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ABSTRACT: Purpose
The purpose is to compare the predictive utility of alternate measures of diet and physical activity for overweight and obesity among low-income minority women.Design
Cross-sectional analysis of baseline data from a cohort study.Setting
Three public housing developments in South Los Angeles.Subjects: Adult women (N = 425).Measures
Primary outcome-weight status (normal BMI, overweight, or obese). Primary predictors- diet: 24-hour dietary recalls (Healthy Eating Index), dietary screener (intake of specific food groups), and single-item survey question (diet quality); physical activity: accelerometry (minutes/day of moderate-to-vigorous activity), short recall questionnaire (minutes/week of moderate and vigorous activity), and single-item questions (days per week did exercise; self-assessment of overall activity level).Analysis
Multinomial logistic regression models, controlling for socio-demographic covariates. Models are built up starting with least resource-intensive measures of diet and physical activity (single items) and sequentially adding more resource-intensive measures. Model performance is assessed via information-based model selection indices.Results
Adjusted relative risk for obesity for single-item measures ranged from .61 to .64 for diet (P < .01) and from .80 to .81 for physical activity (P <.05). The added value of resource-intensive measures was negligible for physical activity and at best small for diet.Conclusion
Single-item questions for diet and physical activity can provide valuable information about risk for overweight and obesity in low-income minority women when more resource-intensive assessments are infeasible.
SUBMITTER: Liu Y
PROVIDER: S-EPMC9086088 | biostudies-literature | 2022 Jun
REPOSITORIES: biostudies-literature
Liu Ying Y Shier Victoria V King Sara S Datar Ashlesha A
American journal of health promotion : AJHP 20220302 5
<h4>Purpose</h4>The purpose is to compare the predictive utility of alternate measures of diet and physical activity for overweight and obesity among low-income minority women.<h4>Design</h4>Cross-sectional analysis of baseline data from a cohort study.<h4>Setting</h4>Three public housing developments in South Los Angeles.Subjects: Adult women (N = 425).<h4>Measures</h4>Primary outcome-weight status (normal BMI, overweight, or obese). Primary predictors- diet: 24-hour dietary recalls (Healthy Ea ...[more]