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Erschienen in: Journal of Community Health 3/2015

01.06.2015 | Original Paper

Level of Nutrition Knowledge and Its Association with Weight Loss Behaviors Among Low-Income Reproductive-Age Women

verfasst von: Tabassum H. Laz, Mahbubur Rahman, Ali M. Pohlmeier, Abbey B. Berenson

Erschienen in: Journal of Community Health | Ausgabe 3/2015

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Abstract

To examine influence of nutrition knowledge on weight loss behaviors among low-income reproductive-age women. We conducted a self-administered cross-sectional survey of health behaviors including socio-demographic characteristics, nutrition knowledge, and weight loss behaviors of 16–40 year old women (n = 1,057) attending reproductive health clinics located in Southeast Texas between July 2010 and February 2011. Multiple linear regression and multivariable logistic regression analyses were performed to identify correlates of nutrition knowledge and examine its association with various weight loss behaviors after adjusting for confounders. The mean nutrition knowledge score was low (5.7 ± 2.8) (possible score 0–15). It was significantly lower among African American women than whites (P < .001). Obese women (P = .002), women with high school enrollment/diploma (P = .030), and some college hours/degree (P < .001) had higher nutrition knowledge scores than their counterparts. The higher score of nutrition knowledge was significantly associated with higher odds of engaging in healthy weight loss behaviors: eating less food [odds ratio (OR) 1.12, 95 % confidence interval (CI) 1.06–1.18], switching to foods with fewer calories (OR 1.10, 95 % CI 1.04–1.16), exercising (OR 1.10, 95 % CI 1.04–1.16), eating more fruits/vegetables/salads (OR 1.11, 95 % CI 1.06–1.17) and less sugar/candy/sweets (OR 1.09, 95 % CI 1.04–1.15). However, it was not associated with unhealthy weight loss behaviors, such as using laxatives/diuretics or inducing vomiting. Nutrition knowledge is low among reproductive-age women. An increase in nutrition knowledge may promote healthy weight loss behaviors.
Literatur
1.
Zurück zum Zitat Wang, Y., & Beydoun, M. A. (2007). The obesity epidemic in the United States—Gender, age, socioeconomic, racial/ethnic, and geographic characteristics: A systematic review and meta-regression analysis. Epidemiologic Reviews, 29, 6–28.CrossRefPubMed Wang, Y., & Beydoun, M. A. (2007). The obesity epidemic in the United States—Gender, age, socioeconomic, racial/ethnic, and geographic characteristics: A systematic review and meta-regression analysis. Epidemiologic Reviews, 29, 6–28.CrossRefPubMed
2.
Zurück zum Zitat Hedley, A. A., Ogden, C. L., Johnson, C. L., Carroll, M. D., Curtin, L. R., & Flegal, K. M. (2004). Prevalence of overweight and obesity among US children, adolescents, and adults 1999–2002. Journal of the American Medical Association, 291, 2847–2850.CrossRefPubMed Hedley, A. A., Ogden, C. L., Johnson, C. L., Carroll, M. D., Curtin, L. R., & Flegal, K. M. (2004). Prevalence of overweight and obesity among US children, adolescents, and adults 1999–2002. Journal of the American Medical Association, 291, 2847–2850.CrossRefPubMed
3.
Zurück zum Zitat Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. Journal of the American Medical Association, 295, 1549–1555.CrossRefPubMed Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. Journal of the American Medical Association, 295, 1549–1555.CrossRefPubMed
4.
Zurück zum Zitat Flegal, K. M., Carroll, M. D., Ogden, C. L., & Curtin, L. R. (2010). Prevalence and trends in obesity among US adults, 1999–2008. Journal of the American Medical Association, 303, 235–241.CrossRefPubMed Flegal, K. M., Carroll, M. D., Ogden, C. L., & Curtin, L. R. (2010). Prevalence and trends in obesity among US adults, 1999–2008. Journal of the American Medical Association, 303, 235–241.CrossRefPubMed
5.
