{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T21:49:54Z","timestamp":1780696194390,"version":"3.54.1"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2006,2,14]],"date-time":"2006-02-14T00:00:00Z","timestamp":1139875200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Obesity is a globally spreading health problem. Behavioural interventions aimed at modifying dietary habits and physical activity patterns are essential in prevention and management of obesity. General practitioners (GP) have a unique opportunity to counsel overweight patients on weight control. The purpose of the study was to assess the level of giving advice on diet and physical activity by GPs using the data of Lithuanian health behaviour monitoring among adult population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from cross-sectional postal surveys of 2000, 2002 and 2004 were analysed. Nationally representative random samples were drawn from the population register. Each sample consisted of 3000 persons aged 20\u201364 years. The response rates were 74.4% in 2000, 63.4% in 2002 and 61.7% in 2004. Self-reported body weight and height were used to calculate body mass index (BMI). Information on advising in primary health care was obtained asking whether GP advised overweight patients to change dietary habits and to increase physical activity. The odds of receiving advice on diet and physical activity were calculated using multiple logistic regression analyses according to a range of sociodemographic variables, perceived health, number of visits to GPs and body-weight status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Almost a half of respondents were overweight or obese. Only one fourth of respondents reported that they were advised to change diet. The proportion of persons who received advice on physical activity was even lower. The odds of receiving advice increased with age. A strong association was found between perceived health and receiving advice. The likelihood of receiving advice was related to BMI. GPs were more likely to give advice when BMI was high. More than a half of obese respondents (63.3%) reported that they had tried to lose weight. The association between receiving advice and self-reported attempt to lose weight was found.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The low rate of dietary and physical activity advice reported by overweight patients implies that more lifestyle counselling should be provided in primary health care. There is an obvious need for improved training and education of GPs in counselling of overweight patients focusing on methods of giving dietary and physical activity advice.<\/jats:p><\/jats:sec>","DOI":"10.1186\/1471-2458-6-30","type":"journal-article","created":{"date-parts":[[2006,2,17]],"date-time":"2006-02-17T07:45:25Z","timestamp":1140162325000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Advising overweight persons about diet and physical activity in primary health care: Lithuanian health behaviour monitoring study"],"prefix":"10.1186","volume":"6","author":[{"given":"Jurate","family":"Klumbiene","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janina","family":"Petkeviciene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vytautas","family":"Vaisvalavicius","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irena","family":"Miseviciene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2006,2,14]]},"reference":[{"key":"327_CR1","volume-title":"Obesity: preventing and managing the global epidemic","author":"Report of WHO Consultation on obesity","year":"1998","unstructured":"Report of WHO Consultation on obesity: Obesity: preventing and managing the global epidemic. 1998, Geneva, World Health Organisation"},{"issue":"Suppl 4","key":"327_CR2","doi-asserted-by":"publisher","first-page":"228S","DOI":"10.1038\/oby.2001.123","volume":"9","author":"PT James","year":"2001","unstructured":"James PT, Leach R, Kalamara E, Shayeghi M: The worldwide obesity epidemic. Obes Res. 2001, 9 (Suppl 4): 228S-233S.","journal-title":"Obes Res"},{"issue":"4","key":"327_CR3","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1093\/eurpub\/9.4.258","volume":"9","author":"A Bagust","year":"1999","unstructured":"Bagust A, Roberts B, Haycox A, Barrow S: The additional cost of obesity to the health service and the potential for resource saving from effective interventions. European Journal of Public Health. 