scholarly journals Knowledge, attitudes and management skills of medical practitioners regarding weight management

Author(s):  
Vangile B. Mkhatshwa ◽  
Gboyega A. Ogunbanjo ◽  
Langalibalele H. Mabuza

Background: Overweight and obesity have become a global problem. Health professionals are poorly prepared in weight management, which has an effect on their attitudes and management skills with regard to overweight and obese patients.Aim and setting: To assess the knowledge, attitudes and management skills of medical practitioners regarding weight management at Odi District Hospital, Gauteng Province, South Africa.Methods: We conducted a cross-sectional study on 48 medical practitioners at Odi Hospital between 01 October and 31 October 2013. A self-administered questionnaire was used to assess their knowledge, attitudes and management skills in weight management. The SPSS® statistical software (Version 22) was used for data analysis. A p < 0.05 was considered significant.Results: Fifty medical practitioners were recruited, 48 consented to participate and 28 (58.3%) were male. Their categories were community service doctors (3), medical officers (21), registrars (22) and others (2). Thirty-seven (77.1%) never received training in weight management (p < 0.001). Thirty-two (66.7%) regarded weight management as not confined to a dietician (p < 0.001) and 27 (56.2%) regarded weight management as usually unsuccessful (p = 0.004). Forty-seven (97.9%) provided lifestyle modifications and 43 (89.6%) involved the patient’s family in weight management (p < 0.001). More non-registrars [14 (77.8%)] than registrars [8 (38.1%)] measured the body mass index (BMI) routinely (p = 0.013).Conclusion: Few medical practitioners received training in weight management. They regarded weight management as usually unsuccessful and lacked confidence in the same owing to lack of training. They provided lifestyle modifications and involved the patient’s family in weight management. Non-registrars measured the BMI routinely. There is a need for training in weight management at undergraduate and post-graduate levels.

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Sameer Al-Ghamdi ◽  
Mamdouh M. Shubair ◽  
Abdulrahman Aldiab ◽  
Jamaan M. Al-Zahrani ◽  
Khaled K. Aldossari ◽  
...  

2014 ◽  
Vol 53 (2) ◽  
pp. 188-198 ◽  
Author(s):  
Marjeta Kovač ◽  
Gregor Jurak ◽  
Lijana Zaletel Kragelj ◽  
Bojan Leskošek

Abstract Background: The prevalence of overweight and obesity among children has increased dramatically in recent decades. The survey examined overweight and obesity in the population of boys and girls from Ljubljana, the capital of Slovenia, aged seven through fourteen from 1991 to 2011. Methods: An annually repeated cross-sectional study of data from the national SLOFIT monitoring system was used. The body mass index cut-off points of the International Obesity Task Force were used to identify the prevalence of overweight and obesity. Multinomial logistic regression was used for modelling the probability of overweight and obesity as a function of time (year of measurement), sex and age of subjects. Results: In 1991-2011 period, the odds for overweight and obesity among primary school children (n = 376,719) increased every year by 1.7% (95% CI: 1.6-1.9) and 3.7% (3.4-4%) respectively. Boys have 1.17 (95% CI: 1.15-1.20) times higher odds of becoming overweight and 1.39 (95% CI: 1.35-1.44) times higher odds of becoming obese than girls. In comparison to the reference group (age of 14), the highest odds for overweight were found at the ages of nine and ten (1.39; 95% CI: 1.34-1.44), while for the obesity the highest odds were at the age of eight (2.01; 95% CI: 1.86-2.16). Conclusion: From 1991 to 2011, overweight and obesity clearly became more prevalent in children from Ljubljana. This trend has been more obvious among boys than girls. In comparison to 14-year-old boys and girls, the highest odds for excessive weight were found below the age of 10.


2017 ◽  
Vol 63 (2) ◽  
pp. 124-133 ◽  
Author(s):  
Aretha Matos de Araujo ◽  
Socorro Adriana de Sousa Meneses Brandão ◽  
Marcos Antônio da Mota Araújo ◽  
Karoline de Macêdo Gonçalves Frota ◽  
Regilda Saraiva dos Reis Moreira-Araujo

