{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T10:04:56Z","timestamp":1784023496988,"version":"3.55.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]},{"name":"National Council for Scientific and Technological Development\u2013CNPq\/Process","award":["306594\/2020-0"],"award-info":[{"award-number":["306594\/2020-0"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the accuracy of clinical indicators and etiological factors associated with the nursing diagnosis of ineffective overweight self-management among university students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A diagnostic accuracy study with a cross-sectional design was conducted with 108 university students. A latent class analysis model with random effects was used to establish sensitivity and specificity measures of clinical indicators, estimate the prevalence of the diagnosis, and calculate posterior probabilities for the diagnosis. Odds ratios for etiological factors were calculated using univariate logistic regression. The study was approved by the Research Ethics Committee of the responsible institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The nursing diagnosis of ineffective overweight self-management had an estimated prevalence of 38.1% in the sample. Sensitive clinical indicators included excessive calorie consumption (0.9514) and dissatisfaction with body image (0.8834). Specific indicators included negative self-perception of health (0.9999), inadequate eating behavior (0.9990), and impaired emotional health (0.8273). A personal history of overweight (OR\u00a0=\u00a02.78;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      -value\u00a0=\u00a00.018) increased the likelihood of developing ineffective overweight self-management by approximately two and a half times.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ineffective overweight self-management is prevalent among university students and is characterized by two sensitive clinical indicators, three specific indicators, and a population at risk that increases the likelihood of this diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for nursing practice<\/jats:title>\n                    <jats:p>Accurate clinical indicators and the identification of etiological factors for the diagnosis of ineffective overweight self-management support nurses\u2019 clinical reasoning in practice. Moreover, verifying accurate components for diagnosing ineffective overweight self-management contributes to the development of interventions aimed at promoting the health of university students.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/2047-3095.12497","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T06:32:20Z","timestamp":1731997940000},"page":"441-448","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Ineffective overweight self-management: A study of diagnostic accuracy and etiological relationships"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2512-7120","authenticated-orcid":false,"given":"Ana Carolina Costa","family":"Carino","sequence":"first","affiliation":[{"name":"Department of Nursing, Federal University of Rio Grande of Norte, Natal, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata Marinho","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Department of Nursing, Federal University of Rio Grande of Norte, Natal, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliane Rangel","family":"Dantas","sequence":"additional","affiliation":[{"name":"Department of Nursing, Federal University of Rio Grande of Norte, Natal, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e1udio C\u00e9sar Guimar\u00e3es","family":"Martins","sequence":"additional","affiliation":[{"name":"Department of Nursing, Federal University of Cear\u00e1, Fortaleza, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annaiza Freitas Lopes","family":"deAra\u00fajo","sequence":"additional","affiliation":[{"name":"Department of Nursing, Federal University of Cear\u00e1, Fortaleza, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Isabel da Concei\u00e7\u00e3o Dias","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Department of Nursing, Federal University of Rio Grande of Norte, Natal, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5867-8023","authenticated-orcid":false,"given":"Marcos Ven\u00edcios de Oliveira","family":"Lopes","sequence":"additional","affiliation":[{"name":"Department