title: Perception, intention, and action in adolescent obesity.
abstract: BACKGROUND
  Insight into adolescents' weight-loss behavior is needed.
  
  
  METHODS
  Survey data were obtained from overweight and obese adolescents in the Youth Risk Behavioral Survey (YRBS) in Delaware. Cross tabulations were used to determine the frequency of accurate perception, recent action, and current intention regarding weight loss. Multivariable analysis identified factors associated with recent action to lose weight.
  
  
  RESULTS
  From 2,728 records, 482 overweight adolescents and 398 obese adolescents were identified. Most obese (83%) and overweight (79%) adolescents reported recent action to lose weight. Most obese (75%) and overweight (65%) adolescents intended to lose weight. Obese and overweight adolescents who reported a current intention to lose weight were more likely to have taken recent action to lose weight (odds ratio [OR], 11.6 and 6.6, respectively).
  
  
  CONCLUSIONS
  The percentage of obese and overweight adolescents who have an accurate perception of weight, intend to lose weight, and have taken recent action to lose weight suggests that this group is highly engaged in weight-related behavior change. Compared with their obese peers, overweight adolescents seem less engaged in weight change behavior. There is a strong association in both groups between intention and recent action, and this association indicates that obese and overweight adolescents are highly motivated to change their weight.
authors.affiliation: Health Services Research, Department of Family and Community Medicine, Christiana Care Health System, Wilmington, Delaware 19801, USA. hbittner-fagan@christianacare.org
authors.forename: Heather
authors.initials: H
authors.lastname: Bittner Fagan
authors.forename: James
authors.initials: J
authors.lastname: Diamond
authors.forename: Ronald
authors.initials: R
authors.lastname: Myers
authors.forename: James M
authors.initials: JM
authors.lastname: Gill
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D003691:Delaware / Q000453:epidemiology; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D008297:Male; D009749:Nutrition Surveys; D009765:Obesity / Q000453:epidemiology* / Q000523:psychology; D016017:Odds Ratio; D010865:Pilot Projects; D011594:Psychometrics; D018570:Risk Assessment; D012938:Social Perception; D015431:Weight Loss; D055815:Young Adult