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The impact of a health professional recommendation on weight loss attempts in overweight and obese British adults: a cross-sectional analysis

Jackson, SE; Wardle, J; Johnson, F; Finer, N; Beeken, RJ; (2013) The impact of a health professional recommendation on weight loss attempts in overweight and obese British adults: a cross-sectional analysis. BMJ Open , 3 (11) , Article e003693. 10.1136/bmjopen-2013-003693. Green open access

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Abstract

Objectives: To examine the effect that health professional (HP) advice to lose weight has on overweight and obese adults ’ motivation to lose weight and attempts to lose weight. Design: Cross-sectional survey. Setting: Great Britain. Participants: 810 overweight or obese (body mass index ≥ 25 kg/m 2 ) adults. Main outcome measures: Participants were asked if they had ever received HP advice to lose weight and reported their desire to weigh less (ideal weight ≤ 95% of current weight) and whether they were attempting to lose weight. Results: Only 17% of overweight and 42% of obese respondents recalled ever having received HP advice to lose weight. HP advice was associated with wanting to weigh less (89% vs 61% among those not receiving advice) and attempting to lose weight (68% vs 37%). In multivariable analyses, HP advice to lose weight was associated with increased odds of wanting to weigh less (OR=3.71, 95% CI 2.10 to 6.55) and attempting to lose weight (OR=3.53, 95% CI 2.44 to 5.10) independent of demographic characteristics and weight status. Conclusions: HP advice to lose weight appears to increase motivation to lose weight and weight loss behaviour, but only a minority of overweight or obese adults receive such advice. Better training for HPs in delivering brief weight counselling could offer an opportunity to improve obese patients ’ motivation to lose weight.

Type: Article
Title: The impact of a health professional recommendation on weight loss attempts in overweight and obese British adults: a cross-sectional analysis
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/bmjopen-2013-003693
Publisher version: http://dx.doi.org/ 10.1136/bmjopen-2013-003693
Language: English
Additional information: PMCID: PMC3822310 This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 3.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/3.0/
Keywords: Doctor Advice, Health Professional Advice, Lose Weight, Primary Care, Weight Loss
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: http://discovery.ucl.ac.uk/id/eprint/1414314
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