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Weight status and perception barriers to healthy physical activity and diet behavior

Background: Physical inactivity and insufficient fruit and vegetable consumption are key risk factors for obesity and noncommunicable diseases. Weight perceptions may affect physical activity and diet behaviors. We report current prevalence estimates of Australian adults meeting recommended levels o...

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Published in:International Journal of Obesity 2008-02, Vol.32 (2), p.343-352
Main Authors: Atlantis, E, Barnes, E.H, Ball, K
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container_title International Journal of Obesity
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creator Atlantis, E
Barnes, E.H
Ball, K
description Background: Physical inactivity and insufficient fruit and vegetable consumption are key risk factors for obesity and noncommunicable diseases. Weight perceptions may affect physical activity and diet behaviors. We report current prevalence estimates of Australian adults meeting recommended levels of leisure-time physical activity (LTPA) (⩾150 min/week or more of at least moderate-intensity physical activity (including walking) on ⩾5 days/week) and fruit (⩾2 servings/day) and vegetable (⩾5 servings/day) consumption for health benefits, by weight status and perceptions. Methods: We conducted a cross-sectional survey analysis of data for 16 314 adults from the Australian National Health Survey 2004–2005. All variables were collected by self-report. Weighted estimates were age- and gender-specific, and data were analyzed using logistic regression with acceptable weight referent categories, adjusting for covariates. Results: Among acceptable, overweight and obese adults, the prevalence of LTPA was 26.8, 26.1 and 19.3% for men, and 27.7, 23.7 and 19.7% for women, respectively. Approximately 55 and 15% of adults consumed sufficient fruit servings/day and vegetable servings/day, respectively, and less than 5% of adults met combined LTPA and diet guidelines. Overweight decreased the odds ratio for LTPA among women but not men, and obesity decreased the odds ratio for LTPA among both men and women. Overweight perception conferred odds ratios of 0.83 (95% CI 0.70–0.97, P =0.021) for overweight men, and of 0.74 (95% CI 0.62–0.88, P =0.001) and 0.69 (95% CI 0.59–0.80, P
doi_str_mv 10.1038/sj.ijo.0803707
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Weight perceptions may affect physical activity and diet behaviors. We report current prevalence estimates of Australian adults meeting recommended levels of leisure-time physical activity (LTPA) (⩾150 min/week or more of at least moderate-intensity physical activity (including walking) on ⩾5 days/week) and fruit (⩾2 servings/day) and vegetable (⩾5 servings/day) consumption for health benefits, by weight status and perceptions. Methods: We conducted a cross-sectional survey analysis of data for 16 314 adults from the Australian National Health Survey 2004–2005. All variables were collected by self-report. Weighted estimates were age- and gender-specific, and data were analyzed using logistic regression with acceptable weight referent categories, adjusting for covariates. Results: Among acceptable, overweight and obese adults, the prevalence of LTPA was 26.8, 26.1 and 19.3% for men, and 27.7, 23.7 and 19.7% for women, respectively. Approximately 55 and 15% of adults consumed sufficient fruit servings/day and vegetable servings/day, respectively, and less than 5% of adults met combined LTPA and diet guidelines. Overweight decreased the odds ratio for LTPA among women but not men, and obesity decreased the odds ratio for LTPA among both men and women. Overweight perception conferred odds ratios of 0.83 (95% CI 0.70–0.97, P =0.021) for overweight men, and of 0.74 (95% CI 0.62–0.88, P =0.001) and 0.69 (95% CI 0.59–0.80, P &lt;0.001) for obese men and women, respectively; for LTPA, whereas no significant associations were found for acceptable weight perception. No consistent associations between weight status or perceptions and diet behaviors were found. Conclusions: Overweight perception may be another barrier to physical activity participation among men and women with excess body weight. Public health strategies might need to focus on overcoming weight perception as well as weight status barriers to adopting healthy physical activity behaviors.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/sj.ijo.0803707</identifier><identifier>PMID: 17684508</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; adults ; Aged ; Aged, 80 and over ; Australia ; Biological and medical sciences ; Body weight ; Cross-Sectional Studies ; Diet ; eating habits ; Epidemiology ; Evaluation ; Exercise ; Exercise - physiology ; Exercise - psychology ; Female ; Food and nutrition ; Fruit ; Fruits ; fruits (food) ; Gender ; General aspects ; Health aspects ; Health Behavior ; Health Promotion and Disease Prevention ; health status ; Humans ; Internal Medicine ; Leisure Activities ; Life Style ; Male ; Management ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Methods ; Middle Aged ; Miscellaneous ; Motor Activity - physiology ; Nutritional Status ; Obesity ; Obesity - etiology ; original-article ; Overweight - etiology ; Overweight persons ; Perceptions ; perceptions (cognitive) ; physical activity ; Polls &amp; surveys ; Public Health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Factors ; Self Concept ; Vegetables ; Womens health</subject><ispartof>International Journal of Obesity, 2008-02, Vol.32 (2), p.343-352</ispartof><rights>Springer Nature Limited 2008</rights><rights>2008 INIST-CNRS</rights><rights>COPYRIGHT 2008 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Feb 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c605t-71bddbc0d8abaa0c69740643dde8f66f0087425f9ead63810aab89d5ac5f0a033</citedby><cites>FETCH-LOGICAL-c605t-71bddbc0d8abaa0c69740643dde8f66f0087425f9ead63810aab89d5ac5f0a033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2727,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20057613$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17684508$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Atlantis, E</creatorcontrib><creatorcontrib>Barnes, E.H</creatorcontrib><creatorcontrib>Ball, K</creatorcontrib><title>Weight status and perception barriers to healthy physical activity and diet behavior</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Background: Physical inactivity and insufficient fruit and vegetable consumption are key risk factors for obesity and noncommunicable diseases. Weight perceptions