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Rural-Urban Variation in Weight Loss Recommendations Among US Older Adults with Arthritis and Obesity

1
Health Studies, University of Rhode Island, 25 West Independence Way, Kingston, RI 02881, USA
2
Department of Kinesiology, University of Rhode Island, 25 West Independence Way, Kingston, RI 02881, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(6), 946; https://doi.org/10.3390/ijerph16060946
Received: 1 February 2019 / Revised: 7 March 2019 / Accepted: 13 March 2019 / Published: 16 March 2019
(This article belongs to the Collection Aging and Public Health)
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PDF [281 KB, uploaded 16 March 2019]

Abstract

Purpose: Weight loss is advantageous for individuals with obesity and arthritis. Therefore, this study was conducted to determine if there are differences by rural-urban status among older adults with these conditions who reported being advised by a health care provider to lose weight for arthritis or to ameliorate arthritis symptoms. Methods: A cross-sectional analysis of 2011 Behavioral Risk Factor Surveillance System (BRFSS) data. Respondents reported if they had been diagnosed with arthritis and if they received a provider weight loss recommendation (WLR). The analytic sample was limited to older adults aged 60–79 living in the five states that administered the examined BRFSS arthritis module who had body mass index ≥ 30 kg/m2 and reported having arthritis (n = 2920). The respondent’s county of residence was linked to the corresponding county-level population density from the US Decennial Census to determine rural-urban status. A generalized linear model examined the association between receipt of a WLR and population density, controlling for demographics. Results: The sample was 83.6% white, 57.8% female, and 63.2% received a WLR. Respondents from more urban counties were more likely to receive a WLR (p value for trend <0.001). Additionally, older respondents, men, individuals with less than a high school education, and whites had a decreased likelihood of receiving a WLR. Conclusions: The analysis identified notable rural-urban differences with respondents in more urban counties being more likely to receive a WLR. Furthermore, there were differences in those who received a WLR by age, sex, and education. Reasons for these differences should be explored. View Full-Text
Keywords: arthritis; older adults; obesity; rural-urban; weight loss recommendation arthritis; older adults; obesity; rural-urban; weight loss recommendation
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Greaney, M.L.; Cohen, S.A.; Ward-Ritacco, C.L.; Riebe, D. Rural-Urban Variation in Weight Loss Recommendations Among US Older Adults with Arthritis and Obesity. Int. J. Environ. Res. Public Health 2019, 16, 946.

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