title: Obesity-related knowledge and beliefs in obese adults attending a specialist weight-management service: implications for weight loss over 1 year.
abstract: OBJECTIVE
  Cognitive approaches to obesity management assume that weight loss is more likely to occur if individuals perceive many benefits and few costs. Research to-date has been limited by the lack of prospective studies.
  
  
  METHODS
  A longitudinal study design. At baseline, obese patients attending weight-management clinics (n=104) completed a questionnaire that assessed knowledge and beliefs regarding obesity's health and social/aesthetic consequences (Obesity Risk Knowledge (ORK-10) scale and the Obesity Beliefs scale), self-reported weight/height, goal weight, health-related quality of life, and sociodemographic characteristics. Medical records were also reviewed. At the 12-month follow-up, a second questionnaire assessed self-reported weight/height.
  
  
  RESULTS
  At baseline, average ORK-10 scale scores were 4/10. At follow-up, 32 out of the 66 participants retained on the study did not gain weight (48.5%). For these participants, weight loss was associated with endorsement of the health (r(s)=0.40) and the social/aesthetic (r(s)=0.31) costs of obesity (p<0.05).
  
  
  CONCLUSIONS
  Despite their high-risk status, participants demonstrated low levels of knowledge regarding obesity's health risks. Weight loss was associated with greater awareness of the health and social/aesthetic costs of obesity.
  
  
  CONCLUSIONS
  This study suggests that health education is required to facilitate informed choices and supports the use of cognitive approaches which promote both the health and social/aesthetic consequences of obesity.
authors.affiliation: Division of Nutritional Sciences, School of Biosciences, The University of Nottingham, UK. judy.swift@nottingham.ac.uk
authors.forename: Judy Anne
authors.initials: JA
authors.lastname: Swift
authors.forename: Cris
authors.initials: C
authors.lastname: Glazebrook
authors.forename: Abigail
authors.initials: A
authors.lastname: Anness
authors.forename: Rebecca
authors.initials: R
authors.lastname: Goddard
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D001294:Attitude to Health; D015992:Body Mass Index; D017281:Cost of Illness; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000517:prevention & control / Q000523:psychology*; D010353:Patient Education as Topic / Q000458:organization & administration*; D011788:Quality of Life / Q000523:psychology; D012307:Risk Factors; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D006113:United Kingdom; D015431:Weight Loss