Factors Associated with Trying to Lose Weight in Women with Coronary Heart Disease: Do Factors Differ by Race/Ethnicity?
|Melissa D Zullo1*, Fan Shen1,Julie T Schaefer2, Shane Brady1, and Madhav P Bhatta1|
|1Department of Epidemiology and Biostatistics, Kent State University, USA|
|2Department of Social and Behavioral Sciences, Kent State University, USA|
|Corresponding Author :||Melissa D Zullo
Department of Epidemiology and Biostatistics
College of Public Health
Kent State University, USA
Tel: 330-672- 6509
E-mail: [email protected]
|Received September 17, 2013; Accepted October 24, 2013; Published October 28, 2013|
|Citation: Zullo MD, Schaefer JT, Brady S, Bhatta MP, Shen F (2013) Factors Associated with Trying to Lose Weight in Women with Coronary Heart Disease: Do Factors Differ by Race/Ethnicity? J Obes Weight Loss Ther 3:196. doi:10.4172/2165-7904.1000196|
|Copyright: © 2013 Zullo MD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Background: Guidelines in women with coronary heart disease (CHD) or myocardial infarction (MI) include achieving a healthy body mass index (BMI); however, after MI, weight loss on average is minimal. The aim of this research was to identify factors associated with trying to lose weight among white, non-Hispanic (NH), black, NH, and Hispanic/other women with a history of MI or CHD. Methods: This research used cross-sectional data (n=3,176) from five years of the Behavioral Risk Factor Surveillance System. Multivariable logistic regression models were stratified on race and variables were maintained in a full model to examine independent effects on trying to lose weight. Results: Mean BMI was 28.5 (standard deviation=6.8). More black, NH (76%) women reported overweight/ obese BMI compared to white, NH (62%), or Hispanic/other (64%, p<0.0001) women. With a BMI of overweight, 55% (confidence interval (CI): 49.1, 60.4) of white, NH, 50% (CI: 33.6, 66.0) of black, NH, and 59% (CI: 41.3, 76.7) of Hispanic/other women reported trying to lose weight (p=0.76). Overall, 57% reported no weight loss advice from a clinician. White, NH, black, NH, and Hispanic/other women who received weight loss advice were 5.0 (CI: 3.3, 7.4), 5.9 (2.3, 14.7), and 7.8 (CI: 3.5, 17.5) times more likely to report trying to lose weight compared to women without weight loss advice. Conclusions: The majority of overweight/obese women reported no clinician advice to lose weight. This is problematic as weight loss advice was the strongest predictor of trying to lose weight and weight loss is important to reducing risk for secondary event.