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A Scale development study to measure knowledge levels of obesity prevention methods: Obesity Struggle Knowledge Scale

Obesity Struggle Knowledge Scale

Authors

  • Çetin Altunal Nişantaşı university
  • Uysal Borku B Biruni University Medical Faculty Department of Internal medicine
  • İslamoğlu M.S. Biruni University Medical Faculty Department of Internal medicine

DOI:

https://doi.org/10.23751/pn.v24i3.12379

Keywords:

Obesity nutrition, physical activity, medical treatment

Abstract

In this cross-sectional prospective study, it was aimed to develop a scale to measure the knowledge levels of individuals on obesity struggle methods. The study was conducted on a total of 422 participants, 285 (67.5%) women and 137 (32.5%) men, who applied to our clinic with weight complaints between June 2019 and March 2020. A survey including baseline characteristics and Obesity Struggle Knowledge Scale with 15 items was applied to participants. EFA results showed that all items in the scale had factor weights higher than 0.40 with acceptable range. Kaiser-Meyer-Olkin (KMO) level showed that sample is adequate for the Principle Component Analysis (KMO: 0.817). Three factors with five items for each factor were found as “Nutrition Knowledge”, “Physical Activity Knowledge”, and “Medical Support Knowledge”. CFA analysis results showed that the scale had good fit with EFA results (CMIN/DF: 3.355; AGFI: 0.921; CFI: 0.955; IFI: 0.955; RMSEA: 0.075). Medical support knowledge had the highest mean, followed by physical activity and nutrition knowledge. All factors had higher reliability values. There were positive correlations between total obesity knowledge score with nutrition knowledge (r=0.608; p<0.01), physical activity knowledge (r=0.399; p<0.01) and medical support knowledge (r=0.627; p<0.01). There was positive and significant correlation between nutrition knowledge and medical support knowledge (r=0.141; p<0.01). The scale may applied to large samples, it can be determined which group needs more information in studies such as public service advertisements and education to be carried out to struggle with obesity. By this way, it may be possible to use public resources more efficiently and to reach individuals more effectively in health.

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References

Conway B, Rene A. Obesity as a disease: no lightweight matter. Obes Rev. 2004 Aug;5(3):145-51. doi: 10.1111/j.1467-789X.2004.00144.x. PMID: 15245383.

Caballero B. Humans against Obesity: Who Will Win? Adv Nutr. 2019 Jan 1;10(suppl_1):S4-S9. doi: 10.1093/advances/nmy055. PMID: 30721956; PMCID: PMC6363526.

Huang H, Yan Z, Chen Y, Liu F. A social contagious model of the obesity epidemic. Sci Rep. 2016 Nov 28;6:37961. doi: 10.1038/srep37961. PMID: 27892501; PMCID: PMC5124998.

Withrow D, Alter DA. The economic burden of obesity worldwide: a systematic review of the direct costs of obesity. Obes Rev. 2011 Feb;12(2):131-41. doi: 10.1111/j.1467-789X.2009.00712.x. PMID: 20122135.

Bessesen DH. Update on obesity. J Clin Endocrinol Metab. 2008 Jun;93(6):2027-34. doi: 10.1210/jc.2008-0520. PMID: 18539769.

Lanigan J, Barber S, Singhal A. Prevention of obesity in preschool children. Proc Nutr Soc. 2010 May;69(2):204-10. doi: 10.1017/S0029665110000029. Epub 2010 Feb 17. PMID: 20158938.

Audet M, Baillot A, Vibarel-Rebot N. Obésité féminine et activité physique : mieux comprendre les enjeux liés à la stigmatisation [Female obesity and physical activity: a better understanding of the stakes linked to stigmatization]. Sante Publique. 2016 Jun 8;28 Suppl 1:S127-134. French. PMID: 28155782.

Holtz C, Smith TM, Winters FD. Childhood obesity. J Am Osteopath Assoc. 1999 Jul;99(7):366-71. doi: 10.7556/jaoa.1999.99.7.366. PMID: 10441935.

