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【medical-news】关注不同人群的减肥动机对健康生

Focus on weight undermines motivation for healthy lifestyle changes among people of all sizes
A newly published UCLA study suggests our media and cultural obsession with achieving a certain weight does little to convince couch potatoes of any size to abandon their favorite sofa cushions and get active. In fact, those messages may actually undermine motivation to adopt exercise and other healthy lifestyle habits.

Published in the June edition of the peer-reviewed journal Obesity, the cross-cultural study finds that women are more likely to categorize themselves as overweight than men, both overall and within each ethnic group. In addition, African Americans are least likely and whites most likely to consider themselves overweight. The study finds that even among many adults of average or normal weight -- men in particular -- a self-perceived weight problem correlates with sedentary behavior.

White women of average weight are the only ethnic-gender group studied in which the proportion of sedentary individuals is not higher among those who consider themselves overweight, versus average weight, the study shows. White women are also the only ethnic-gender group in which average-weight individuals comprise the majority.

The researchers noted that in addition to cultural expectations, greater access to fitness programs, "walkable" neighborhoods, quality child and elder care, and flexible work hours all help make the choice to be active easier for white women overall than their Latina and African American counterparts.

"These data suggest that our society's emphasis on weight loss rather than lifestyle change may inadvertently discourage even non-obese people from adopting or maintaining the physical activity necessary for long-term good health," said Dr. Antronette Yancey, lead author of the study and associate professor of health services at the UCLA School of Public Health.

"All groups may benefit from messages that shift the focus away from a specific target weight and associated calorie counting, and instead promote increased physical activity and healthy eating habits," Yancey said. "We still need to learn more about the relationship between overweight self-perception and healthy lifestyle change, and the apparent protective role of the cultural valuation of thinness and stigmatization of obesity in the battle of the bulge." The study used data from the 2002?3 Los Angeles County Health Survey, a random telephone survey conducted by the Los Angeles County Department of Health Services. Of 14,154 eligible adults contacted, 8,167 completed interviews, or 58 percent. Body mass index (BMI) was calculated from self-reported weight and height, and each individual was classified as underweight, normal, overweight or obese. Self-perceived weight status was measured using direct questions asking participants to identify themselves as overweight, underweight or average for their height. Sedentary behavior was measured using standardized questions from an adaptation of the short version of the International Physical Activity Questionnaire.

Among specific findings:

The prevalence of overweight and obesity among adult Angelenos by race/ethnicity and gender was fairly typical of national samples. The combined prevalence of overweight and obesity was highest in African Americans and Latinos, intermediate in whites, and lowest in Asians-Pacific Islanders. The pattern was consistent among both men and women within each group.
73.2 percent of overweight/non-obese and 24.1 percent of average-weight women considered themselves overweight, compared with 44.5 percent of overweight/ non-obese and 5.6 percent of average-weight men.
41.3 percent of overweight/non-obese African Americans identified themselves as overweight, compared with 60.6 percent of overweight/non-obese whites.
Overweight self-perception, versus average-weight self-perception, correlated with sedentary behavior among average-weight adults (45.3 percent versus 33.0 percent), overweight adults (43.4 percent versus 33.6 percent), average-weight and overweight men (38.4 percent versus 27.8 percent), overweight whites (41.9 percent versus 29.7 percent), and African Americans and Latinos (41.6 percent versus 33.9 percent). 前面那篇被认领了,我来翻译这篇吧 标题:对体重的关注使不同人群失去了改变生活方式的动力
(这个标题和逃主管给出的标题略有不同,需要商榷)
一项最新的UCLA(加州大学洛杉矶分校)研究结果表明,在媒体和文化的传统观念中一直强调对于某一具体体重数值的关注,而这种关注不仅没能说服"沙发懒虫"们放弃他们喜爱的沙发垫并增加体育锻炼.实际上,也正是这种关注使人们失去了采用运动和其他健康的生活方式的动力。

在六月份的综述类杂志“肥胖”上所刊登的这篇涉及多文化交叉的研究表明,不论是在整体上还是在各个种族内部,女性都要比男性更倾向于把自己归于超重。另外,非洲裔美国人最不会认为他们超重,而白人最会认为他们超重。研究发现,甚至在一些正常体重的成年人,尤其是成年男性中,自我认为体重超标的问题和久坐的习惯有关。

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作者:admin@医学,生命科学    2011-03-24 18:59
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