1999, 9 (4): 258-64. 10.1093\/eurpub\/9.4.258.","journal-title":"European Journal of Public Health"},{"issue":"Suppl 1","key":"327_CR4","first-page":"S3","volume":"22","author":"T Kurscheid","year":"1998","unstructured":"Kurscheid T, Lauterbach K: The cost implications of obesity for health care and society. International journal of obesity and related metabolic disorders. 1998, 22 (Suppl 1): S3-S5.","journal-title":"International journal of obesity and related metabolic disorders"},{"key":"327_CR5","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1093\/fampra\/16.1.4","volume":"16","author":"R Grol","year":"1999","unstructured":"Grol R, Wensing M, Mainz J, Ferreira P, Hearnshaw H, Hjortdahl P, Olesen F, Ribacke M, Spenser T, Szecsenyi J: Patients' priorities with respect to general practice care: an international comparison. Family practice. 1999, 16: 4-11. 10.1093\/fampra\/16.1.4.","journal-title":"Family practice"},{"key":"327_CR6","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1093\/her\/4.3.367","volume":"4","author":"A Worsley","year":"1989","unstructured":"Worsley A: Perceived reliability of sources of health information. Health Educ Res. 1989, 4: 367-376.","journal-title":"Health Educ Res"},{"issue":"6","key":"327_CR7","first-page":"513","volume":"50","author":"MB Potter","year":"2001","unstructured":"Potter MB, Vu JD, Croughan-Minihane M: Weight management: what patients want from their primary care physicians. J fam Pract. 2001, 50 (6): 513-8.","journal-title":"J fam Pract"},{"issue":"2","key":"327_CR8","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1097\/00001888-200402000-00012","volume":"79","author":"J Huang","year":"2004","unstructured":"Huang J, Yu H, Marin E, Brock S, Carden D, Davis T: Physicians' weight loss counselling in two public hospital primary care clinics. Acad Med. 2004, 79 (2): 156-61. 10.1097\/00001888-200402000-00012.","journal-title":"Acad Med"},{"issue":"5","key":"327_CR9","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1046\/j.1365-2648.2002.02312.x","volume":"39","author":"MJ Duaso","year":"2002","unstructured":"Duaso MJ, Cheung P: Health promotion and life style advice in a general practice: what do patients think?. J Adv Nurs. 2002, 39 (5): 472-9. 10.1046\/j.1365-2648.2002.02312.x.","journal-title":"J Adv Nurs"},{"issue":"2","key":"327_CR10","first-page":"1223","volume":"39","author":"V Grabauskas","year":"2003","unstructured":"Grabauskas V, Petkevicien\u00eb J, Klumbiene J, Vaisvalavicius V: The prevalence of overweight and obesity in relation to social and behavioral factors. Medicina. 2003, 39 (2): 1223-30.","journal-title":"Medicina"},{"key":"327_CR11","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1093\/eurpub\/13.2.124","volume":"13","author":"RS Pr\u00e4t\u00e4l\u00e4","year":"2003","unstructured":"Pr\u00e4t\u00e4l\u00e4 RS, Groth MV, Oltesdorf US, Roos GM, Sekula W, Tuomainen HM: Use of butter and cheese in 10 European countries. A case of contrasting educational differences. Eur J Public Health. 2003, 13: 124-132. 10.1093\/eurpub\/13.2.124.","journal-title":"Eur J Public Health"},{"issue":"16","key":"327_CR12","doi-asserted-by":"publisher","first-page":"1581","DOI":"10.1001\/jama.282.16.1576","volume":"282","author":"DA Galuska","year":"1999","unstructured":"Galuska DA, Will JC, Serdula MK, Ford ES: Are health care professionals advising obese patients to lose weight?. JAMA. 1999, 282 (16): 1581-2. 10.1001\/jama.282.16.1576.","journal-title":"JAMA"},{"issue":"6","key":"327_CR13","doi-asserted-by":"publisher","first-page":"652","DOI":"10.1006\/pmed.2000.0760","volume":"31","author":"H Nawaz","year":"2000","unstructured":"Nawaz H, Adams ML, Katz DL: Physician-patient interactions regardings diet, exercise and smoking. Prev Med. 2000, 31 (6): 652-7. 10.1006\/pmed.2000.0760.","journal-title":"Prev Med"},{"issue":"Suppl 1","key":"327_CR14","doi-asserted-by":"crossref","first-page":"1048S","DOI":"10.1093\/ajcn\/77.4.1048S","volume":"77","author":"C Brotons","year":"2003","unstructured":"Brotons C, Ciurana R, Pineiro R, Kloppe P, Godycki-Cwirko M, Sammut MR: Dietary advice in clinic practice: the views of general practitioners in Europe. Am J Clin Nutr. 2003, 77 (Suppl 1): 1048S-51S.","journal-title":"Am J Clin Nutr"},{"key":"327_CR15","first-page":"780","volume":"44","author":"AM Grant","year":"1998","unstructured":"Grant AM, Niyonsenga T, Dion I, Delisle E, Xhignesse M, Bernier R: Cardiovascular disease: physicians' attitudes toward prevention and treatment. Can Fam Physician. 