Summary Objective: To determine overweight and obesity prevalence in preschool children from public education, and to determine their relation to food consumption. Method: Cross-sectional study with children aged between 2 and 5 years, of both sexes, enrolled at municipal day care centers. Socioeconomic, demographic and anthropometric data were collected, in order to calculate the body mass index (BMI) for age. Data on food consumption were assessed using a Food Frequency Questionnaire. χ2 test, Kruskal-Wallis test, Student's t-test and Pearson's correlation were used at a significance level of 5%. Results: Of 548 children, 52% were male, with mean age of 4.2 years old. Most families had incomes between 1 and 2 minimum wages (59.7%), in addition to 10 years (mothers) of education. Anthropometric parameters did not differ significantly between sexes. According to the BMI-for-age, it was found that most of children were well-nourished (85.2%), 8.2% had the risk of becoming overweight, and 4.2% were overweight. The most consumed foods were: rice (100%), beans (99.4%), bread (98.5%), fruit (98.5%), red meat (97.1%), butter and margarine (95.4%), biscuits, cakes and sweet pies (94.1%), dairy products (94.1%), chocolate milk (91.7%), and soft drinks (90.2%). Consumed foods that were strongly correlated (r > 0.7) to the risk of/excess weight were, as follows: bread; biscuits, cakes, sweet pies; dairy products; chocolate milk; sausages. Conclusion: There was low prevalence of overweight and absence of obesity among the population assessed. The risk of overweight was greater among girls. Data from the study showed deviations in food consumption.


2020 ◽  
Author(s):  
Tingting Yu ◽  
Chang Chen ◽  
Zhijuan Jin ◽  
You Yang ◽  
Yanrui Jiang ◽  
...  

Abstract Background: Sibship size and structure have a significant association with overweight and obesity in children, but the relationship with thinness has not been fully studied and understood, especially in Asia. This study evaluated the associations among number of siblings, birth order, and childhood thinness and investigated the association of number of younger or older siblings with childhood thinness.Methods: In this study, we performed a population-based cross-sectional study among 84,075 3- to 12-year-old children in Shanghai using multistage stratified cluster random sampling. We defined grades 1, 2, and 3 thinness according to the body mass index cutoff points set by the International Obesity Task Force and used multinomial logistic regression models to estimate the odds ratio (OR) and 95% confidence interval (95% CI).Results: Compared with only children, for boys, children with two or more siblings were more likely to suffer from grade 2 (OR = 1.29, 95% CI 1.02, 1.64) and grade 3 thinness (OR = 1.60, 95% CI 1.07, 2.40); and the youngest child faced a higher risk of grade 2 (OR = 1.44, 95% CI 1.09, 1.90) and grade 3 thinness (OR = 1.53, 95% CI 1.01, 2.33). For girls, children with one sibling were more likely to suffer from grade 1 thinness (OR = 1.22, 95% CI 1.05, 1.42); the oldest child, middle child, and youngest child faced a higher risk of grade 1 (OR = 1.42, 95% CI 1.09, 1.84), grade 2 (OR = 1.26, 95% CI 1.03, 1.54), and grade 1 thinness (OR = 1.87, 95% CI 1.21, 2.88) respectively. There was no statistically significant relationship, however, between a larger number of younger or older siblings and childhood thinness.Conclusions: Regardless of sex, having either siblings or a higher birth order was positively associated with childhood thinness. The present study has suggested that future interventions to prevent childhood thinness should consider family background as an important factor, especially in multi-child-families.


2018 ◽  
Vol 4 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Hakimeh Saadatifar ◽  
Hadi Ostadimoghaddam ◽  
Fahimeh Khoshhal ◽  
Frida Jabbari-Azad ◽  
Saman Mohazzab-Torabi ◽  
...  

Objective: The aim of this study was to assess obesity and overweight by WHO criteria in Mashhad, Iran. Method: This cross-sectional study was performed on 4453 people from Mashhad in 2009. Comprehensive data of age, height, weight, education, and marriage was collected. Overweight and obesity were calculated according to the body mass index (BMI). Results: A total of 1828 participants entered study, of whom 70.4% were women. The mean age of the population was 39.8±13.5 years. The prevalence of overweight and obesity was 36.5% (95% CI 34.3-38.6) and 16.9% (95% CI 15.1-18.8), respectively. The prevalence of overweight was 39.0% in men and 35.4% in women which increased significantly by age (P<0.001 & OR=1.055). The prevalence of obesity in men and women was 12.3% and 18.9% respectively which showed women had a significantly higher risk (P<0.001). The risk of overweight and obesity was higher in married but lower in educated people. Conclusion: This study showed a rapid increase in obesity and overweight, especially in women, in Mashhad population as a sample of the Iranian society. Attention to preventive and education plans should be the priority of health policies.


