Healthy eating and exercise: strategies for weight management in the rural midwest.

Department of Community and Behavioral Health, College of Public Health, University of Iowa, Iowa City 52242, USA.
Health Education &amp Behavior (Impact Factor: 1.54). 05/2005; 32(2):253-63. DOI: 10.1177/1090198104272328
Source: PubMed

ABSTRACT Obesity prevalence has increased dramatically in the United States. Rural areas have been especially affected, yet few weight management studies have been conducted in these populations. This study was designed to assess weight management attitudes and strategies used when rural adults in particular attempt to lose weight, employing measures that are more specific than those reported in similar studies. The survey was completed by 123 adults aged 19 to 71, with a 29% response rate. Scales demonstrated good to excellent internal consistency, and test-retest reliability. Persons currently trying to lose weight were more likely to report self-monitoring behaviors and goal setting but no more likely to report use of specific behavioral strategies compared to persons not trying to lose weight. The results suggest considerable interest in weight management among rural adults and provide a starting point for planning future weight management interventions in this and similar populations.

  • [Show abstract] [Hide abstract]
    ABSTRACT: Patients with overweight or obesity increasingly attend general practice, which is an ideal setting for weight-loss counselling. The present study is the first to investigate the quality of weight-loss counselling provided by practice nurses in general practice to patients with overweight or obesity, in order to identify points for improvement. An observational checklist was developed to assess goal and implementation intentions and 'missed opportunities for lifestyle counselling'. Comparisons were made with overall consultation goals set by practice nurses, as measured in a post-visit questionnaire. Dutch general practice. One hundred video-taped consultations (2010/2011) between practice nurses and patients with overweight or obesity. Half of the consultations contained a goal intention, of which the majority aimed to change eating behaviour. Only part of these goal intentions could be considered implementation intentions. It appeared that actions (how elements) were not often included here. Lifestyle change was more often perceived as an overall consultation goal than weight change. Regarding patterns of overall consultation goals, the majority addressed only one lifestyle factor at a time. If practice nurses formulated weight change in their overall consultation goal, they also used goal or implementation intentions, especially for weight change. In a quarter of the consultations, practice nurses did not ask any further questions about weight, nutrition or physical activity to gain insight, which is an important 'missed opportunity for lifestyle counselling'. Matching implementation intentions to the broader overall consultation goals of practice nurses would be meaningful, leading to desired goal-directed behaviours and subsequent goal attainment.
    Public Health Nutrition 02/2015; DOI:10.1017/S1368980015000075 · 2.48 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: PurposeHigh sodium intake increases the risk of cardiovascular diseases. Cardiac patients are recommended a daily sodium restriction of ≤1,500 mg. The purpose of this article is to describe daily sodium intake and sodium restriction adherence and its correlates in cardiac rehabilitation (CR) program participants following cardiac revascularizations.DesignThis is a descriptive correlational study.MethodsA subanalysis was performed using the data collected from a randomized controlled trial to determine the effect of a 12-week weight management intervention.FindingsThe average daily sodium intake was 3,020 mg ± 1,134 at baseline, 4,047 mg ±1,517 at 4 months, and 4,399 mg ± 1,722 at 6 months. The adherence rates were 4.8% at baseline and zero at 4 and 6 months. The factors influencing daily sodium intake were identified.Conclusion The CR program participants failed to adhere to the sodium restriction guidelines.Clinical relevanceRehabilitation nurses need to identify effective strategies to educate CR participants and their family members regarding dietary sodium adherence in CR participants.
    03/2015; DOI:10.1002/rnj.205
  • [Show abstract] [Hide abstract]
    ABSTRACT: This study compares the specific behavioral strategies that rural men and women use when trying to lose weight. A cross-sectional, in-person survey. Participants were part of a larger study in rural Iowa (n = 407) intended to identify community health promotion issues. 184 adults (56 men, 128 women) who reported currently trying to lose weight Measures capture strategies for dealing with the social environment, food choice and preparation, physical activity planning, social support, self-efficacy, outcome expectations, dietary intake and physical activity level. T-tests, chi-square, Cronbach alpha, descriptive statistics. Women reported greater use of nearly all strategies measured. Men reported more social support for diet, whereas women reported more social support for physical activity. Results for self-efficacy and outcome expectations were mixed. No gender differences were found for fat intake, fruit and vegetable servings, or physical activity level. Men and women differ in the specific strategies they use to lose weight, including those related to the social environment. Practitioners planning weight management programs should be aware that men and women may have different levels of experience in using specific behavioral strategies.
    Journal of Nutrition Education and Behavior 07/2006; 38(4):249-53. DOI:10.1016/j.jneb.2005.11.039 · 1.47 Impact Factor