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PostPosted: September 18th, 2017, 5:37 pm
by stonejute0
Academic internal medicine solutions may perhaps enable strengthen patient throughput by implementing this intervention. Nevertheless, as in other top quality improvement efforts, constant reinforcement and reevaluation are probably expected for sustainability.properly perceived their weight and 82.0 reported they were physically active; 64.six reported walking exercising and 41.eight non-walking workout. Those who underestimated their weight, compared to precise estimators, had been far more most <a href="">GW0918</a> likely to be non-Hispanic black (12.9 vs. six.7 , p<0.0001), Hispanic (70.8 vs. 60.0 , p= 0.0001), have 9?2 years of education as opposed to >12 years of education (40.6 vs. 30.6 , p=0.02) and be obese (57.8 vs. 32.three , p=<0.0001). Those who underestimated their weight reported more physical activity (adjusted odds ratio [AOR]=1.89, 95 CI, 1.19?.99, p=0.0072) and non-walking exercise (AOR=1.52, 95 CI, 1.05?.21, p=0.026), but not walking exercise (Table 1). CONCLUSIONS: Among overweight and obese women, contrary to our hypothesis, those who underestimated their weights were more likely to report increased physical activity. Accurately perceiving oneself as overweight or obese may be a cognitive barrier to physical activity participation. Additionally, we found that obesity, lower educational attainment and minority race were associated with physical inactivity; physicians should continue to focus on these at risk groups. Because we relied on self-report for physical activity, it may be that individuals who underestimate their weight report greater physical activity. Future studies using objective measures of physical activity are needed to better understand the directionality of this association. Notwithstanding this limitation, clinicians should be aware of weight misperception when counseling overweight and obese patients and should be cautious about reinforcing a self-image that is counter to physical activity. Adjusted Odds Ratios for physical activity, non-walking exercise and walking exercise. *p<0.05 AOR = Adjusted Odds RatioPhysical Activity AOR (95 CI) Correct weight perception Misperception Age, per year Race/Ethnicity Non-Hispanic White Non-Hispanic Black Hispanic Education level >12 years 9?2 years <8 years BMI Overweight Ref 1.89 (1.19?.99) * 1.01 (0.99?.03)Non-Walking Exercise AOR (95 CI) Ref 1.52 (1.05?.21) * 0.98 (0.97?0.998)* Ref 0.54 (0.27?.08) 0.38 (0.23?.64)* Ref 0.62 (0.41?.95)* 0.66 (0.37?.17) Ref 0.68 (0.47?.98)*Walking Exercise AOR (95 CI) Ref 1.31 (0.91?.88) 1.01 (1.00?.03)DISCORDANT WEIGHT PERCEPTION AND PHYSICAL ACTIVITY IN OVERWEIGHT AND OBESE WOMEN: IS WEIGHT MISPERCEPTION PROTECTIVE? Nathalie Moise1; Robert Sciacca2; Juviza Rodriguez2; Ian M. Kronish1; Elsa-Grace V. Giardina2. 1Columbia University Medical Center, New York, NY; 2Columbia University Medical Center, New York, NY. (Tracking ID #1926824) BACKGROUND: One third of U.S. adult women (35.8 ) are obese, placing them at increased risk for cardiovascular disease and mortality. Women are approximately twice as likely to be inactive as men while overweight and obese individuals are less likely to exercise than their normal weight counterparts. Understanding drivers of behavioral <a href='' title='View abstract' target='resource_window'>1313429</a> change in this population is vital. Prior research have suggested that inside overweight and obese males, weight underestimation is associated with physical inactivity. On the other hand, <img src="" align="right" width="288" style="padding:10px;"/> these research have relied on self-report, both of weight perception and physique mass index (BMI), and happen to be inconclus.