Zurück zum Zitat Hu, F. B. (2003). Overweight and obesity in women: Health risks and consequences. Journal of Women’s Health, 12, 163–172.CrossRefPubMed Hu, F. B. (2003). Overweight and obesity in women: Health risks and consequences. Journal of Women’s Health, 12, 163–172.CrossRefPubMed
6.
Zurück zum Zitat Rooney, B. L., & Schauberger, C. W. (2002). Excess pregnancy weight gain and long-term obesity: One decade later. Obstetrics and Gynecology, 100, 245–252.CrossRefPubMed Rooney, B. L., & Schauberger, C. W. (2002). Excess pregnancy weight gain and long-term obesity: One decade later. Obstetrics and Gynecology, 100, 245–252.CrossRefPubMed
7.
Zurück zum Zitat Linne, Y., Dye, L., Barkeling, B., & Rossner, S. (2004). Long-term weight development in women: A 15-year follow-up of the effects of pregnancy. Obesity Research, 12, 1166–1178.CrossRefPubMed Linne, Y., Dye, L., Barkeling, B., & Rossner, S. (2004). Long-term weight development in women: A 15-year follow-up of the effects of pregnancy. Obesity Research, 12, 1166–1178.CrossRefPubMed
8.
Zurück zum Zitat Gunderson, E. P., Murtaugh, M. A., Lewis, C. E., Quesenberry, C. P., West, D. S., & Sidney, S. (2004). Excess gains in weight and waist circumference associated with childbearing: The Coronary Artery Risk Development in Young Adults Study (CARDIA). International Journal of Obesity and Related Metabolic Disorders, 28, 525–535.CrossRefPubMedCentralPubMed Gunderson, E. P., Murtaugh, M. A., Lewis, C. E., Quesenberry, C. P., West, D. S., & Sidney, S. (2004). Excess gains in weight and waist circumference associated with childbearing: The Coronary Artery Risk Development in Young Adults Study (CARDIA). International Journal of Obesity and Related Metabolic Disorders, 28, 525–535.CrossRefPubMedCentralPubMed
10.
Zurück zum Zitat Kruger, J., Galuska, D. A., Serdula, M. K., & Jones, D. A. (2004). Attempting to lose weight: Specific practices among U.S. adults. American Journal of Preventive Medicine, 26, 402–406.CrossRefPubMed Kruger, J., Galuska, D. A., Serdula, M. K., & Jones, D. A. (2004). Attempting to lose weight: Specific practices among U.S. adults. American Journal of Preventive Medicine, 26, 402–406.CrossRefPubMed
11.
Zurück zum Zitat Serdula, M. K., Gillespie, C., Kettel-Khan, L., Farris, R., Seymour, J., & Denny, C. (2008). Trends in fruit and vegetable consumption among US men and women, 1994–2005. Preventing Chronic Disease, 5, A35.PubMedCentralPubMed Serdula, M. K., Gillespie, C., Kettel-Khan, L., Farris, R., Seymour, J., & Denny, C. (2008). Trends in fruit and vegetable consumption among US men and women, 1994–2005. Preventing Chronic Disease, 5, A35.PubMedCentralPubMed
12.
Zurück zum Zitat Guenther, P. M., Dodd, K. W., Reedy, J., & Krebs-Smith, S. M. (2006). Most Americans eat much less than recommended amount of fruits and vegetables. Journal of the American Dietetic Association, 106, 1371–1379.CrossRefPubMed Guenther, P. M., Dodd, K. W., Reedy, J., & Krebs-Smith, S. M. (2006). Most Americans eat much less than recommended amount of fruits and vegetables. Journal of the American Dietetic Association, 106, 1371–1379.CrossRefPubMed
13.
Zurück zum Zitat Albright, C. L., Pruitt, L., Castro, C., Gonzalez, A., Woo, S., & King, A. C. (2005). Modifying physical activity in a multiethnic sample of low-income women: One-year results from the IMPACT (Increasing Motivation for Physical Activity) project. Annals of Behavioral Medicine, 30, 191–200.CrossRefPubMed Albright, C. L., Pruitt, L., Castro, C., Gonzalez, A., Woo, S., & King, A. C. (2005). Modifying physical activity in a multiethnic sample of low-income women: One-year results from the IMPACT (Increasing Motivation for Physical Activity) project. Annals of Behavioral Medicine, 30, 191–200.CrossRefPubMed
14.