may affect physical activity and diet behaviors. We report current prevalence estimates of Australian adults meeting recommended levels of leisure-time physical activity (LTPA) (⩾150 min/week or more of at least moderate-intensity physical activity (including walking) on ⩾5 days/week) and fruit (⩾2 servings/day) and vegetable (⩾5 servings/day) consumption for health benefits, by weight status and perceptions. Methods: We conducted a cross-sectional survey analysis of data for 16 314 adults from the Australian National Health Survey 2004–2005. All variables were collected by self-report. Weighted estimates were age- and gender-specific, and data were analyzed using logistic regression with acceptable weight referent categories, adjusting for covariates. Results: Among acceptable, overweight and obese adults, the prevalence of LTPA was 26.8, 26.1 and 19.3% for men, and 27.7, 23.7 and 19.7% for women, respectively. Approximately 55 and 15% of adults consumed sufficient fruit servings/day and vegetable servings/day, respectively, and less than 5% of adults met combined LTPA and diet guidelines. Overweight decreased the odds ratio for LTPA among women but not men, and obesity decreased the odds ratio for LTPA among both men and women. Overweight perception conferred odds ratios of 0.83 (95% CI 0.70–0.97, P =0.021) for overweight men, and of 0.74 (95% CI 0.62–0.88, P =0.001) and 0.69 (95% CI 0.59–0.80, P &lt;0.001) for obese men and women, respectively; for LTPA, whereas no significant associations were found for acceptable weight perception. No consistent associations between weight status or perceptions and diet behaviors were found. Conclusions: Overweight perception may be another barrier to physical activity participation among men and women with excess body weight. Public health strategies might need to focus on overcoming weight perception as well as weight status barriers to adopting healthy physical activity behaviors.</description><subject>Adult</subject><subject>adults</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Australia</subject><subject>Biological and medical sciences</subject><subject>Body weight</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>eating habits</subject><subject>Epidemiology</subject><subject>Evaluation</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>Exercise - psychology</subject><subject>Female</subject><subject>Food and nutrition</subject><subject>Fruit</subject><subject>Fruits</subject><subject>fruits (food)</subject><subject>Gender</subject><subject>General aspects</subject><subject>Health aspects</subject><subject>Health Behavior</subject><subject>Health Promotion and Disease Prevention</subject><subject>health status</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Leisure Activities</subject><subject>Life Style</subject><subject>Male</subject><subject>Management</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Metabolic Diseases</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Motor Activity - physiology</subject><subject>Nutritional Status</subject><subject>Obesity</subject><subject>Obesity - etiology</subject><subject>original-article</subject><subject>Overweight - etiology</subject><subject>Overweight persons</subject><subject>Perceptions</subject><subject>perceptions (cognitive)</subject><subject>physical activity</subject><subject>Polls &amp; surveys</subject><subject>Public Health</subject><subject>Public health. Hygiene</subject><subject>Public health. 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Weight perceptions may affect physical activity and diet behaviors. We report current prevalence estimates of Australian adults meeting recommended levels of leisure-time physical activity (LTPA) (⩾150 min/week or more of at least moderate-intensity physical activity (including walking) on ⩾5 days/week) and fruit (⩾2 servings/day) and vegetable (⩾5 servings/day) consumption for health benefits, by weight status and perceptions. Methods: We conducted a cross-sectional survey analysis of data for 16 314 adults from the Australian National Health Survey 2004–2005. All variables were collected by self-report. Weighted estimates were age- and gender-specific, and data were analyzed using logistic regression with acceptable weight referent categories, adjusting for covariates. Results: Among acceptable, overweight and obese adults, the prevalence of LTPA was 26.8, 26.1 and 19.3% for men, and 27.7, 23.7 and 19.7% for women, respectively. Approximately 55 and 15% of adults consumed sufficient fruit servings/day and vegetable servings/day, respectively, and less than 5% of adults met combined LTPA and diet guidelines. Overweight decreased the odds ratio for LTPA among women but not men, and obesity decreased the odds ratio for LTPA among both men and women. Overweight perception conferred odds ratios of 0.83 (95% CI 0.70–0.97, P =0.021) for overweight men, and of 0.74 (95% CI 0.62–0.88, P =0.001) and 0.69 (95% CI 0.59–0.80, P &lt;0.001) for obese men and women, respectively; for LTPA, whereas no significant associations were found for acceptable weight perception. No consistent associations between weight status or perceptions and diet behaviors were found. Conclusions: Overweight perception may be another barrier to physical activity participation among men and women with excess body weight. Public health strategies might need to focus on overcoming weight perception as well as weight status barriers to adopting healthy physical activity behaviors.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>17684508</pmid><doi>10.1038/sj.ijo.0803707</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source Nature Publishing Group website
subjects Adult
adults
Aged
Aged, 80 and over
Australia
Biological and medical sciences
Body weight
Cross-Sectional Studies
Diet
eating habits
Epidemiology
Evaluation
Exercise
Exercise - physiology
Exercise - psychology
Female
Food and nutrition
Fruit
Fruits
fruits (food)
Gender
General aspects
Health aspects
Health Behavior
Health Promotion and Disease Prevention
health status
Humans
Internal Medicine
Leisure Activities
Life Style
Male
Management
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Methods
Middle Aged
Miscellaneous
Motor Activity - physiology
Nutritional Status
Obesity
Obesity - etiology
original-article
Overweight - etiology
Overweight persons
Perceptions
perceptions (cognitive)
physical activity
Polls & surveys
Public Health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
Self Concept
Vegetables
Womens health
title Weight status and perception barriers to healthy physical activity and diet behavior
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