Obesity and approaches to weight in an urban African-American community.
Autor: | Clark JM; The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA. jmclark@jhmi.edu, Bone LR, Stallings R, Gelber AC, Barker A, Zeger S, Hill MN, Levine DM |
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Jazyk: | angličtina |
Zdroj: | Ethnicity & disease [Ethn Dis] 2001 Fall; Vol. 11 (4), pp. 676-86. |
Abstrakt: | Objectives: To describe the prevalence of obesity, associated factors, and current approaches to weight in an inner city African-American community. Design: In-home survey by community health interviewers. Setting: Baltimore, Maryland. Participants: 2196 community residents identified in a probability sample of census blocks. Main Outcome Measures: Self-reported height and weight and calculated Body Mass Index (BMI), category of BMI, and stated weight goals. Results: Sixty percent of participants were overweight (BMI> or =25 kg/m2), and 31% were obese (BMI> or =30 kg/m2). In multivariate analysis, women, those earning $15,000-30,000, and those aged 45-60 were more likely to be obese; less likely to be obese were smokers, daily drinkers, and those with "good" or "excellent" health. Sixty-one percent of obese participants reported trying to lose weight, while 36% of normal weight participants were trying to gain weight. Of those trying to lose weight, 35% were using recommended approaches, and 26% received "the professional help they needed to control their weight." Conclusions: Although obesity was prevalent, few were using recommended weight loss strategies and a significant minority of normal weight participants were trying to gain weight, indicating a need for improved weight management and obesity prevention in the African-American community. |
Databáze: | MEDLINE |
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