Health  Vol.4 No.8 , August 2012
Physical activity and dietary behaviors of health clinic workers trying to lose weight
Abstract: Health clinic workers are potential agents of change for weight loss to patients, yet their behaviors are not well known. This study examined physical activity (PA) levels and dietary habits of health clinic workers who were and who were not trying to lose weight. Participants were 64 community health clinic workers (58 females and 6 males). Moderate-to-vigorous intensity (MVI) time spent in PA was assessed by triaxial accelerometry over 7 consecutive days. Dietary habits and weight loss efforts were determined by a food frequency questionnaire. Differences in MVI and nutrition variables were assessed by One-way ANOVA, comparing those trying to lose weight and those not trying to lose weight. 48 out of 64 health clinic workers (approximately 75%) indicated that they were currently trying to lose weight. There were significant differences (p < 0.05) in Body Mass Index (BMI), daily energy (Kcal) and fat (g) intake between those trying to lose weight and those not trying to lose weight. There were no significant differences in MVI, daily sugar intake (g), vegetable and fruit servings, and daily fiber intake (g) between groups. Health clinic workers trying to lose weight appear to be engaging in some appropriate dietary but not PA behaviors.
Cite this paper: Goh, T. , Ball, T. , Shaw, J. and Hannon, J. (2012) Physical activity and dietary behaviors of health clinic workers trying to lose weight. Health, 4, 493-499. doi: 10.4236/health.2012.48079.

[1]   US Department of Agriculture, US Department of Health and Human Services (2010) Dietary guidelines for Americans. 7th Edition, US Government Printing Office, Washington DC.

[2]   Bassett, D.R., Pucher, J., Buehler, R., Thompson, D.L. and Crouter S.E. (2008) Walking, cycling, and obesity rates in Europe, North America, and Australia. Journal of Physical Activity and Health, 5, 795-814.

[3]   Carnethon, M.R., Gulati, M. and Greenland, P. (2005) Prevalence and cardiovascular disease correlates of low cardiorespiratory fitness in adolescents and adults. The Journal of American Medical Association, 294, 2981-2988. doi:10.1001/jama.294.23.2981

[4]   van Dam, R.M., Li, T., Spiegelman, D., Franco, O.H. and Hu, F.B. (2008) Combined impact of lifestyle factors on mortality: prospective cohort study in US women. British Medical Journal, 337, a1440. doi:10.1136/bmj.a1440

[5]   Chiuve, S.E., Fung, T.T., Rexrode, K.M., et al. (2011) Adherence to a low-risk, healthy lifestyle and risk of sudden cardiac death among women. The Journal of American Medical Association, 306, 62-69. doi:10.1001/jama.2011.907

[6]   Donnelly, J.E., Blair, S.N., Jakicic, J.M., et al. (2009) American college of sports medicine position stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine and Science in Sport and Exercise, 41, 459-471. doi:10.1249/MSS.0b013e3181949333

[7]   Hill, J.O., Wyatt, H., Phelan, S. and Wing, R. (2005) The national weight control registry: Is it useful in helping deal with our obesity epidemic? Journal of Nutrition Education and Behavior, 37, 206-210. doi:10.1016/S1499-4046(06)60248-0

[8]   Mekary, R.A., Feskanich, D., Hu, F.B., Willett, W.C. and Field, A.E. (2010) Physical activity in relation to long-term weight maintenance after intentional weight loss in premenopausal women. Obesity, 18, 167-174. doi:10.1038/oby.2009.170

[9]   Hankinson, A.L., Daviglus, M.L., Bouchard, C., et al. (2010) Maintaining a high physical activity level over 20 years and weight gain. The Journal of American Medical Association, 304, 2603-2610. doi:10.1001/jama.2010.1843

[10]   Sonntag, U., Henkel, J., Renneberg, B., Bockelbrink, A., Braun, V. and Heintze, C. (2010) Counseling overweight patients: Analysis of preventive encounters in primary care. International Journal for Quality in Health Care, 22, 486-492. doi:10.1093/intqhc/mzq060

[11]   Jacobson, D.M., Strohecker, L., Compton, M.T. and Katz, D.L. (2005) Physical activity counseling in the adult primary care setting: position statement of the American College of Preventive Medicine. American Journal of Preventive Medicine, 29, 158-162. doi:10.1016/j.amepre.2005.04.009

[12]   Fletcher, G.F. (1997) How to implement physical activity in primary and secondary prevention. A statement for healthcare-professionals from the task force on risk-reduction. American Heart Association. Circulation, 96, 355-357. doi:10.1161/01.CIR.96.1.355

[13]   Tulloch, H., Fortier, M. and Hogg, W. (2006) Physical activity counseling in primary care: Who has and who should be counseling? Patient Education and Counselling, 64, 6-20. doi:10.1016/j.pec.2005.10.010

[14]   Buchholz, S.W. and Purath, J. (2007) Physical activity and physical fitness counseling patterns of adult nurse practitioners. Journal of American Academy of Nurse Practitioners, 19, 86-92. doi:10.1111/j.1745-7599.2006.00197.x

[15]   Lin, S.X., Hyman, D. and Larson, E. (2005) Provision of health counseling in office-based practices and hospital outpatient clinics. Preventive Medicine, 40, 542-546. doi:10.1016/j.ypmed.2004.06.015

[16]   Wilcox, S., Parra-Medina, D., Felton, G.M., Poston, M.B. and McClain, A. (2010) Adoption and implementation of physical activity and dietary counseling by community health center providers and nurses. Journal of Physical Activity and Health, 7, 602-612.