of Nursing, Federal University of Cear\u00e1, Fortaleza, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7255-960X","authenticated-orcid":false,"given":"Ana Luisa Brand\u00e3o de Carvalho","family":"Lira","sequence":"additional","affiliation":[{"name":"Department of Nursing, Federal University of Cear\u00e1, Fortaleza, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2047-6310.2011.00046.x"},{"issue":"9","key":"e_1_3_3_3_1","first-page":"1859","article-title":"Can teenage obesity affect mental health?","volume":"29","author":"Assun\u00e7\u00e3o M. C. F.","year":"2013","unstructured":"Assun\u00e7\u00e3o M. C. F., Muniz L. C., Sch\u00e4fer A. A., Meller F. O., Car\u00fas J. P., Quadros L. C. M., Domingues L. R., Silva V. L. S., Gon\u00e7alves H., Hallal P. C., Menezes A. M. B. (2013). Can teenage obesity affect mental health?. Cadernos de Sa\u00fade P\u00fablica, 29(9), 1859\u20131866. https:\/\/doi.org\/10.1590\/0102-311X00135812","journal-title":"Cadernos de Sa\u00fade P\u00fablica"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000591"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.572"},{"key":"e_1_3_3_6_1","article-title":"Nursing interventions with people with obesity in primary health care: An integrative review","volume":"51","author":"Braga V. A. S.","year":"2017","unstructured":"Braga V. A. S., Jesus M. C. P., Conz C. A., Tavares R. E., Silva M. H. D., Merighi M. A. B. (2017). Nursing interventions with people with obesity in primary health care: An integrative review. Revista da Escola de Enfermagem da USP, 51, e03293. https:\/\/doi.org\/10.1590\/s1980-220X2017019203293","journal-title":"Revista da Escola de Enfermagem da USP"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1590\/0101-60830000000062"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/0047-2085000000274"},{"key":"e_1_3_3_9_1","unstructured":"Carino A. C. C. (2024). Validation of the nursing diagnosis of overweight in university students [Theses Federal University of Rio Grande do Norte]. https:\/\/repositorio.ufrn.br\/handle\/123456789\/58488"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2023-0372"},{"issue":"2","key":"e_1_3_3_11_1","first-page":"513","article-title":"Validation of nursing diagnoses: Validated types, patterns and components validated","volume":"10","author":"Chaves E. C. L.","year":"2008","unstructured":"Chaves E. C. L., Carvalho E. C., Rossi L. A. (2008). Validation of nursing diagnoses: Validated types, patterns and components validated. Revista Eletr\u00f4nica de Enfermagem, 10(2), 513\u2013520. https:\/\/doi.org\/10.5216\/ree.v10i2.8063","journal-title":"Revista Eletr\u00f4nica de Enfermagem"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.15448\/1980-8623.2015.1.13227"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0103-21002009000200013"},{"issue":"1","key":"e_1_3_3_14_1","first-page":"42","article-title":"Psychological aspects related to obesity: Case report","volume":"16","author":"De-Matos B. W.","year":"2020","unstructured":"De-Matos B. W., Machado L. M., Hentschke G. S. (2020). Psychological aspects related to obesity: Case report. Revista Brasileira de Terapias Cognitivas, 16(1), 42\u201349. https:\/\/doi.org\/10.5935\/1808-5687.20200007","journal-title":"Revista Brasileira de Terapias Cognitivas"},{"key":"e_1_3_3_15_1","first-page":"2","article-title":"Sociodemographic profile, hospitalizations and deaths by obesity in the Brazilian regions","volume":"49","author":"Gon\u00e7alves J. T. T.","year":"2023","unstructured":"Gon\u00e7alves J. T. T., Vieira K. H., Gon\u00e7alves C. T., Seixas M. C., Santana R. F., Borges M. A. R., Prince K. A. (2023). Sociodemographic profile, hospitalizations and deaths by obesity in the Brazilian regions. HU Revista, 49, 2\u20135. https:\/\/doi.org\/10.34019\/1982-8047.2023.v49.40428","journal-title":"HU Revista"},{"key":"e_1_3_3_16_1","volume-title":"NANDA International Nursing Diagnoses: Definitions and classification 2024\u20132026","author":"Herdman T.","year":"2024","unstructured":"Herdman T., Kamitsuru S., Lopes C. (2024). NANDA International Nursing Diagnoses: Definitions and classification 2024\u20132026 (13th ed.). Thieme.","edition":"13"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.15210\/jonah.v7i3.8985"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806-93042020000300004"},{"issue":"3","key":"e_1_3_3_19_1","article-title":"Association