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Prevalence of obesity among adults in youngstown, Ohio
SUNDAY, OCTOBER21 POSTER SESSION: FOODv FOODSERVICEI AND MANAGEMENT/MEDICAL NUTRITION THERAPY TITLE: Comparing restrained eating in Afi,iean-American and Cancasianwoman at varying body mass indexes
TITLE: PREVALENCE OF OBESITY AMONG ADULTS 1N YOUNGSTOWN, OHIO
AUTHOR(S): J. Dudley B.S., LH. Clemens, Ed.D., R.D., T.Smith, Ph.D., R.D., K. Ward, Ph.D., The University of Memphis, Memphis, TN.
AUTHOR(S): M. R. Shayesteh, PhD, RD, LD; L. Squibbs; J. L. Mincher, MS, RD, LD; S. Leson, MS, RD, LD, Youngstown State University, Youngstown, OH
LEARNING OUTCOME:
LEARNING OUTCOME: To identify the prevalence of obesity among adults in Youngstown, Ohio.
To increase awareness that the lack of dietary restraint may be responsible for the increase in obesity in African-Americans. ABSTRACT TEXT: Obesity is a becoming a very serious problem in the United States with prevalence o f obesity growing fastest among the AfricanAmerican culture, thus putting them at increased health risk. Although a high level of dietary restrained (DR) is not often viewed negative, having a level o f DR might also lead to obesity. This study was done to determine whether dietary restraint in groups of African-American and Caucasian women was affected by BMI. Subjects were weighed and had height measured, and completed questionnaires about education, diet behavior, weight history, and dietary restraint, 57 women participated in the study (30 AfricanAmerican and 27 Caucasian women between the ages o f 2t-46, with BMI ranging from 21-27). BMI was shown to increase as disinhibitinn increased (r= .353, p=.01). The African-American women consistently soared lower in all areas of the restraint. Both groups reported dieting with similar fi'equeney, with AfrieanAmericans reporting tu keeping weight loss offlonger. AfricanAmerican women consistently felt they had smaller bodies then the Caucasian women even though they were well-matched on BMI. The African-American women also reported preferring a smaller body Size then the Caucasian women. The possible effects of low levels of dietary restraint among African-Americans will be discussed.
ABSTRACT TEXT: The prevalence of obesity in the United States continued to grow in 1999, representing a serious public health threat to millions of Americans. Since 1991, obesity among adults has increased by nearly 60 percent nationally. Individuals 30-39 years of age had a 10% increase in obesity between 1998 and 1999. In the years 1999 and 2000~ body composition of 1505 volunteer adults (932 female and 573 male) during the Health-O-Rama and Canfield Fair were analyzed using Futrex-5000. Body Mass Index (BMI) was calculated for each subject. The results of this research indicated that among female adults 11% had BMI less than 20, 48% had BMI between 20-24, 20% had BMI between 25-27, 11% had BMI between 28-30, and 10% had BMI more than 30. Among male adults these percentages were 2, 27, 34, 25, and 12 respectively. With regard to percent body fat 80% of female subjects had more than 24% body fat and 82% of male subjects had body fat over 16%. These results clearly indicate the problem of obesity among adults in Youngstown, Ohio. In order to control the obesity epidemic, in addition to proper nutrition, it is important to restore physical activity to daily routines to promote health.
CONFLICT OF INTEREST: None TITLE: AUTHOR(S):
A SURVEY OF THE INCIDENCE AND PREVALENCE OF OBESITY AND EATING DISORDERS IN UNDERGRADUTE COLLEGE STUDENTS K. Council,M.S.; D. Yarbrough, Ph.D.; University of Louisiana at Lafayette
LEARNING OUTCOME~o find the incidence and prevalence of obesity and eating disorders in undergraduate college students attending the ABs~V~T~f Louisiana at Lafayette. Three hundred thirty-five students completed a questionnaire previously used to identify the incidence of eating disorders. A Body Mass Index was used to measure obesity and underweight scores. The results of the study indicated that there was in incidence of obesity and eating disorders in the undergraduate students that participated in the study. Of the total sample, approximately eight and one -half percent of the students were underweight, as well as obese. According to the BMI calculations, 58.9 % of the students were within normal limits for weight and height. These students were less likely to have regular menstruation and more likely to have a total loss of menstruation. Obsession with food and weight and feeling fat were most frequently reported in students who were within normal limits for weight and h e i g h t . This study found no significance in relation to classification, college of major, or race; however, an important finding in this study, was as weight increased, income status increased. The results of this study clearly depict an importance for nutrition education and individual counseling.
