Are overweight and obese adults with arthritis being advised to lose weight?
BACKGROUND
Obesity is a risk factor for the development and progression of arthritis. Weight loss can provide symptomatic benefit for adults with arthritis.


OBJECTIVE
To describe the proportion and characteristics of adults with self-reported diagnosed arthritis who report ever having been advised by a doctor or health professional that losing weight might benefit their arthritis or joint symptoms and to assess whether receiving the advice was associated with trying to lose weight.


METHODS
Using population-based survey data from the 2005 Behavioral Risk Factor Surveillance Survey (BRFSS), we classified respondents according to their arthritis status, gender, ethnicity, age, education, body mass index, activity limitations due to joint symptoms, whether or not they received advice to lose weight from a doctor or health professionals, and whether they report trying to lose weight.


RESULTS
Less than half (45.7%) of overweight or obese respondents with arthritis reported ever being advised by a doctor or health professional that losing weight might help their arthritis or joint symptoms. Respondents who were more likely to have received the advice were female, older, obese, with higher levels of education, and reported activity limitations due to joint symptoms. Overweight and obese respondents who reported receiving advice to lose weight were significantly more likely to report trying to lose weight than those who did not receive advice (odds ratio [OR] = 3.75; 95% confidence interval [95% CI] = 3.39-4.15).


CONCLUSIONS
Receiving advice was associated with a greater likelihood of trying to lose weight. Health care professionals should advise overweight and obese adults with arthritis about the potential benefits of weight loss and should provide the resources to assist these patients in losing weight.
Fontaine
Kevin R
KR
Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21224, USA. kfontai1@jhmi.edu
Haaz
Steffany
S
Bartlett
Susan J
SJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D001168:Arthritis / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology; D015992:Body Mass Index; D037001:Directive Counseling / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000523:psychology / Q000628:therapy*; D010349:Patient Compliance; D016896:Treatment Outcome; D015431:Weight Loss