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Research ArticleOriginal Research

Perception, Intention, and Action in Adolescent Obesity

Heather Bittner Fagan, James Diamond, Ronald Myers and James M. Gill
The Journal of the American Board of Family Medicine November 2008, 21 (6) 555-561; DOI: https://doi.org/10.3122/jabfm.2008.06.070184
Heather Bittner Fagan
MD
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James Diamond
PhD
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Ronald Myers
PhD
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James M. Gill
MD, MPH
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    Table 1.

    Demographic Characteristics of Delaware Youth Risk Behavior Survey Population: General Population, Obese Group, and Overweight Group

    Obese* (n = 398)Overweight† (n = 482)
    n‡%n‡%
    Age (years)
        14 and younger6516.37315.1
        1510927.410622
        1611328.413327.6
        177819.611724.3
        18 or older338.35311
    Sex/gender
        Male24561.624450.6
        Female15338.423849.4
    Race/ethnicity
        White22155.925352.9
        Black11328.615332
        Hispanic307.6387.9
        Asian71.8163.3
        Native/Alaskan194.8142.9
        Hawaiian51.340.8
    Diet modification§24260.924350.5
    Exercise modification§29273.435172.8
    Diet and/or exercise32982.638078.9
    Accurate perception of weight‖32681.826154.2
    Intention to change weight¶30075.331465.2
    • * BMI for age is greater than or equal to the 95th percentile for gender.

    • † BMI is greater than or equal to the 85th and less than the 95th percentile for gender.

    • ‡ 95% confidence interval.

    • § Individuals who indicated that they changed what they ate or exercised more respectively in the last 30 days in an attempt to lose weight.

    • ‖ Individuals who classified themselves as either “slightly overweight” or “very overweight.”

    • ¶ Individuals who answered “lose weight” when asked “What are you trying to do about your weight?”

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    Table 2.

    Factors Associated with Recent Action to Lose Weight in Obese and Overweight Adolescents

    VariableOdds Ratio95% Confidence Interval*
    Obese†
        Accurate perception (yes/no)‡1.00.5 to 2.2
        Intention (yes/no)§11.6‖5.9 to 22.8
        Gender (female/male)0.90.5 to 1.9
        Age (categorical/years)0.90.7 to 1.1
        Race (black/other)1.60.8 to 3.4
    Overweight†
        Variable
        Accurate perception (yes/no)‡1.40.8 to 2.7
        Intention (yes/no)§6.6‖3.6 to 12.3
        Gender (female/male)1.20.7 to 2.1
        Age (categorical/years)1.00.8 to 1.2
        Race (black/other)0.6¶0.3 to 0.9
    • † Obese refers to BMI greater than or equal to the 95th percentile. Overweight refers to BMI greater than or equal to the 85th percentile and less than the 95th percentile. The comparisons for age were by year. The comparison for race was white.

    • * 95% confidence interval.

    • ‡ Individuals who classified themselves as either “slightly overweight” or “very overweight.”

    • § Individuals who answered “lose weight” when asked “What are you trying to do about your weight?”

    • ‖ P ≤ .01.

    • ¶ P ≤ .05.

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The Journal of the American Board of Family Medicine: 21 (6)
The Journal of the American Board of Family Medicine
Vol. 21, Issue 6
November-December 2008
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Perception, Intention, and Action in Adolescent Obesity
Heather Bittner Fagan, James Diamond, Ronald Myers, James M. Gill
The Journal of the American Board of Family Medicine Nov 2008, 21 (6) 555-561; DOI: 10.3122/jabfm.2008.06.070184

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Perception, Intention, and Action in Adolescent Obesity
Heather Bittner Fagan, James Diamond, Ronald Myers, James M. Gill
The Journal of the American Board of Family Medicine Nov 2008, 21 (6) 555-561; DOI: 10.3122/jabfm.2008.06.070184
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