1998, 44: 780-7.","journal-title":"Can Fam Physician"},{"issue":"1","key":"327_CR16","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/j.ypmed.2004.05.012","volume":"40","author":"LR Simkin-Silverman","year":"2005","unstructured":"Simkin-Silverman LR, Gleason KA, King WC, Weissfeld LA, Buhari A, Boraz MA, Wing RR: Predictors of weight control advice in primary care practices: patient health and psychosocial characteristics. Prev Med. 2005, 40 (1): 71-82. 10.1016\/j.ypmed.2004.05.012.","journal-title":"Prev Med"},{"issue":"6","key":"327_CR17","doi-asserted-by":"publisher","first-page":"546","DOI":"10.1006\/pmed.1995.1087","volume":"24","author":"RF Kushner","year":"1995","unstructured":"Kushner RF: Barriers to providing to nutrition counselling by physicians. Prev Med. 1995, 24 (6): 546-52. 10.1006\/pmed.1995.1087.","journal-title":"Prev Med"},{"issue":"6","key":"327_CR18","first-page":"415","volume":"37","author":"SA Flocke","year":"2005","unstructured":"Flocke SA, Clark A, Schlessman K, Pomiecko G: Exercise, diet and weight loss advice in the family medicine outpatient setting. Fam Med. 2005, 37 (6): 415-21.","journal-title":"Fam Med"},{"issue":"3","key":"327_CR19","doi-asserted-by":"publisher","first-page":"596","DOI":"10.1038\/oby.2005.64","volume":"13","author":"CL Bish","year":"2005","unstructured":"Bish CL, Blanck HM, Serdula MK, Marcus M, Kohl HW, Khan LK: Diet and physical activity behaviors among Americans trying to lose weight: 2000 Behavioral Risk Factor Surveillance System. Obes Res. 2005, 13 (3): 596-607.","journal-title":"Obes Res"},{"issue":"7","key":"327_CR20","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1108\/00070700210418767","volume":"104","author":"A Beardsworth","year":"2002","unstructured":"Beardsworth A, Bryman A, Keil T, Goode J, Haslam C, Lancashire E: Women, men and food: the significance of gender for nutritional attitudes and choices. British Food J. 2002, 104 (7): 470-491. 10.1108\/00070700210418767.","journal-title":"British Food J"},{"key":"327_CR21","doi-asserted-by":"publisher","first-page":"1519","DOI":"10.1016\/S0277-9536(98)00032-X","volume":"46","author":"E Roos","year":"1998","unstructured":"Roos E, Lahelma E, Virtanen M, Prattala R, Pietinen P: Gender, socioeconomic status and family status as determinants of food behaviour. Soc Sci Med. 1998, 46: 1519-1529. 10.1016\/S0277-9536(98)00032-X.","journal-title":"Soc Sci Med"},{"issue":"7","key":"327_CR22","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1038\/sj.ijo.0802976","volume":"29","author":"J Bigaard","year":"2005","unstructured":"Bigaard J, Frederiksen K, Tjonneland A, Thomsen BL, Overvad K, Heitmann BL, Heitmann BL: Waist circumference and body composition in relation to all-cause mortality in middle-aged men and women. Int J Obes. 2005, 29 (7): 778-84. 10.1038\/sj.ijo.0802976.","journal-title":"Int J Obes"},{"key":"327_CR23","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1053\/euhj.2001.2889","volume":"23","author":"H-M Lakka","year":"2002","unstructured":"Lakka H-M, Lakka TA, Tuomilehto J, Salonen JT: Abdominal obesity is associated with increased risk of acute coronary events in men. Eur Heart J. 2002, 23: 706-713. 10.1053\/euhj.2001.2889.","journal-title":"Eur Heart J"}],"container-title":["BMC Public Health"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2458-6-30.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1471-2458-6-30\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2458-6-30","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2458-6-30.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,6]],"date-time":"2023-05-06T14:26:54Z","timestamp":1683383214000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/1471-2458-6-30"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,2,14]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2006,12]]}},"alternative-id":["327"],"URL":"https:\/\/doi.org\/10.1186\/1471-2458-6-30","relation":{},"ISSN":["1471-2458"],"issn-type":[{"value":"1471-2458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,2,14]]},"assertion":[{"value":"9 September 2005","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 February 2006","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 February 2006","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"30"}}