Racial differences in obese youth's perception of health care and weight loss.
ABSTRACT Within the United States, minority youth are at greater risk of becoming overweight/obese and are less likely to receive preventive health care. The authors examined several domains of preventive health care perceptions among persistently overweight/obese white and black adolescents. A total of 55 youth (29 white, 26 black) who had previously sought weight management treatment participated in a follow-up study 4 years later (M (years) = 4.2 ± 0.8). All participants remained overweight (5% at the 85th- 94th BMI percentiles) or obese (95% ≥ 95th BMI percentile), with no significant difference in weight by race. Relative to whites, blacks perceived greater physician concern about and counseling regarding weight (P (concern) < .01; P (counsel) < .01), eating habits(P (concern) < .001; P (counsel) < .01), and physical activity (P (concern) < .001; P (counsel) < .05). Although whites reported knowing more weight-related comorbidities than blacks, there were no group differences in number of weight loss methods attempted (M (methods) = 7.5 ± 2.7). Overall, there were no group differences in perceptions of risk. Physicians may be appropriately focusing efforts on educating black youth, but knowledge and behavior gaps persist.
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ABSTRACT: This paper addresses international trends in adolescent nutrition by reviewing the literature from English-language indexed journals and online sources from around the world. Information is presented by geographic region and by nation within region. The literature shows that malnutrition remains a significant problem for adolescents, worldwide, but that the types of nutritional problems impacting this group have changed significantly over the past two decades. While undernutrition and wasting are reported, these conditions, as well as growth stunting, seem to be on the decline. In developed countries, social pressures to achieve a distorted body image are creating a malnutrition of affluence among some groups of adolescents. There appears to be an increasing prevalence of obesity among adolescents worldwide, explained by widespread nutrition transitions to lipid-rich diets and a decrease in physical activity, especially among urban adolescents. These trends are of international importance as they imply the world will see a shift towards longer life spans for this adolescent cohort, with a concomitant increase in the prevalence of chronic diseases as it ages. The epidemiologic transition that will result may be a mixed blessing. It is likely to produce a larger and healthier international workforce, but it also has the potential of becoming a serious burden as demands for health care and support services for those with chronic diseases increase. To prevent inordinate health care demands on the international economy in the future, dietary recommendations with nutritional education programs that are culturally appropriate need to become national priorities.Social Science [?] Medicine 10/2000; 51(6):955-67. · 2.56 Impact Factor
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ABSTRACT: The goal was to examine the association of physician counseling about being overweight with attempted weight loss, dietary, and physical activity/inactivity behaviors of US teens. We used data from the National Health and Nutrition Examination Surveys 1999-2000 and 2001-2002 for 16- to 19-year-old subjects with BMI for age of > or = 85th percentile (n = 716). Regression methods were used to examine the association of physician advice about teen weight status with covariate-adjusted differences in reported weight loss, dietary, and physical activity behaviors. Approximately 51% of overweight teens (BMI for age of > or = 95th percentile) but only 17% of at-risk teens (BMI for age of 85th to < 95th percentile) reported that they had been informed by a doctor about being overweight. More than 60% of those told by a doctor about being overweight had attempted weight loss in the past year, relative to 41% of those who did not receive this advice. Teens informed of their overweight status reported significantly smaller amounts of all foods and beverages and lower energy intake per kilogram of body weight in the 24-hour recall, relative to the comparison group. Physical activity and inactivity behaviors were unrelated to professional counseling about overweight status. Physician counseling regarding adolescent overweight status was associated with a positive impact on attempted weight loss and moderate dietary behaviors.PEDIATRICS 02/2007; 119(1):e142-7. · 5.30 Impact Factor
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ABSTRACT: Adolescent obesity prevalence is increasing, with minimal study of physician weight counseling with youth. This study examines adolescents' (n=110) perceptions of physicians' weight counseling. Overweight adolescents (> or =85th percentile for body mass index, BMI) report receiving counseling more than nonoverweight adolescents. Physicians more often have counseled obese (> or =95th BMI percentile) than overweight but not obese adolescents (85th-94th BMI percentile). Prior counseling and adolescents' ethnicity were related to greater perceived physician concern and adolescent receptivity to future counseling. Overweight adolescents report attempting weight loss strategies at rates similar to recommendations, but recommendations for specific weight control behaviors do not increase the likelihood of adolescent attempts. Clin Pediatr. 2002;41:575-585Clinical Pediatrics 10/2002; 41(8):575-85. · 1.26 Impact Factor