between socio-demographic factors and cardiovascular health risk behaviors of Brazilian adolescents aged 13 to 17 years: Data from the 2015 National School-Based Health Survey","volume":"28","author":"Leal M. A. B. F.","year":"2019","unstructured":"Leal M. A. B. F., Lima C. E. B., Mascarenhas M. D. M., Rodrigues M. T. P., Paiva S. S. C., Sousa C. R. O., Veloso V. R. (2019). Association between socio-demographic factors and cardiovascular health risk behaviors of Brazilian adolescents aged 13 to 17 years: Data from the 2015 National School-Based Health Survey. Epidemiologia e Servi\u00e7os de Sa\u00fade, 28(3), e2018315. https:\/\/doi.org\/10.5123\/S1679-49742019000300008","journal-title":"Epidemiologia e Servi\u00e7os de Sa\u00fade"},{"issue":"1","key":"e_1_3_3_20_1","first-page":"8","article-title":"Psychological factors of obesity and some notes about cognitive-behavioral therapy","volume":"24","author":"Lima A. C. R.","year":"2016","unstructured":"Lima A. C. R., Oliveira A. B. (2016). Psychological factors of obesity and some notes about cognitive-behavioral therapy. Mudan\u00e7as, 24(1), 8\u201313. https:\/\/doi.org\/10.15603\/2176-1019\/MUD.V24N1P1-14","journal-title":"Mudan\u00e7as"},{"key":"e_1_3_3_21_1","volume-title":"NANDA International. PRONANDA\u2014Programa de atualiza\u00e7\u00e3o em diagn\u00f3sticos de enfermagem: Conceitos b\u00e1sicos","author":"Lopes M. V. O.","year":"2016","unstructured":"Lopes M. V. O., Silva V. M. (2016). Advanced methods for validating nursing diagnoses. In Herdman T. H., deCarvalho E. C. (Eds.), NANDA International. PRONANDA\u2014Programa de atualiza\u00e7\u00e3o em diagn\u00f3sticos de enfermagem: Conceitos b\u00e1sicos (4 ciclo ed.). Artmed\/Panamericana.","edition":"4"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2047-3095.2012.01213.x"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1590\/1980-549720180009.supl.1"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-07072012000200015"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1590\/1413-81232021269.2.24922019"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.34019\/1982-8047.2017.v43.2629"},{"issue":"3","key":"e_1_3_3_27_1","first-page":"382","article-title":"Sociodemographic, behavioral and nutritional profile of adults attending a school clinic of nutrition in Salvador, Bahia","volume":"16","author":"Pfaffenseller R. F.","year":"2017","unstructured":"Pfaffenseller R. F., Lemaire D. C., Almeida V. F. A., Bahamonde N. M. S. G. (2017). Sociodemographic, behavioral and nutritional profile of adults attending a school clinic of nutrition in Salvador, Bahia. Revista de Ci\u00eancias M\u00e9dicas e Biol\u00f3gicas, 16(3), 382, 2017. https:\/\/doi.org\/10.9771\/cmbio.v16i3.24383","journal-title":"Revista de Ci\u00eancias M\u00e9dicas e Biol\u00f3gicas"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13082819"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.15253\/2175-6783.2008000200009"},{"issue":"173","key":"e_1_3_3_30_1","first-page":"119","article-title":"Behavior and food habits in childhood: A review on the role of parents and school","volume":"46","author":"Simon L. M.","year":"2022","unstructured":"Simon L. M., Zemolin G. P., Spinelli R. B., Sturmer J. (2022). Behavior and food habits in childhood: A review on the role of parents and school. Perspectiva, 46(173), 119\u2013130. https:\/\/doi.org\/10.31512\/persp.v.46.n.173.2022.201.p.119-130","journal-title":"Perspectiva"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20958"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2014.129"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1159\/000454837"}],"container-title":["International Journal of Nursing Knowledge"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1111\/2047-3095.12497","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1111\/2047-3095.12497","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1111\/2047-3095.12497","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T09:09:33Z","timestamp":1784020173000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.1111\/2047-3095.12497"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/2047-3095.12497"],"URL":"https:\/\/doi.org\/10.1111\/2047-3095.12497","relation":{},"ISSN":["2047-3087","2047-3095"],"issn-type":[{"value":"2047-3087","type":"print"},{"value":"2047-3095","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]}}}