2017 ◽  
Vol 5 (1) ◽  
pp. 134
Author(s):  
Chaitanya R. Patil ◽  
Sushama S. Thakre ◽  
Subhash B. Thakre ◽  
Prithvi B. Petkar

Background: Childhood obesity is a serious public health concern in both developed and developing countries. The children share food habits, physical activity habits etc. with their parents either in term of genetic or environmental influences, which affects the body mass index of the children. The objective of this study was to study the association of parental overweight/obesity with overweight/obesity in the children.Methods: A cross-sectional study was conducted in a government aided school in Nagpur during January 2016 to April 2016. Data was collected by a self-administered questionnaire which had information regarding the socio demographic characteristics like age, sex, socio economic status etc. Anthropometric measurements like height and weight of the children and their parents were measured. Necessary permissions were sought before the start of the study.Results: We found a significant association (p<0.01) between the obesity and overweight status of father and mother with the body mass index of their children with an odds ratio of 2.49 (1.69 to 3.66) and 2.90 (1.98 to 4.25) respectively. If both the parents are overweight/obese then the odds of their being overweight/obese is 3.00 (1.93-4.68). If either of parents is overweight/ obese, then the odds ratio is 3.10 (2.12-4.54).Conclusions: Stronger and significant associations were found between the overweight and obesity of the parents and their children. A significantly positive correlation was found between the body mass index of parents and body mass index of their children.


Author(s):  
Patrícia Paixão Fayer ◽  
Maria Marta Conrado ◽  
Luciano Miranda ◽  
Renato Melo Ferreira ◽  
Everton Rocha Soares ◽  
...  

Introdução: Nas últimas décadas aumentou o número de pessoas acima do peso, incluindo crianças e adolescentes, fato que é considerado preocupante, pois pode acarretar diversas doenças crônicas, em longo prazo.Objetivo: Avaliar a prevalência de sobrepeso e obesidade em escolares de um colégio militar, investigando possíveis diferenças entre os sexos e as faixas etárias.Métodos: Estudo quantitativo, transversal, do qual participaram 381 escolares de um colégio militar de Minas Gerais, de 11 a 17 anos, sendo 213 meninos e 168 meninas. Calculou-se o índice de massa corporal (IMC) que foi classificado segundo o PROESP-BR. Para testar diferenças entre os sexos, utilizou-se o teste do Qui-Quadrado (X2) e para testar a relação entre idade e IMC, utilizou-se a correlação de Pearson. Significância estatística: p < 0,05.Resultados: Foi observado sobrepeso em 17,8% (n = 68) e de obesidade em 5,8% (n = 22) dos escolares. Houve correlação positiva entre a idade cronológica e o IMC (r = 0,32; p < 0,0001). Não houve correlação entre estado nutricional e faixa etária. Não foram observadas diferenças significativas entre os sexos, em relação ao sobrepeso e à obesidade (16,9% e 6,6% nos meninos vs. 19,0% e 4,8% nas meninas, respectivamente).Conclusão: A prevalência sobrepeso e obesidade nos escolares do colégio militar, em conjunto, foi de 23,6%, tanto nos meninos quanto nas meninas, sem diferença significativa entre as faixas etárias. Essa prevalência foi similar à média de escolares brasileiros.Prevalence of Overweight and Obesity in Students of a Military SchoolIntroduction: Over the past few decades, the number of overweight people, including children and adolescents has increased significantly, a fact that is considered worrying, as it can lead to several chronic diseases in the long term.Objective: To evaluate the prevalence of overweight and obesity in schoolchildren of a military college, investigating possible differences between sexes and age groups.Methods: A quantitative, cross-sectional study was carried out in which 381 students from a military school in Minas Gerais, aged 11 to 17 years, were 213 boys and 168 girls. The body mass index (BMI) was calculated according to the PROESP-BR. To test for gender differences, the Chi-square test (X2) was used and Pearson's correlation was used to test the relationship between age and BMI. Statistical significance: p <0.05.Results: Overweight was observed in 17.8% (n = 68) and obesity in 5.8% (n = 22) of the students. There was a positive correlation between chronological age and BMI (r = 0.32; p <0.0001). There was no correlation between nutritional status and age range. No significant differences were observed between genders regarding overweight and obesity (16.9% and 6.6% in boys vs. 19.0% and 4.8% in girls, respectively).Conclusion: The prevalence of overweight and obesity in the students of the military college, together, was 23.6% in both boys and girls, with no significant difference between age groups. This prevalence was similar to the average of Brazilian schoolchildren.


2016 ◽  
Vol 17 (9) ◽  
pp. 750-754 ◽  
Author(s):  
Zeeshan H Ahmad ◽  
Sukumaran Anil ◽  
Sham S Bhat ◽  
K Sundeep Hegde ◽  
Faizal C Peedikayil ◽  
...  

