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ISRN Obesity  2013 

Advising Obese Adults about Diet and Physical Activity in Sousse, Tunisia

DOI: 10.1155/2013/498527

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Abstract:

Background. To our knowledge no study has been conducted in Tunisia to describe practice of health care providers towards chronic disease risk factors, particularly among obese adults. Aim. This study is aimed at assessing the level of giving advice on diet and physical activity by health care providers for obese adults comparing to nonobese adults in Tunisia. Methods. A cross-sectional survey was carried out in 2010 for adults aged from18 to 65 years living in the region of Sousse. The questionnaires were administered by an interview made by trained data collectors to standardize the administration of the questionnaire. Anthropometric measurements of height and weight were obtained using a standardized protocol from each participant. Results. The findings from this study indicate that obesity is frequent among adults essentially among women and aged categories. It also shows that obese adults are not adequately diagnosed with few proportion of anthropometric measure evaluation among all the participants. Even if obese participants were significantly more advised than nonobese participants with, respectively, 28.5% to lose weight and 23.8% to increase physical activity, this proportion remains low. 1. Introduction Obesity has become a growing global health problem. There are approximately 937 million and 396 million obese and overweight adults worldwide, respectively [1]. Southern and eastern Mediterranean countries have been particularly affected by this evolution [2, 3]. However, the obesity has well-known associations with all-cause mortality [4, 5], morbidity [6], and disability, resulting in unhealthy life years with poor quality of life [7, 8] and increased health care costs [9, 10]. The World Health Organization report on obesity states that sedentary lifestyle and consumption of high-fat energy-dense diets are fundamental causes of the obesity epidemic [11]. Health promotion strategies, including behavioral interventions aimed at modifying dietary habits and physical activity patterns, are essential in prevention and management of obesity. A substantial part (60–70%) of population makes visits to their general practitioner (GP) each year [12]. However, the studies have shown low rate of counseling on lifestyle changes given to overweight patients in primary health care [13, 14]. Health care providers such as general practitioner, and nurses have the opportunity to confront this epidemic and to educate their patients about weight loss. Physicians and other health care professionals may, however, be missing an important opportunity to counsel

