ArticleCardiovascular diabetology2009
Weight control behaviors in overweight/obese U.S. adults with diagnosed hypertension and diabetes.
Article in Cardiovascular diabetology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 26 citations in OpenAlex.
- Beneficial effects of Korean traditional diets in hypertensive and type 2 diabetic patients.Journal of medicinal food · 2014Trial
- The Dietary Approaches to Stop Hypertension eating plan affects C-reactive protein, coagulation abnormalities, and hepatic function tests among type 2 diabetic patients.The Journal of nutrition · 2011Trial
- Factors Related to the Weight Control Practices of Korean Adults.Journal of obesity & metabolic syndrome · 2021Article
- Increased Body Mass Index and Hypertension: An Unbreakable Bond.International journal of preventive medicine · 2020Article
- Obesity and weight misperception among adults in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study.Obesity science & practice · 2018Article
- Article
- Interaction Effect between Weight Perception and Comorbidities on Weight Control Behavior in Overweight and Obese Adults: Is There a Sex Difference?Journal of Korean medical science · 2015Article
- Perceived judgment about weight can negatively influence weight loss: a cross-sectional study of overweight and obese patients.Preventive medicine · 2014Article
- Physical activity and exercise.Diabetes technology & therapeutics · 2014Article
- Heart disease and stroke statistics--2014 update: a report from the American Heart Association.Circulation · 2014Article
- Patient compliance based on genetic medicine: a literature review.Journal of community genetics · 2014Article
- Correlations of non-exercise activity thermogenesis to metabolic parameters in Japanese patients with type 2 diabetes.Diabetology & metabolic syndrome · 2013Article
- Health professional advice for smoking and weight in adults with and without diabetes: findings from BRFSS.Journal of behavioral medicine · 2013Article
- Heart disease and stroke statistics--2013 update: a report from the American Heart Association.Circulation · 2013Review
- Co-occurrence of obesity and patterns of alcohol use associated with elevated serum hepatic enzymes in US adults.Journal of behavioral medicine · 2012Article
- Lifestyle behaviors and physician advice for change among overweight and obese adults with prediabetes and diabetes in the United States, 2006.Preventing chronic disease · 2011Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity is a major risk factor for development and progression of hypertension and diabetes, which often coexist in obese patients. Losing weight by means of energy restriction and physical activity has been effective in preventing and managing these diseases. However, weight control behaviors among overweight/obese adults with these conditions are poorly understood.
methodsUsing self-reported data from 143,386 overweight/obese participants (aged >or= 18 years) in the 2003 Behavioral Risk Factor Surveillance System, we examined the proportion of overweight/obese adults who tried to lose weight and their weight control strategies by hypertension and/or diabetes status.
resultsAmong all participants, 58% of those with hypertension, 60% of those with diabetes, and 72% of those with both diseases tried to lose weight, significantly higher than the 50% of those with neither condition (Bonferroni corrected P < 0.017 for all comparisons). The multivariate-adjusted odds ratio (AOR) for trying to lose weight was 1.11 (95% confidence interval [CI]: 1.05-1.17) in participants with hypertension, 1.02 (95% CI: 0.90-1.15) in participants with diabetes, and 1.18 (95% CI: 1.07-1.29) in participants with both diseases (participants with neither condition as the referent). Among 78,446 participants who tried to lose weight, 23% of those with hypertension only and 28% of those with both hypertension and diabetes reported adopting a low fat/low calorie (LF/LC) diet in controlling their weight, significantly higher than 19% of those with neither disease (Bonferroni corrected P < 0.017 for all comparisons). Participants with both diseases had a significantly lower percentage of adopting physical activity in controlling their weight than those with neither condition (6% versus 12%, P < 0.01). After multivariate adjustment, the AOR for adopting a LF/LC diet plus physical activity to lose weight was 1.46 (95% CI: 1.15-1.84) in participants with both diseases. The AOR for adopting a LF/LC diet only to lose weight was 1.72 (95% CI: 1.35-2.20) in participants with both diseases and was 1.21 (95% CI: 1.03-1.40) in participants with hypertension only.
conclusionThe proportion of overweight/obese patients with diagnosed hypertension and/or diabetes who attempted to lose weight remains suboptimal and the weight control strategies varied significantly among these patients.
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