TY  - JOUR
AU  - Wilkinson, Michelle Lynn
AU  - Brown, Austin Lane
AU  - Poston, Walker Seward Carlos
AU  - Haddock, Christopher Keith
AU  - Jahnke, Sara Anne
AU  - Day, Rena Sue
PY  - 2014
TI  - Physician Weight Recommendations for Overweight and Obese Firefighters, United States, 2011-2012
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E116
VL  - 11
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  National guidelines state that health care professionals (HCPs) should advise patients on the importance of maintaining a healthy weight. Firefighters have high rates of obesity, and cardiovascular events are the leading cause of line-of-duty deaths in firefighters. This study assessed the association of age and body mass index (BMI) with HCP weight recommendations among male firefighters. METHODS  We used data on self-reported HCP weight recommendations and measured BMI from a 2011-2012 national sample of male firefighters (N = 1,002). HCP recommendations were recorded as no advice, maintain, gain, or lose weight, and BMI was categorized as normal (<25.0 kg/m2), overweight (25.0-29.9 kg/m2), class I obese (30.0-34.9 kg/m2), and class II or III obese (>=35.0 kg/m2). We used multinomial logistic regression to estimate the odds of receiving weight advice by age and BMI categories. RESULTS  Most firefighters (96%) reported visiting an HCP in the past year. Most (69%) firefighters and 48% of class I to III obese firefighters reported receiving no weight advice. Higher BMI predicted HCP advice to lose weight (odds ratio class I obese vs normal weight: 12.98; 95% confidence interval: 5.38-31.34). Younger firefighters were less likely to receive weight loss advice than older firefighters, except among those who were class II or III obese. CONCLUSIONS  HCPs are important sources of health information for firefighters. Overweight and obese firefighters, particularly those who are younger, do not consistently receive HCP advice to lose weight. This marks a missed opportunity to prevent further weight gain and reduce obesity-related health outcomes.
SN  - 1545-1151
UR  - http://dx.doi.org/10.5888/pcd11.140091
DO  - 10.5888/pcd11.140091
ER  - 
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