSSION: Results suggest that obese Mexican-Americans are insufficiently advised by health care providers regarding exercise and diet. Given the seriousness of obesity-related health risks and the increasing prevalence of overweight status and obesity among Mexican-Americans, it is vital that providers are involved in finding ways to effectively educate and/or treat overweight patients.
Ha T Nguyen; Kyriakos S Markides; Marilyn A Winkleby
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of health promotion : AJHP     Volume:  25     ISSN:  0890-1171     ISO Abbreviation:  Am J Health Promot     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-07-04     Completed Date:  2011-09-01     Revised Date:  2011-09-02    
Medline Journal Info:
Nlm Unique ID:  8701680     Medline TA:  Am J Health Promot     Country:  United States    
Other Details:
Languages:  eng     Pagination:  402-9     Citation Subset:  T    
Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1084, USA.
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MeSH Terms
Body Mass Index
Counseling / statistics & numerical data*
Health Behavior / ethnology*
Health Surveys
Logistic Models
Mexican Americans / psychology*,  statistics & numerical data
Middle Aged
Obesity / epidemiology,  therapy*
Physician's Practice Patterns / statistics & numerical data*
Physician-Patient Relations*
Risk Factors
Socioeconomic Factors
United States / epidemiology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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