Obese US firefighters report receiving no weight advice from their health provider

July 11, 2014, University of Texas Health Science Center at Houston

Obese and overweight firefighters are not receiving weight management advice from their health care providers, according to new research from The University of Texas Health Science Center at Houston (UTHealth).

National guidelines state that health care professionals (HCPs) should advise patients on the importance of maintaining a healthy . Firefighters have high rates of , and cardiovascular events are the leading cause of line-of-duty deaths in . This study assessed the association of age and body mass index (BMI) with HCP weight recommendations among male firefighters.

Researchers used data on self-reported HCP weight recommendations and measured BMI from a 2011–2012 national sample of male firefighters. HCP recommendations were recorded as no advice, maintain, gain, or lose weight, and BMI was categorized as normal, overweight, class I obese, and class II or III obese. We used multinomial logistic regression to estimate the odds of receiving weight advice by age and BMI categories.

Most firefighters (96 percent) reported visiting an HCP in the past year. Most (69 percent) firefighters and 48 percent of class I to III obese firefighters reported receiving no weight advice. Higher BMI predicted HCP advice to lose weight. Younger firefighters were less likely to receive weight loss than older firefighters, except among those who were class II or III obese.

The study was published today in the Center for Disease Control's journal Preventing Chronic Disease.

Explore further: No sign of 'obesity paradox' in obese patients with stroke

More information: Wilkinson ML, Brown AL, Poston WS, Haddock CK, Jahnke SA, Day RS. Physician Weight Recommendations for Overweight and Obese Firefighters, United States, 2011–2012. Prev Chronic Dis 2014;11:140091. DOI: 10.5888/pcd11.140091

Related Stories

No sign of 'obesity paradox' in obese patients with stroke

June 2, 2014
Researchers found no evidence of an "obesity paradox" (some studies have suggested overweight or obese patients have lower mortality rates than underweight or normal weight patients) in patients with stroke.

Women who gain too much or too little weight during pregnancy at risk for having an overweight child

April 14, 2014
Gaining both too much or too little weight during pregnancy appears to increase the risk of having an overweight or obese child, according to a Kaiser Permanente study published today in the American Journal of Obstetrics ...

Obese patients trust diet advice from overweight physicians more than normal-weight physicians

June 4, 2013
When it comes to taking diet advice from a physician—size matters. This is according to a new study led by a team of researchers at the Johns Hopkins Bloomberg School of Public Health and the Johns Hopkins University School ...

Physician's weight may influence obesity diagnosis and care

January 26, 2012
A patient's body mass index (BMI) may not be the only factor at play when a physician diagnoses a patient as obese. According to a new study led by researchers at the Johns Hopkins Bloomberg School of Public Health, the diagnosis ...

Carrying extra weight could be healthier for older people

March 25, 2014
(Medical Xpress)—Older people with a BMI (body mass index) in the overweight range live longer, according to the results of a new study.

Overweight pregnant women not getting proper weight-gain advice

December 10, 2012
Overweight women are not receiving proper advice on healthy weight gains or appropriate exercise levels during their pregnancies, according to Penn State College of Medicine researchers.

Recommended for you

Young children's oral bacteria may predict obesity

September 19, 2018
Weight gain trajectories in early childhood are related to the composition of oral bacteria of two-year-old children, suggesting that this understudied aspect of a child's microbiota—the collection of microorganisms, including ...

Rethinking an inflammatory receptor's obesity connection

September 12, 2018
Toll-like receptor 4 (TLR4) is a protein that plays a vital role in the body's immune response by sensing the presence of infection. It has long been thought to also sense particular types of fats, which suggested a mechanism ...

Rising European life expectancy undermined by obesity: WHO

September 12, 2018
Life expectancy in Europe continues to increase but obesity and the growing proportion of people who are overweight risks reversing this trend, the World Health Organization warned Wednesday.

Brief sleep intervention works long-term to prevent child obesity

September 6, 2018
When it comes to obesity prevention, sleep is not usually something that springs to mind, but a University of Otago research team has found we should not underestimate its importance.

Researchers develop more accurate measure of body fat

August 27, 2018
Cedars-Sinai investigators have developed a simpler and more accurate method of estimating body fat than the widely used body mass index, or BMI, with the goal of better understanding obesity.

Study suggests need to include overweight subjects in metabolic research

August 23, 2018
Children's Hospital Los Angeles investigators have demonstrated the need to include a growing constituency of obese and overweight children and adults in clinical research, with their study of a key marker for metabolism ...

2 comments

Adjust slider to filter visible comments by rank

Display comments: newest first

alfie_null
not rated yet Jul 12, 2014
Why do firefighters have higher rates of obesity?

How effective is receiving health care provider advice?
Forestgnome
not rated yet Jul 13, 2014
They don't know they're fat without an expert telling them?

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.