[17]   Millstein, R.A., Carlson, S.A., Fulton, J.E., et al. (2008) Relationships between body size satisfaction and weight control practices among US adults. The Medscape Journal of Medicine, 10, 119.

[18]   Kruger, J., Yore, M.M., Ainsworth, B.E. and Macera, C.A. (2008) Physical activity patterns associated with weight-control status: Differences by race and sex. Journal of Physical Activity and Health, 5, 456-468.

[19]   Tucker, S.J., Harris, M.R., Pipe, T.B. and Stevens, S.R. (2010) Nurses’ ratings of their health and professional work environments. American Association of Occupational Health Nurses Journal, 58, 253-267.

[20]   Loney, T., Standage, M., Thompson, D., Sebire, S.J. and Cumming, S. (2011) Self-report vs. objectively assessed physical activity: Which is right for public health? Journal of Physical Activity and Health, 8, 62-70.

[21]   Ainsworth, B.E., Bassett, D.R., Strath, S.J., et al. (2000) Comparison of three methods for measuring the time spent in physical activity. Medicine and Science in Sport and Exercise, 32, S457-464. doi:10.1097/00005768-200009001-00004

[22]   McClain, J.J., Sisson, S.B. and Tudor-Locke, C. (2007) Actigraph accelerometer interinstrument reliability during free-living in adults. Medicine and Science in Sport and Exercise, 39, 1509-1514. doi:10.1249/mss.0b013e3180dc9954

[23]   Freedson, P.S., Melanson, E. and Sirard, J. (1998) Calibration of the computer science and applications, Inc. accelerometer. Medicine and Science in Sport and Exercise, 30, 777-781.

[24]   Trost, S.G., McIver, K.L. and Pate, R.R. (2005) Conducting accelerometer-based activity assessments in field-based research. Medicine and Science in Sport and Exercise, 37, S531-543. doi:10.1097/00005768-199805000-00021

[25]   Haskell, W.L., Lee, I.M., Pate, R.R., et al. (2007) Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116, 1081-1093. doi:10.1161/CIRCULATIONAHA.107.185649

[26]   Ainsworth, B.E., Haskell, W.L., Herrmann, S.D., et al. (2011) 2011 compendium of physical activities: A second update of codes and MET values. Medicine and Science in Sport and Exercise, 43, 1575-1581. doi:10.1249/MSS.0b013e31821ece12

[27]   Block, G., Woods, M., Potosky, A. and Clifford, C. (1990) Validation of a self-administered diet history questionnaire using multiple diet records. Journal of Clinical Epidemiology, 43, 1327-1335. doi:10.1016/0895-4356(90)90099-B

[28]   Block, G., Wakimoto, P., Jensen, C., Mandel, S. and Green, R.R. (2006) Validation of a food frequency ques- tionnaire for Hispanics. Preventing Chronic Disease, 3, 1-10.

[29]   Centers for disease control and prevention. About BMI for adults.

[30]   Catenacci, V.A., Grunwald, G.K., Ingebrigtsen, J.P., et al. (2011) Physical activity patterns using accelerometry in the national weight control registry. Obesity, 19, 1163-1170. doi:10.1038/oby.2010.264

[31]   Green, K.L., Cameron, R., Polivy, J., et al. (1997) Weight dissatisfaction and weight loss attempts among Canadian adults. Canadian Medical Association Journal, 157, S17-S25.

[32]   Kruger, J., Galuska, D.A., Serdula, M.K. and Kohl, H.W. (2005) Physical activity profiles of U.S. adults trying to lose weight: NHIS 1998. Medicine and Science in Sport and Exercise, 37, 364-368. doi:10.1249/01.MSS.0000155434.87146.72

[33]   Kruger, J., Blanck, H.M. and Gillespie, C. (2008) Dietary practices, dining out behavior, and physical activity correlates of weight loss maintenance. Preventing Chronic Disease, 5, A11.

[34]   Field, A.E., Willett, W.C., Lissner, L. and Colditz, G.A. (2007) Dietary fat and weight gain among women in the nurses’ health study. Obesity, 15, 967-976. doi:10.1038/oby.2007.616

[35]   Schulze, M.B., Manson, J.E., Ludwig, D.S., et al. (2004) Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. The Journal of American Medical Association, 292, 927-934. doi:10.1001/jama.292.8.927

[36]   Fung, T.T., Malik, V., Rexrode, K.M., Manson, J.E., Willett, W.C. and Hu, F.B. (2009) Sweetened beverage consumption and risk of coronary heart disease in women. The American Journal of Clinical Nutrition, 89, 1037-1042. doi:10.3945/ajcn.2008.27140

[37]   Halm, J. and Amoako, E. (2008) Physical activity recommendation for hypertension management: Does healthcare provider advice make a difference? Ethnicity and Disease, 18, 278-282.

[38]   Harsha, D.M., Saywell, R.M., Thygerson, S. and Panozzo, J. (1996) Physician factors affecting patient willingness to comply with exercise recommendations. Clinical Journal of Sport Medicine, 6, 112-118. doi:10.1097/00042752-199604000-00009

[39]   Bennett, H.D., Coleman, E.A., Parry, C., Bodenheimer, T. and Chen, E.H. (2010) Health coaching for patients with chronic illness. Family Practice Management, 17, 24-29.

[40]   US Department of Health and Human Services. Decision memo for intensive behavioral therapy for obesity. AIAAA&NCAId=253&

[41]   Bourne, P.A., Glen, L.V., Laws, H. and Kerr-Campbell, M.D. (2010) Health, lifestyle and health care utilization among health professionals. Health, 2, 557-565. doi:10.4236/health.2010.26083