A-18 / September 2001 Supplement Volume 101 Number 9
TITLE: WEIGHT MANAGEMENT PROGRAM IMPROVES RISK FACTORS FOR DIABETIC PATIENTS AUTHOR(S): L Gotthelf, Ph.D., L Ringie, B.S., C Weithman, R.D.0 M.B.A., Health Management Resources, Boston, MA LEARNING OUTCOME: Participants will be able to explain the impact of weight loss and lifestyle changes on risk factors for diabetic patients. ABSTRACT TEXT: The prevalence of diabetes, a major cause of morbidity and mortality, has been escalating at an alamung rate with 16 million Americans currently affected. This epidemic is clearly related to the continuing increase in obesity, making weight management a critical task of diabetes management. Data from a health risk appraisal (HRA) were analyzed from 65 diabetic patients in 16 programs using the HMR®Program for Weight ManagementTM. The HRA is used as a teaching tool for patients to demonstrate the impact of lifestyle changes on health. All maintenance patients who had completed a follow-up HRA in 2000 (those with incomplete data were excluded) and reported a diagnosis of diabetes on the initial HRA were included in the sample: The average length of time between the initial and follow-up HRA was 1.8 years. The average weight loss being maintained was 53 lbs (19% of initial body weight). Lifestyle changes reported included an increase in physical activity (average of 400 kcal/wk to 1575 kcal/wk), decrease in dietary fat (average of 38% to 28%), and increase in vegetable and fruit intake. Lifestyle changes impacted the medical values: there were average decreases in total cholesterol/HDL ratio (12%), triglycerides (24%), fasting blood glucose (16%), and blood pressure (systolic - 9 mmHg, diastolic - 6 mmHg). Of those patients initially on diabetes medications (oral and insulin), 56% had discontinued these medications at follow-up. Statistically computed cardiovascular disease risk was reduced from very high to moderate risk. The average number of risk factors was reduced from nine to five. Given the adverse impact of multiple risk factors, particularly in diabetic patients, this decrease in the number of risk factors is critical. In summary, a skills-based weight management program that teaches patients to make lifestyle changes can impact both the weight and health management of patients with diabetes. CONFLICT OF INTEREST (If applicable): All authors are employees o f Health Management Resources
TITLE: PREVALENCE OF OBESITY AMONG ADULTS 1N YOUNGSTOWN, OHIO
AUTHOR(S): J. Dudley B.S., LH. Clemens, Ed.D., R.D., T.Smith, Ph.D., R.D., K. Ward, Ph.D., The University of Memphis, Memphis, TN.
AUTHOR(S): M. R. Shayesteh, PhD, RD, LD; L. Squibbs; J. L. Mincher, MS, RD, LD; S. Leson, MS, RD, LD, Youngstown State University, Youngstown, OH
LEARNING OUTCOME:
LEARNING OUTCOME: To identify the prevalence of obesity among adults in Youngstown, Ohio.
To increase awareness that the lack of dietary restraint may be responsible for the increase in obesity in African-Americans. ABSTRACT TEXT: Obesity is a becoming a very serious problem in the United States with prevalence o f obesity growing fastest among the AfricanAmerican culture, thus putting them at increased health risk. Although a high level of dietary restrained (DR) is not often viewed negative, having a level o f DR might also lead to obesity. This study was done to determine whether dietary restraint in groups of African-American and Caucasian women was affected by BMI. Subjects were weighed and had height measured, and completed questionnaires about education, diet behavior, weight history, and dietary restraint, 57 women participated in the study (30 AfricanAmerican and 27 Caucasian women between the ages o f 2t-46, with BMI ranging from 21-27). BMI was shown to increase as disinhibitinn increased (r= .353, p=.01). The African-American women consistently soared lower in all areas of the restraint. Both groups reported dieting with similar fi'equeney, with AfrieanAmericans reporting tu keeping weight loss offlonger. AfricanAmerican women consistently felt they had smaller bodies then the Caucasian women even though they were well-matched on BMI. The African-American women also reported preferring a smaller body Size then the Caucasian women. The possible effects of low levels of dietary restraint among African-Americans will be discussed.