Zurück zum Zitat Klohe-Lehman, D. M., Freeland-Graves, J., Anderson, E. R., et al. (2006). Nutrition knowledge is associated with greater weight loss in obese and overweight low-income mothers. Journal of the American Dietetic Association, 106, 65–75.CrossRefPubMed Klohe-Lehman, D. M., Freeland-Graves, J., Anderson, E. R., et al. (2006). Nutrition knowledge is associated with greater weight loss in obese and overweight low-income mothers. Journal of the American Dietetic Association, 106, 65–75.CrossRefPubMed
15.
Zurück zum Zitat Clarke, K. K., Freeland-Graves, J., Klohe-Lehman, D. M., & Bohman, T. M. (2007). Predictor of weight loss in low-income mothers of young children. Journal of the American Dietetic Association, 107, 1146–1154.CrossRefPubMed Clarke, K. K., Freeland-Graves, J., Klohe-Lehman, D. M., & Bohman, T. M. (2007). Predictor of weight loss in low-income mothers of young children. Journal of the American Dietetic Association, 107, 1146–1154.CrossRefPubMed
16.
Zurück zum Zitat Nuss, H., Freeland-Graves, J., Clarke, K., Klohe-Lehman, D., & Milani, T. J. (2007). Greater nutrition knowledge is associated with lower 1-year postpartum weight retention in low-income women. Journal of the American Dietetic Association, 107, 1801–1806.CrossRefPubMed Nuss, H., Freeland-Graves, J., Clarke, K., Klohe-Lehman, D., & Milani, T. J. (2007). Greater nutrition knowledge is associated with lower 1-year postpartum weight retention in low-income women. Journal of the American Dietetic Association, 107, 1801–1806.CrossRefPubMed
17.
Zurück zum Zitat Andreyeva, T., Long, M. W., Henderson, K. E., & Grode, G. M. (2010). Trying to lose weight: diet strategies among Americans with overweight or obesity in 1996 and 2003. Journal of the American Dietetic Association, 110, 535–542.CrossRefPubMed Andreyeva, T., Long, M. W., Henderson, K. E., & Grode, G. M. (2010). Trying to lose weight: diet strategies among Americans with overweight or obesity in 1996 and 2003. Journal of the American Dietetic Association, 110, 535–542.CrossRefPubMed
18.
Zurück zum Zitat Tanumihardjo, S. A., Valentine, A. R., Zhang, Z., Whigham, L. D., Lai, H. J., & Atkinson, R. L. (2009). Strategies to increase vegetable or reduce energy and fat intake induce weight loss in adults. Experimental Biology and Medicine, 234, 542–552.CrossRefPubMed Tanumihardjo, S. A., Valentine, A. R., Zhang, Z., Whigham, L. D., Lai, H. J., & Atkinson, R. L. (2009). Strategies to increase vegetable or reduce energy and fat intake induce weight loss in adults. Experimental Biology and Medicine, 234, 542–552.CrossRefPubMed
19.
Zurück zum Zitat Ello-Martin, J. A., Roe, L. S., Ledikwe, J. H., Beach, A. M., & Rolls, B. J. (2007). Dietary energy density in the treatment of obesity: A year-long trial comparing 2 weight-loss diets. The American Journal of Clinical Nutrition, 85, 1466–1477. Ello-Martin, J. A., Roe, L. S., Ledikwe, J. H., Beach, A. M., & Rolls, B. J. (2007). Dietary energy density in the treatment of obesity: A year-long trial comparing 2 weight-loss diets. The American Journal of Clinical Nutrition, 85, 1466–1477.
20.
Zurück zum Zitat Wardle, J., Permenter, K., & Waller, J. (2000). Nutrition knowledge and food intake. Appetite, 34, 269–275.CrossRefPubMed Wardle, J., Permenter, K., & Waller, J. (2000). Nutrition knowledge and food intake. Appetite, 34, 269–275.CrossRefPubMed
21.
Zurück zum Zitat Resnicow, K., Jackson, A., Wang, T., et al. (2001). A motivational interviewing intervention to increase fruit and vegetable intake through black churches: Result of the eat for life trial. American Journal of Public Health, 91, 1686–1693.CrossRefPubMedCentralPubMed Resnicow, K., Jackson, A., Wang, T., et al. (2001). A motivational interviewing intervention to increase fruit and vegetable intake through black churches: Result of the eat for life trial. American Journal of Public Health, 91, 1686–1693.CrossRefPubMedCentralPubMed
22.
Zurück zum Zitat Brinberg, D., Axelson, M. L., & Price, S. (2000). Changing food knowledge, food choice, and dietary fiber consumption by using tailored messages. Appetite, 35, 35–43.CrossRefPubMed Brinberg, D., Axelson, M. L., & Price, S. (2000). Changing food knowledge, food choice, and dietary fiber consumption by using tailored messages. Appetite, 35, 35–43.CrossRefPubMed