ABSTRACT Introduction Overweight and obesity are growing healthrelated problems worldwide, and it is currently the most prevalent nutritional disorder among children and adolescents. The objective of this study was to assess the association between overweight and dental caries among 12- to 15-year-old schoolchildren in Mangaluru district, Karnataka, India. Materials and methods Data were obtained from 2000 schoolgoing children aged 12 to 15 years. The children were categorized as overweight and normal-weight group by assessing the body mass index (BMI). Body mass index was categorized using the classification system given by the International Obesity Task Force (IOTF) and obtained in units of kg/m2. The dental caries was assessed by detection and was performed according to decayed, missing, and filled teeth (DMFT) index. Results Of the 2000 children examined, the mean BMI recorded was 26.87 ± 2.26 for the overweight children and 20.82 ± 1.48 for the normal-weight children. Even though the DMFT (3.90 ± 2.95) in the overweight children was slightly higher than the control group (3.36 ± 2.73), it was not statistically significant. Conclusion Within the confines of the present study, it can be concluded that there is no significant association between overweight and dental caries among the schoolchildren of Mangaluru district in Karnataka. Longitudinal studies are necessary to substantiate the possible relationships between dental caries and overweight in children. Knowledge of these relationships could lead to preventive health measures designed to reduce the prevalence of both obesity and dental caries. How to cite this article Kottayi S, Bhat SS, Hegde KS, Peedikayil FC, Chandru TP, Anil S. A Cross-sectional Study on the Prevalence of Dental Caries among 12- to 15-year-old Overweight Schoolchildren. J Contemp Dent Pract 2016;17(9): 750-754.


Author(s):  
Murali Mohan Reddy ◽  
Anisha Mohan Panakkal ◽  
Loganathan S. ◽  
Jagannath Venkatappaiah

Background: Assessing the perceptions of medical practitioners regarding undergraduate community medicine training, its utility in their practice may provide vital inputs necessary for curriculum reforms. This study has been conducted to address this vital gap in the knowledge.Methods: Cross sectional study for 6 month period conducted among 213 medical practitioners from Chennai, by convenient sampling. Pre tested structured self - administered questionnaire used to collect data using email and manually.Results: Mean age of participants was 37(±12). Seventy (33%) MBBS graduates. Clinical, Pre & Para-clinical and super specialties constituted 72 (33%), 62 (29%) and 10 (5%) of participants respectively. Majority 164 (77%) participants felt disproportionate amount of time is allotted to the subject in under-graduation. To make it more relevant to practice, 150 (70%) suggested that there should be practical application of research methodology, 94 (44%) suggested more field work and 90 (42%) people suggested training in family medicine practice. Regarding application of community medicine principles in   practice, 122 (57%) said they routinely assess and address social determinants, 192 (90%) regularly advise patients on preventive aspects, 61 (29%) displayed good knowledge about public health issues.Conclusions: Need to revamp the undergraduate community medicine curriculum to make it more relevant. Practical application of research to be given priority in curriculum as essential foundation for evidence based medical practice. Intense, skill based training in clinic social case management suggested. 


2009 ◽  
Vol 21 (2) ◽  
pp. 153-159 ◽  
Author(s):  
Ibrahim El-Bayoumy ◽  
Ibrahim Shady ◽  
Hesham Lotfy

The purpose of this cross-sectional study was to find out the prevalence of obesity and overweight among intermediate school adolescents aged 10 to 14 years. The study comprised a multistage stratified random sample that included 5402 children (2657 males and 2745 females). They represent 12.7% of the total number of children between 10 and 14 years during the educational year 2005-2006. The weights and heights of adolescents were measured, from which the body mass index (BMI) was calculated, which is the weight in kilograms divided by the height in meters squared (kg/m2). BMI values higher than 95 percentile were accepted as being obese and those in between 85 and 94 percentile were accepted as overweight. Dietary intake was assessed by the investigators using food exchange lists designed by American Diabetic Association and physical fitness was measured by modified Harvard step test. Data regarding monthly income of the chosen sample were collected from parents of those children. The overall prevalence of overweight and obesity in adolescent Kuwaiti children aged 10 to 14 years was 30.7% and 14.6%, respectively. The overall prevalence of overweight and obesity among males was 29.3% and 14.9%, respectively ( P < .001) and the prevalence of overweight and obesity among females was 32.1% and 14.2%, respectively ( P < .001). High daily caloric intake by the obese and overweight children and physical inactivity was reported among the majority of them. Health education programs should be conducted to control this syndrome in order to prevent future risk of obesity-related disease, and physical activity programs should be incorporated in the schools. Any management plan for overweight and obese children should include 3 major components: diets, exercise, and family-based behavior and they should not be placed on restrictive diets because adequate calories are needed for proper growth.


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