References

[1]  T. Kelly, W. Yang, C. S. Chen, K. Reynolds, and J. He, “Global burden of obesity in 2005 and projections to 2030,” International Journal of Obesity, vol. 32, pp. 1431–1437, 2008.
[2]  A. O. Musaiger, “Overweight and obesity in eastern mediterranean region: prevalence and possible causes,” Journal of Obesity, vol. 2011, Article ID 407237, 17 pages, 2011.
[3]  C. Papandreou, T. AbuMourad, C. Jildeh, Z. Abdeen, A. Philalithis, and N. Tzanakis, “Obesity in Mediterranean region (1997–2007): a systematic review,” Obesity Reviews, vol. 9, pp. 389–399, 2008.
[4]  A. J. Cameron, D. J. Magliano, J. E. Shaw, et al., “The influence of hip circumference on the relationship between abdominal obesity and mortality,” International Journal of Epidemiology, vol. 41, pp. 484–494, 2012.
[5]  G. Whitlock, S. Lewington, P. Sherliker, et al., “Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies,” The Lancet, vol. 373, no. 9669, pp. 1083–1096, 2009.
[6]  R. F. Grimble, “The true cost of in-patient obesity: impact of obesity on inflammatory stress and morbidity,” Proceedings of the Nutrition Society, vol. 69, no. 4, pp. 511–517, 2010.
[7]  T. G. K. Bentley, M. Palta, A. J. Paulsen et al., “Race and gender associations between obesity and nine health-related quality-of-life measures,” Quality of Life Research, vol. 20, no. 5, pp. 665–674, 2011.
[8]  M. Perez and C. S. Warren, “The relationship between quality of life, bingeeating disorder, and obesity status in an ethnically diverse sample,” Obesity, vol. 20, pp. 879–885, 2012.
[9]  J. P. Moriarty, M. E. Branda, K. D. Olsen, et al., “The effects of incremental costs of smoking and obesity on health care costs among adults: a 7-year longitudinal study,” Journal of Occupational and Environmental Medicine, vol. 54, pp. 286–291, 2012.
[10]  J. Cawley and C. Meyerhoefer, “The medical care costs of obesity: an instrumental variables approach,” Journal of Health Economics, vol. 31, pp. 219–230, 2012.
[11]  Report of WHO Consultation on Obesity: Obesity: Preventing and Managing the Global Epidemic, World Health Organization, Geneva, Switzerland, 1998.
[12]  R. Grol, M. Wensing, J. Mainz et al., “Patients' priorities with respect to general practice care: an international comparison,” Family Practice, vol. 16, no. 1, pp. 4–11, 1999.
[13]  J. Huang, H. Yu, E. Marin, S. Brock, D. Carden, and T. Davis, “Physicians' weight loss counselling in two public hospital primary care clinics,” Academic Medicine, vol. 79, no. 2, pp. 156–161, 2004.
[14]  M. J. Duaso and P. Cheung, “Health promotion and lifestyle advice in a general practice: what do patients think?” Journal of Advanced Nursing, vol. 39, no. 5, pp. 472–479, 2002.
[15]  C. N. Sciamanna, D. F. Tate, W. Lang, and R. R. Wing, “Who reports receiving advice to lose weight? Results from a multistate survey,” Archives of Internal Medicine, vol. 160, no. 15, pp. 2334–2339, 2000.
[16]  National Institutes of Health, “Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults—The Evidence Report,” NIH, 1998.
[17]  J. Y. Ko, D. R. Brown, D. A. Galuska, J. Zhang, H. M. Blanck, and B. E. Ainsworth, “Weight loss advice U.S. obese adults receive from health care professionals,” Preventive Medicine, vol. 47, no. 6, pp. 587–592, 2008.
[18]  C. C. Wee, E. P. McCarthy, R. B. Davis, and R. S. Phillips, “Physician counseling about exercise,” Journal of the American Medical Association, vol. 282, no. 16, pp. 1583–1588, 1999.
[19]  J. El Ati, P. Traissac, F. Delpeuch, et al., “Gender obesity inequities are huge but differ greatly according to environment and socio-economics in a north african setting: a national cross-sectional study in Tunisia,” PLoS One, vol. 7, no. 10, Article ID e48153, 2012.
[20]  S. E. Morris, M. E. J. Lean, C. R. Hankey, and C. Hunter, “Who gets what treatment for obesity? A survey of GPs in Scotland,” European Journal of Clinical Nutrition, vol. 53, supplement 2, pp. S44–S48, 1999.
[21]  J. L. Buttriss, “Food and nutrition: attitudes, beliefs, and knowledge in the United Kingdom,” American Journal of Clinical Nutrition, vol. 65, no. 6, pp. 1985–1995, 1997.
[22]  L. G. Nicholas, C. D. Pond, and D. C. Roberts, “Dietitian-general practitioner interface: a pilot study on what influences the provision of effective nutrition management,” The American Journal of Clinical Nutrition, vol. 77, no. 4, pp. 1039–1042, 2003.
[23]  S. A. Flocke, A. Clark, K. Schlessman, and G. Pomiecko, “Exercise, diet, and weight loss advice in the family medicine outpatient setting,” Family Medicine, vol. 37, no. 6, pp. 415–421, 2005.
[24]  G. D. Foster, T. A. Wadden, A. P. Makris et al., “Primary care physicians' attitudes about obesity and its treatment,” Obesity Research, vol. 11, no. 10, pp. 1168–1177, 2003.
[25]  A. Coulter and T. Schofield, “Prevention in general practice: the view of doctors in the Oxford region,” British Journal of General Practice, vol. 41, no. 345, pp. 140–143, 1991.
[26]  J. J. van Binsbergen and A. J. Drenthen, “Patient information letters on nutrition: development and implementation,” The American Journal of Clinical Nutrition, vol. 77, no. 4, pp. 1035–1038, 2003.
[27]  E. Denney-Wilson, M. Fanaian, Q. Wan, S. Vagholkar, H. Schütze, and M. Harris, “Lifestyle risk factors in general practice: routine assessment and management,” Australian Family Physician, vol. 39, no. 12, pp. 950–953, 2010.
[28]  J. Y. Ko, D. R. Brown, D. A. Galuska, J. Zhang, H. M. Blanck, and B. E. Ainsworth, “Weight loss advice U.S. obese adults receive from health care professionals,” Preventive Medicine, vol. 47, no. 6, pp. 587–592, 2008.
[29]  M. L. Loureiro and R. M. Nayga Jr., “Obesity, weight loss, and physician's advice,” Social Science & Medicine, vol. 62, no. 10, pp. 2458–2468, 2006.

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