23.
Zurück zum Zitat Arnold, C. G., & Sobal, J. (2000). Food practices and nutrition knowledge after graduation from the Expanded Food and Nutrition Education Program (EFNEP). Journal of Nutrition Education and Behavior, 32, 130–138.CrossRef Arnold, C. G., & Sobal, J. (2000). Food practices and nutrition knowledge after graduation from the Expanded Food and Nutrition Education Program (EFNEP). Journal of Nutrition Education and Behavior, 32, 130–138.CrossRef
24.
Zurück zum Zitat Elder, J. P., Candelaria, J. I., Woodruff, S. I., Criqui, M. H., Talavera, G. A., & Rupp, J. W. (2000). Results of language for health: Cardiovascular disease nutrition education for Latino English-as-a-second-language students. Health Education and Behavior, 27, 50–63.CrossRefPubMed Elder, J. P., Candelaria, J. I., Woodruff, S. I., Criqui, M. H., Talavera, G. A., & Rupp, J. W. (2000). Results of language for health: Cardiovascular disease nutrition education for Latino English-as-a-second-language students. Health Education and Behavior, 27, 50–63.CrossRefPubMed
25.
Zurück zum Zitat Neumark-Sztainer, D., Sherwood, N. E., French, S. A., & Jeffery, R. W. (1999). Weight control behaviors among adult men and women: Cause for concern? Obesity Research, 7(2), 179–188.CrossRefPubMed Neumark-Sztainer, D., Sherwood, N. E., French, S. A., & Jeffery, R. W. (1999). Weight control behaviors among adult men and women: Cause for concern? Obesity Research, 7(2), 179–188.CrossRefPubMed
28.
Zurück zum Zitat Gates, G., & McDonald, M. (1997). Comparison of dietary risk factors for cardiovascular disease in African-American and white women. Journal of the American Dietetic Association, 97, 1394–1400.CrossRefPubMed Gates, G., & McDonald, M. (1997). Comparison of dietary risk factors for cardiovascular disease in African-American and white women. Journal of the American Dietetic Association, 97, 1394–1400.CrossRefPubMed
29.
Zurück zum Zitat Boulanger, P. M., Perez-Escamilla, R., Himmelgreen, D., Segura-Millan, S., & Haldeman, L. (2002). Determinants of nutrition knowledge among low-income, Latino caretakers in Hartford Conn. Journal of the American Dietetic Association, 102, 978–981.CrossRefPubMed Boulanger, P. M., Perez-Escamilla, R., Himmelgreen, D., Segura-Millan, S., & Haldeman, L. (2002). Determinants of nutrition knowledge among low-income, Latino caretakers in Hartford Conn. Journal of the American Dietetic Association, 102, 978–981.CrossRefPubMed
30.
Zurück zum Zitat Parmenter, K., Waller, J., & Wardle, J. (2000). Demographic variation in nutrition knowledge in England. Health Education Research, 15, 163–174.CrossRefPubMedCentralPubMed Parmenter, K., Waller, J., & Wardle, J. (2000). Demographic variation in nutrition knowledge in England. Health Education Research, 15, 163–174.CrossRefPubMedCentralPubMed
31.
Zurück zum Zitat Thakur, N., & D’Amico, F. (1999). Relationship of nutrition knowledge and obesity in adolescence. Family Medicine, 31, 122–127.PubMed Thakur, N., & D’Amico, F. (1999). Relationship of nutrition knowledge and obesity in adolescence. Family Medicine, 31, 122–127.PubMed
32.
Zurück zum Zitat O’Brien, G., & Davies, M. (2007). Nutrition knowledge and body mass index. Health Education Research, 22, 571–575.CrossRefPubMed O’Brien, G., & Davies, M. (2007). Nutrition knowledge and body mass index. Health Education Research, 22, 571–575.CrossRefPubMed
Metadaten
Titel
Level of Nutrition Knowledge and Its Association with Weight Loss Behaviors Among Low-Income Reproductive-Age Women
verfasst von
Tabassum H. Laz
Mahbubur Rahman
Ali M. Pohlmeier
Abbey B. Berenson
Publikationsdatum
01.06.2015
Verlag
Springer US
Erschienen in
Journal of Community Health / Ausgabe 3/2015
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-014-9969-9

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