ArticlePreventive medicine2016
Eating behaviors among low-income obese adults in the United States: Does health care provider's advice carry any weight.
Article in Preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Americans' Perceptions about Fast Food and How They Associate with Its Consumption and Obesity Risk.Advances in nutrition (Bethesda, Md.) · 2018Pooled it
- Consumption of sugar-sweetened beverages and all-cause mortality and cause-specific mortality: insights from nationwide prospective cohort studies and Global Burden of Disease study 2021.Diabetology & metabolic syndrome · 2026Article
- Investigating the Relationship Between Fatherhood and Provider Weight-Related Practices and Counseling in Clinical Settings.Journal of nutrition education and behavior · 2020Article
- Community food environment moderates association between health care provider advice to lose weight and eating behaviors.Preventive medicine reports · 2019Article
- Rural-Urban Variation in Weight Loss Recommendations Among US Older Adults with Arthritis and Obesity.International journal of environmental research and public health · 2019Article
- Provider Advice About Weight Loss in a Primary Care Sample of Obese and Overweight Patients.Journal of primary care & community health · 2017Observational
- Disparities in Who Receives Weight-Loss Advice From a Health Care Provider: Does Income Make a Difference?Preventing chronic disease · 2016Article
- Physician Nutrition Advice and Referrals to Registered Dietitians.American journal of lifestyle medicineArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
The U.S. Preventive Task Force recommends that all patients be screened for obesity and given appropriate weight loss advice, if needed, as nutrition counseling by primary care physicians is a key objective for Healthy People 2020. This study assesses the association between health care provider's (HCP) advice to lose weight and eating behaviors among obese individuals. Data were collected using a household survey of adults in five New Jersey cities in 2009-10. Analyses presented are limited to 548 obese participants. Negative-binomial regression analysis determined the association of participants' eating behaviors and HCP's advice to lose weight, after adjusting for the participant's attempt to lose weight and demographic variables. Despite being obese, only 48% of the participants received weight loss advice from their HCP while 68% stated they were attempting to lose weight. HCP's advice to lose weight was associated with increased salad and fruit consumption (PR 1.3, 95% CI 1.06-1.61; PR 1.23, 95% CI 1.02-1.48). Attempting to lose weight was positively associated with a higher consumption of fruit (PR 1.39, 95% CI 1.13-1.72), vegetables (PR 1.22, 95% CI 1.07-1.39), and with eating fruits and vegetables as snacks (PR 1.62, 95% CI 1.28-2.05). Attempting to lose weight was negatively associated with consumption of sweet snacks (PR 0.68, 95% CI 0.49-0.94), sugar sweetened beverages (PR 0.71, 95% CI 0.58-0.87) and fast food (PR 0.77, 95% CI 0.62-0.97). There were no significant interactions between HCP's advice and attempts to lose weight. Obese adult's attempt to lose weight, and not HCP's advice to lose weight, was a predictor for healthy eating behaviors. Interventions in medical practices should train HCPs on effective strategies for motivating obese patients to adopt healthier lifestyles.
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