Bray GA. Obesity, a disorder of nutrient partitioning: the MONA LISA hypothesis. J Nutr. 1991 Aug;121(8):1146-62. doi: 10.1093/jn/121.8.1146. PMID: 1861165.

Kolotkin RL, Meter K, Williams GR. Quality of life and obesity. Obes Rev. 2001 Nov;2(4):219-29. doi: 10.1046/j.1467-789x.2001.00040.x. PMID: 12119993.

Mohammed MS, Sendra S, Lloret J, Bosch I. Systems and WBANs for Controlling Obesity. J Healthc Eng. 2018 Feb 1;2018:1564748. doi: 10.1155/2018/1564748. PMID: 29599941; PMCID: PMC5823412.

Patel JJ, Rosenthal MD, Miller KR, Codner P, Kiraly L, Martindale RG. The Critical Care Obesity Paradox and Implications for Nutrition Support. Curr Gastroenterol Rep. 2016 Sep;18(9):45. doi: 10.1007/s11894-016-0519-8. PMID: 27422122.

Cohen, L., Manion, L. and Morrison, K. Reserch methods in education (5th ed.). London: Routledge/Falmer, 2000.

Executive summary of the clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Arch Intern Med. 1998 Sep 28;158(17):1855-67. doi: 10.1001/archinte.158.17.1855. PMID: 9759681.

Sommer A, Twig G. The Impact of Childhood and Adolescent Obesity on Cardiovascular Risk in Adulthood: a Systematic Review. Curr Diab Rep. 2018 Aug 30;18(10):91. doi: 10.1007/s11892-018-1062-9. PMID: 30167798.

Crombie N. Obesity management. Nurs Stand. 1999 Aug 11-17;13(47):43-6. doi: 10.7748/ns1999.08.13.47.43.c2659. PMID: 10661190.

Medanić D, Pucarin-Cvetković J. Pretilost--javnozdravstveni problem i izazov [Obesity--a public health problem and challenge]. Acta Med Croatica. 2012 Dec;66(5):347-55. Croatian. PMID: 23814963.

Blocker WP Jr, Ostermann HJ. Obesity: evaluation and treatment. Dis Mon. 1996 Dec;42(12):829-73. doi: 10.1016/s0011-5029(96)80001-0. PMID: 8982059.

Hand MS, Armstrong PJ, Allen TA. Obesity: occurrence, treatment, and prevention. Vet Clin North Am Small Anim Pract. 1989 May;19(3):447-74. doi: 10.1016/s0195-5616(89)50055-x. PMID: 2658285.

Shashaty MG, Stapleton RD. Physiological and management implications of obesity in critical illness. Ann Am Thorac Soc. 2014 Oct;11(8):1286-97. doi: 10.1513/AnnalsATS.201404-159FR. PMID: 25172506; PMCID: PMC4298999.

McTigue KM, Hess R, Ziouras J. Obesity in older adults: a systematic review of the evidence for diagnosis and treatment. Obesity (Silver Spring). 2006 Sep;14(9):1485-97. doi: 10.1038/oby.2006.171. PMID: 17030958.

Wadden TA, Brownell KD, Foster GD. Obesity: responding to the global epidemic. J Consult Clin Psychol. 2002 Jun;70(3):510-25. doi: 10.1037//0022-006x.70.3.510. PMID: 12090366.

Guy-Grand B. De l'obésité aux obésités: des concepts aux pratiques [From obesity to obesities: from concepts to practices]. Ann Endocrinol (Paris). 2003 Nov;64(5 Pt 2):S7-15. French. PMID: 14707898.

Shephard RJ. Role of the physician in childhood obesity. Clin J Sport Med. 2004 May;14(3):161-8. doi: 10.1097/00042752-200405000-00009. PMID: 15166905.

Garrow JS. Effect of exercise on obesity. Acta Med Scand Suppl. 1986;711:67-73. doi: 10.1111/j.0954-6820.1986.tb08933.x. PMID: 3535415.

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