Status of taking weight control measures and its influencing factors among overweight and obesity patients aged 18 years and above in Hunan Province
Objective To understand the status of taking weight control measures and its influencing factors amongst patients with different characteristics of overweight and obesity aged 18 years and above in Hunan Province,and to provide intervention measures for overweight and obesity patients to maintain a healthy weight.Methods With a multi-stage stratified cluster random sampling method,8,466 residents aged 18 years and above in 13 counties(districts)of Hunan Province in August-November 2018 were selected to participate in a questionnaire survey,physical examination and laboratory tests.Finally,3,614 overweight and obese ity patients were analyzed.Using SAS 9.4 software,Rao-Scott x2 test based on complex sampling design was performed to estimate the rate of adopting weight control measures in the overweight and obesity patients in Hunan Province.Multivariate logistic regression model based on complex sampling design was employed to analyze the influencing factors of adopting weight control measures.Results The rate of taking weight control measures in the overweight and obesity patients in Hunan Province was 22.27%(95%CI:16.09%-28.45%).The composition ratios of different control measures from high to low were diet and physical exercise combination(59.18%),diet(21.82%),other measures(12.20%)and physical exercise(6.80%).The factors favorable for taking weight control measures were high-level education background,celibacy,obesity,awareness of suffering from hypertension,and having no diabetes.The unfavorable factors were older ages,rural areas,and occupations like agriculture,forestry,animal husbandry,fishery and water conservancy,showing statistically significant differences(all P<0.05).Conclusion The rate of taking weight control measures in the overweight and obesity patients in Hunan Province is low,and hence intervention measures should be taken according to different characteristics of populations.