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Delivery of healthcare provider’s lifestyle advice and lifestyle behavioural change in adults who were overweight or obese in pre-diabetes management in the USA: NHANES (2013–2018)

Delivery of healthcare provider’s lifestyle advice and lifestyle behavioural change in adults who... ObjectiveThe purpose of this study is to examine the association between delivery of healthcare provider’s advice about lifestyle management and lifestyle behavioural change in pre-diabetes management in adults who were overweight or obese.DesignThis cross-sectional study included adults with body mass index (BMI) ≥25 kg/m2 and reporting pre-diabetes in USA. Outcomes included the prevalence of receiving provider’s advice on lifestyle management and patterns of practicing lifestyle change. The association between delivery of provider’s advice and lifestyle-related behavioural change in pre-diabetes management was examined.SettingUS Continuous National Health and Nutrition Examination Survey (2013–2018).ParticipantsA total of 1039 adults with BMI ≥25 kg/m2 reported pre-diabetes.ResultsOf eligible adults with pre-diabetes, 76.8% received provider’s advice about lifestyle change. The advice group showed higher proportions of ongoing lifestyle change than no advice group, including weight reduction/control (80.1% vs 70.9%, p=0.018), exercise (70.9% vs 60.9%, p=0.013) and diet modifications (83.8% vs 61.8%, p<0.001). After adjustment, those receiving provider’s advice were more likely to increase exercise (OR 1.63, 95% CI 1.12 to 2.38) and modify diet (OR 3.0, 95% CI 1.82 to 4.96).ConclusionOver 75% of US adults who were overweight or obese and reported pre-diabetes received healthcare provider’s advice about reducing the risk of diabetes through lifestyle change. Provider’s advice increased the likelihood of lifestyle-related behavioural change to exercise and diet. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Family Medicine and Community Health British Medical Journal

Delivery of healthcare provider’s lifestyle advice and lifestyle behavioural change in adults who were overweight or obese in pre-diabetes management in the USA: NHANES (2013–2018)

Delivery of healthcare provider’s lifestyle advice and lifestyle behavioural change in adults who were overweight or obese in pre-diabetes management in the USA: NHANES (2013–2018)

Family Medicine and Community Health , Volume 9 (4) – Nov 17, 2021

Abstract

ObjectiveThe purpose of this study is to examine the association between delivery of healthcare provider’s advice about lifestyle management and lifestyle behavioural change in pre-diabetes management in adults who were overweight or obese.DesignThis cross-sectional study included adults with body mass index (BMI) ≥25 kg/m2 and reporting pre-diabetes in USA. Outcomes included the prevalence of receiving provider’s advice on lifestyle management and patterns of practicing lifestyle change. The association between delivery of provider’s advice and lifestyle-related behavioural change in pre-diabetes management was examined.SettingUS Continuous National Health and Nutrition Examination Survey (2013–2018).ParticipantsA total of 1039 adults with BMI ≥25 kg/m2 reported pre-diabetes.ResultsOf eligible adults with pre-diabetes, 76.8% received provider’s advice about lifestyle change. The advice group showed higher proportions of ongoing lifestyle change than no advice group, including weight reduction/control (80.1% vs 70.9%, p=0.018), exercise (70.9% vs 60.9%, p=0.013) and diet modifications (83.8% vs 61.8%, p<0.001). After adjustment, those receiving provider’s advice were more likely to increase exercise (OR 1.63, 95% CI 1.12 to 2.38) and modify diet (OR 3.0, 95% CI 1.82 to 4.96).ConclusionOver 75% of US adults who were overweight or obese and reported pre-diabetes received healthcare provider’s advice about reducing the risk of diabetes through lifestyle change. Provider’s advice increased the likelihood of lifestyle-related behavioural change to exercise and diet.

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References (72)

Publisher
British Medical Journal
Copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
ISSN
2305-6983
eISSN
2009-8774
DOI
10.1136/fmch-2021-001139
Publisher site
See Article on Publisher Site

Abstract

ObjectiveThe purpose of this study is to examine the association between delivery of healthcare provider’s advice about lifestyle management and lifestyle behavioural change in pre-diabetes management in adults who were overweight or obese.DesignThis cross-sectional study included adults with body mass index (BMI) ≥25 kg/m2 and reporting pre-diabetes in USA. Outcomes included the prevalence of receiving provider’s advice on lifestyle management and patterns of practicing lifestyle change. The association between delivery of provider’s advice and lifestyle-related behavioural change in pre-diabetes management was examined.SettingUS Continuous National Health and Nutrition Examination Survey (2013–2018).ParticipantsA total of 1039 adults with BMI ≥25 kg/m2 reported pre-diabetes.ResultsOf eligible adults with pre-diabetes, 76.8% received provider’s advice about lifestyle change. The advice group showed higher proportions of ongoing lifestyle change than no advice group, including weight reduction/control (80.1% vs 70.9%, p=0.018), exercise (70.9% vs 60.9%, p=0.013) and diet modifications (83.8% vs 61.8%, p<0.001). After adjustment, those receiving provider’s advice were more likely to increase exercise (OR 1.63, 95% CI 1.12 to 2.38) and modify diet (OR 3.0, 95% CI 1.82 to 4.96).ConclusionOver 75% of US adults who were overweight or obese and reported pre-diabetes received healthcare provider’s advice about reducing the risk of diabetes through lifestyle change. Provider’s advice increased the likelihood of lifestyle-related behavioural change to exercise and diet.

Journal

Family Medicine and Community HealthBritish Medical Journal

Published: Nov 17, 2021

Keywords: diabetes mellitustype 2family medicinehealthy lifestyleobesityoutcome assessmenthealth care

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