Physician advice on exercise and diet in a U.S. sample of obese Mexican-American adults

Ha T. Nguyen, Kyriakos Markides, Marilyn A. Winkleby

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Purpose. To document the prevalence of obese Mexican-Americans never advised by health professionals regarding exercise and diet, and to determine risk factors for no advice. Methods. Data came from 1787 obese Mexican-American adults (body mass index ≥30; age ≥18 years) in the Medical Expenditure Panel Survey. The survey included selfreported receipt of health care provider advice on exercise and diet as well as sociodemographic, health-related, and provider-related factors. Multivariable logistic regression models were performed separately for advice regarding exercise and advice regarding diet. Results. Overall, 45% of respondents reported that they had never received advice from a doctor or health care professional to exercise more, and 52% reported that they have received advice to eat fewer higher-fat/high-cholesterol foods. Men, nonmarried respondents, lowereducated respondents, those who preferred to speak Spanish at home, and those without comorbid chronic conditions were less likely to receive advice. Discussion. Results suggest that obese Mexican-Americans are insufficiently advised by health care providers regarding exercise and diet. Given the seriousness of obesityrelated health risks and the increasing prevalence of overweight status and obesity among Mexican-Americans, it is vital that providers are involved in finding ways to effectively educate and/or treat overweight patients.

Original languageEnglish (US)
Pages (from-to)402-409
Number of pages8
JournalAmerican Journal of Health Promotion
Volume25
Issue number6
DOIs
StatePublished - Jul 2011

Fingerprint

physician
Exercise
health care
Diet
Physicians
Health Personnel
health risk
Health
health professionals
Logistic Models
expenditures
logistics
food
regression
Health Expenditures
health
Body Mass Index
Obesity
Fats
Cholesterol

Keywords

  • Diet
  • Exercise
  • Mexican-Americans
  • Obesity
  • Physician Advice
  • Prevention Research

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Physician advice on exercise and diet in a U.S. sample of obese Mexican-American adults. / Nguyen, Ha T.; Markides, Kyriakos; Winkleby, Marilyn A.

In: American Journal of Health Promotion, Vol. 25, No. 6, 07.2011, p. 402-409.

Research output: Contribution to journalArticle

@article{9470269dd7c349d8b00d0e36bef31949,
title = "Physician advice on exercise and diet in a U.S. sample of obese Mexican-American adults",
abstract = "Purpose. To document the prevalence of obese Mexican-Americans never advised by health professionals regarding exercise and diet, and to determine risk factors for no advice. Methods. Data came from 1787 obese Mexican-American adults (body mass index ≥30; age ≥18 years) in the Medical Expenditure Panel Survey. The survey included selfreported receipt of health care provider advice on exercise and diet as well as sociodemographic, health-related, and provider-related factors. Multivariable logistic regression models were performed separately for advice regarding exercise and advice regarding diet. Results. Overall, 45{\%} of respondents reported that they had never received advice from a doctor or health care professional to exercise more, and 52{\%} reported that they have received advice to eat fewer higher-fat/high-cholesterol foods. Men, nonmarried respondents, lowereducated respondents, those who preferred to speak Spanish at home, and those without comorbid chronic conditions were less likely to receive advice. Discussion. Results suggest that obese Mexican-Americans are insufficiently advised by health care providers regarding exercise and diet. Given the seriousness of obesityrelated health risks and the increasing prevalence of overweight status and obesity among Mexican-Americans, it is vital that providers are involved in finding ways to effectively educate and/or treat overweight patients.",
keywords = "Diet, Exercise, Mexican-Americans, Obesity, Physician Advice, Prevention Research",
author = "Nguyen, {Ha T.} and Kyriakos Markides and Winkleby, {Marilyn A.}",
year = "2011",
month = "7",
doi = "10.4278/ajhp.090918-QUAN-305",
language = "English (US)",
volume = "25",
pages = "402--409",
journal = "American Journal of Health Promotion",
issn = "0890-1171",
publisher = "American Journal of Health Promotion",
number = "6",

}

TY - JOUR

T1 - Physician advice on exercise and diet in a U.S. sample of obese Mexican-American adults

AU - Nguyen, Ha T.

AU - Markides, Kyriakos

AU - Winkleby, Marilyn A.

PY - 2011/7

Y1 - 2011/7

N2 - Purpose. To document the prevalence of obese Mexican-Americans never advised by health professionals regarding exercise and diet, and to determine risk factors for no advice. Methods. Data came from 1787 obese Mexican-American adults (body mass index ≥30; age ≥18 years) in the Medical Expenditure Panel Survey. The survey included selfreported receipt of health care provider advice on exercise and diet as well as sociodemographic, health-related, and provider-related factors. Multivariable logistic regression models were performed separately for advice regarding exercise and advice regarding diet. Results. Overall, 45% of respondents reported that they had never received advice from a doctor or health care professional to exercise more, and 52% reported that they have received advice to eat fewer higher-fat/high-cholesterol foods. Men, nonmarried respondents, lowereducated respondents, those who preferred to speak Spanish at home, and those without comorbid chronic conditions were less likely to receive advice. Discussion. Results suggest that obese Mexican-Americans are insufficiently advised by health care providers regarding exercise and diet. Given the seriousness of obesityrelated health risks and the increasing prevalence of overweight status and obesity among Mexican-Americans, it is vital that providers are involved in finding ways to effectively educate and/or treat overweight patients.

AB - Purpose. To document the prevalence of obese Mexican-Americans never advised by health professionals regarding exercise and diet, and to determine risk factors for no advice. Methods. Data came from 1787 obese Mexican-American adults (body mass index ≥30; age ≥18 years) in the Medical Expenditure Panel Survey. The survey included selfreported receipt of health care provider advice on exercise and diet as well as sociodemographic, health-related, and provider-related factors. Multivariable logistic regression models were performed separately for advice regarding exercise and advice regarding diet. Results. Overall, 45% of respondents reported that they had never received advice from a doctor or health care professional to exercise more, and 52% reported that they have received advice to eat fewer higher-fat/high-cholesterol foods. Men, nonmarried respondents, lowereducated respondents, those who preferred to speak Spanish at home, and those without comorbid chronic conditions were less likely to receive advice. Discussion. Results suggest that obese Mexican-Americans are insufficiently advised by health care providers regarding exercise and diet. Given the seriousness of obesityrelated health risks and the increasing prevalence of overweight status and obesity among Mexican-Americans, it is vital that providers are involved in finding ways to effectively educate and/or treat overweight patients.

KW - Diet

KW - Exercise

KW - Mexican-Americans

KW - Obesity

KW - Physician Advice

KW - Prevention Research

UR - http://www.scopus.com/inward/record.url?scp=80052331964&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80052331964&partnerID=8YFLogxK

U2 - 10.4278/ajhp.090918-QUAN-305

DO - 10.4278/ajhp.090918-QUAN-305

M3 - Article

C2 - 21721967

AN - SCOPUS:80052331964

VL - 25

SP - 402

EP - 409

JO - American Journal of Health Promotion

JF - American Journal of Health Promotion

SN - 0890-1171

IS - 6

ER -