ABSTRACT TEXT: The prevalence of obesity in the United States continued to grow in 1999, representing a serious public health threat to millions of Americans. Since 1991, obesity among adults has increased by nearly 60 percent nationally. Individuals 30-39 years of age had a 10% increase in obesity between 1998 and 1999. In the years 1999 and 2000~ body composition of 1505 volunteer adults (932 female and 573 male) during the Health-O-Rama and Canfield Fair were analyzed using Futrex-5000. Body Mass Index (BMI) was calculated for each subject. The results of this research indicated that among female adults 11% had BMI less than 20, 48% had BMI between 20-24, 20% had BMI between 25-27, 11% had BMI between 28-30, and 10% had BMI more than 30. Among male adults these percentages were 2, 27, 34, 25, and 12 respectively. With regard to percent body fat 80% of female subjects had more than 24% body fat and 82% of male subjects had body fat over 16%. These results clearly indicate the problem of obesity among adults in Youngstown, Ohio. In order to control the obesity epidemic, in addition to proper nutrition, it is important to restore physical activity to daily routines to promote health.
CONFLICT OF INTEREST: None TITLE: AUTHOR(S):
A SURVEY OF THE INCIDENCE AND PREVALENCE OF OBESITY AND EATING DISORDERS IN UNDERGRADUTE COLLEGE STUDENTS K. Council,M.S.; D. Yarbrough, Ph.D.; University of Louisiana at Lafayette
LEARNING OUTCOME~o find the incidence and prevalence of obesity and eating disorders in undergraduate college students attending the ABs~V~T~f Louisiana at Lafayette. Three hundred thirty-five students completed a questionnaire previously used to identify the incidence of eating disorders. A Body Mass Index was used to measure obesity and underweight scores. The results of the study indicated that there was in incidence of obesity and eating disorders in the undergraduate students that participated in the study. Of the total sample, approximately eight and one -half percent of the students were underweight, as well as obese. According to the BMI calculations, 58.9 % of the students were within normal limits for weight and height. These students were less likely to have regular menstruation and more likely to have a total loss of menstruation. Obsession with food and weight and feeling fat were most frequently reported in students who were within normal limits for weight and h e i g h t . This study found no significance in relation to classification, college of major, or race; however, an important finding in this study, was as weight increased, income status increased. The results of this study clearly depict an importance for nutrition education and individual counseling.
A-18 / September 2001 Supplement Volume 101 Number 9
TITLE: WEIGHT MANAGEMENT PROGRAM IMPROVES RISK FACTORS FOR DIABETIC PATIENTS AUTHOR(S): L Gotthelf, Ph.D., L Ringie, B.S., C Weithman, R.D.0 M.B.A., Health Management Resources, Boston, MA LEARNING OUTCOME: Participants will be able to explain the impact of weight loss and lifestyle changes on risk factors for diabetic patients. ABSTRACT TEXT: The prevalence of diabetes, a major cause of morbidity and mortality, has been escalating at an alamung rate with 16 million Americans currently affected. This epidemic is clearly related to the continuing increase in obesity, making weight management a critical task of diabetes management. Data from a health risk appraisal (HRA) were analyzed from 65 diabetic patients in 16 programs using the HMR®Program for Weight ManagementTM. The HRA is used as a teaching tool for patients to demonstrate the impact of lifestyle changes on health. All maintenance patients who had completed a follow-up HRA in 2000 (those with incomplete data were excluded) and reported a diagnosis of diabetes on the initial HRA were included in the sample: The average length of time between the initial and follow-up HRA was 1.8 years. The average weight loss being maintained was 53 lbs (19% of initial body weight). Lifestyle changes reported included an increase in physical activity (average of 400 kcal/wk to 1575 kcal/wk), decrease in dietary fat (average of 38% to 28%), and increase in vegetable and fruit intake. Lifestyle changes impacted the medical values: there were average decreases in total cholesterol/HDL ratio (12%), triglycerides (24%), fasting blood glucose (16%), and blood pressure (systolic - 9 mmHg, diastolic - 6 mmHg). Of those patients initially on diabetes medications (oral and insulin), 56% had discontinued these medications at follow-up. Statistically computed cardiovascular disease risk was reduced from very high to moderate risk. The average number of risk factors was reduced from nine to five. Given the adverse impact of multiple risk factors, particularly in diabetic patients, this decrease in the number of risk factors is critical. In summary, a skills-based weight management program that teaches patients to make lifestyle changes can impact both the weight and health management of patients with diabetes. CONFLICT OF INTEREST (If applicable): All authors are employees o f Health Management Resources