{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T16:16:25Z","timestamp":1790266585656,"version":"4.1.0"},"reference-count":73,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T00:00:00Z","timestamp":1655942400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The aim of this study was to evaluate the dietary and physical activity counseling provided to adults by family doctors. Predictors of counseling in primary healthcare were identified. A cross-sectional study was conducted from January 2020 to December 2021 among 896 adult primary care patients in the city of \u0141\u00f3d\u017a [Lodz], Poland. Almost 36% of the respondents were advised to change their eating habits, and 39.6% were advised to increase their physical activity. In a multivariate logistic regression analysis, people in poor health with chronic diseases related to overweight and obesity and with two, three or more chronic diseases, respectively, received advice on eating habits from their GP twice and three times more often than people in good health with no chronic conditions (OR = 1.81; p &lt; 0.05 and OR = 1.63; p &lt; 0.05; OR = 3.03; p &lt; 0.001). People in the age groups 30\u201339 years and 40\u201349 years (OR = 1.71; p &lt; 0.05 and OR = 1.58; p &lt; 0.05), widowed (OR = 2.94; p &lt; 0.05), with two, three or more chronic diseases (OR = 1.92; p &lt; 0.01 and OR = 3.89; p &lt; 0.001), and subjectively assessing overweight and obesity (OR = 1.61; p &lt; 0.01) had a better chance of receiving advice on physical activity. The study found a higher proportion of advice on diet and physical activity provided to overweight and obese patients by primary care physicians than in other studies; however, still not all receive the necessary counseling. GPs should advise all patients not to become overweight and obese, not only those already affected by the problem.<\/jats:p>","DOI":"10.3390\/ijerph19137694","type":"journal-article","created":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T21:25:00Z","timestamp":1656019500000},"page":"7694","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Consulting Obese and Overweight Patients for Nutrition and Physical Activity in Primary Healthcare in Poland"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0872-7293","authenticated-orcid":false,"given":"Ma\u0142gorzata","family":"Znyk","sequence":"first","affiliation":[{"name":"Department of Hygiene and Epidemiology, Medical University of Lodz, \u017beligowskiego 7\/9, 90-752 \u0141\u00f3d\u017a, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1654-8957","authenticated-orcid":false,"given":"Rados\u0142aw","family":"Zajdel","sequence":"additional","affiliation":[{"name":"Department of Computer Science in Economics, University of Lodz, POW 3\/5, 90-255 \u0141\u00f3d\u017a, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorota","family":"Kaleta","sequence":"additional","affiliation":[{"name":"Department of Hygiene and Epidemiology, Medical University of Lodz, \u017beligowskiego 7\/9, 90-752 \u0141\u00f3d\u017a, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,6,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e277","DOI":"10.1016\/S2468-2667(17)30074-9","article-title":"Overweight, obesity, and risk of cardiometabolic multimorbidity: A pooled analysis of individual-level data for 120 813 adults from 16 cohort studies from the USA and Europe","volume":"2","author":"Kivimaki","year":"2017","journal-title":"Lancet Public Health"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.puhe.2016.05.014","article-title":"Association between body mass index and prevalence of multimorbidity: A cross-sectional study","volume":"139","author":"Jovic","year":"2016","journal-title":"Public Health"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1159\/000350627","article-title":"Obesity: The gateway to ill health\u2014An EASO position statement on rising public health, the clinical and scientific challenge in Europe","volume":"6","author":"Fruhbeck","year":"2013","journal-title":"Obes. 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