Prevalence and predictors of receipt of weight loss advice among a nationally representative sample of overweight and obese Kenyans|
Wernz, Cort; Mkuu, Rahma S; Leal, Nicholas; Stegall, Raven; Wekullo, Caroline; Woldu, Dawit & Harvey, Idethia Shevon
Background: As Kenya continues to experience rapid development and urbanization, growing evidence shows an increasing prevalence of non-communicable diseases (NCDs) and overweight and obese citizens.
Objectives: This study sought to explore the extent to which Kenyan overweight and obese participants reported receiving
advice from physicians or health care providers to lose weight and to identify demographic characteristics associated with
receipt of weight loss advice.
Methods: Descriptive statistics analyzed sociodemographic characteristics and weight loss advice from the 2015 Kenya
WHO STEPwise survey (n = 1335). A bivariate logistic regression model estimated the association between socio-demographic characteristics and weight loss advice reported from a physician or health care provider.
Results: The prevalence of weight loss advice from health professionals among overweight and obese participants was 19%.
Model results indicated that obese individuals [odds ratio (OR) = 2.11, 95% confidence interval (CI) (1.36, 3.26)], individuals
with higher than a secondary education [OR = 2.26, 95% CI (1.39, 3.68)], urban dwellers [OR = 2.38, 95% CI (1.29, 4.39)],
and women [OR = 3.13, 95% CI (1.60, 6.12)] were significantly more likely to receive weight loss advice from their physician
or health care provider.
Conclusion: This study found low levels of report of physician or health care provider advice for weight loss among
overweight individuals. Advice was primarily reported by obese patients. Weight loss advice differed significantly based on
educational attainment, geographical location, and gender thus calling for targeted interventions to increase equitable NCD
prevention services from physicians.
Receipt of weight loss advice; overweight; obese Kenyans.