KMID : 0388120110200010023
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Journal of Korean Society for the Study of Obesity 2011 Volume.20 No. 1 p.23 ~ p.30
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The State of Weight Control by Trans-Theoretical Model (TTM) and Physician¡¯s Advice about Weight Control in Overweight Adults
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Jeong Hwee-Soo
Jee Sun-Ha Nam Chung-Mo Lee Ja-Kyoung
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Abstract
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Background: Although the physicians¡¯ interest in weight control has increased, their counseling on weight control is still low. This study aims to identify the patient¡¯s stage of weight control and how physicians advise and educate overweight adults concerning their weight control.
Methods: Data were collected from 251 examinees since July 7, 2008 to October 31, 2008 through self administered questionnaires given to patients who had visited the health promotion center of a university hospital in Gyeong-ju. Those with body mass index (BMI) over 23 kg/m2 were enrolled. The questionnaire included socio -demographic characteristics, items related to obesity, physician¡¯s advice and education on weight control. The state of current weight control was investigated by trans-theoretical model (TTM)
Results: Eighty one (32.3%) patients were in the preparation stage. Results showed 106 (42.2%) participants in the action stage. Although 147 (58.6%) participants received physician¡¯s advice on weight control only 34 (13.5%) actually received physician¡¯s education. The factors leading to the contemplation stage involved the self perception of being obese (OR 3.61, 95% CI 1.42~ 9.21) and physician¡¯s advice for weight control (2.55, 1.02~6.40). Similarly, the factor leading to action stage from precontemplation stage and contemplation stage was the previous history of weight control (2.92, 1.24~6.86 and 2.20, 1.15~4.20, respectively).
Conclusion: Overweight adults mainly were in preparation stage for weight control. Primary physicians should actively advise weight control to these people.
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KEYWORD
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Obesity, Weight, Counseling
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