Weight Reducing Supplements among Overweight and Obese people in Primary Health Care: Utilization and Predictors Jeddah 2013

Fawaz M.T urkistani

JPFCM, Jeddah

Background: Obesity has increased in prevalence ,which making the obese people to follow the easy way to lose weight and taking supplements for this purpose without the knowledge of their efficacy and safety of these supplements.

Objectives: To estimate the prevalence and identify predictors of weight loss supplements utilization among obese people in PHC as well as to estimate the monthly cost of these agents.

Subjects and Methods: A cross-sectional was adopted. It included a representative sample of Overweight and Obese people who were visiting the PHC during the period of the study.Self-administered questionnaire was used for data collection. It consisted of main five parts; socio-demographic data, questions to assess medical condition and knowledge about the agents or medications, questions to usage of herbal and alternative medicine, questions to assess otherfactors and questions to determine the predictors of using these agents or alternative medicine.

Results: The study included 243 overweight and obese subjects. More than one third of them (36.2%) aged over 40 years. Thirty percent of the participants reported using weight reduction supplements.  Results of logistic regression analysis revealed that females were at almost triple-folded risk for using weight reduction supplements compared to males(adjusted OR=3.02; 95% CI: 1.58-5.78, p=0.001). Subjects who tried diet regimen were more likely to use weight reduction supplements compared to those who didn`t try diet regimen (Adjusted OR=2.89; 95% CI: 1.39-6.05, p=0.005). Subjects who participated in health club were three-folded more likely to use weight reduction supplements compared to those who didn`t participate in health clubs (Adjusted OR=3.17; 95% CI: 1.39-7.24, p=0.006). Patients who used green tea, herbals or other agents in weight loss  were more likely to use weight reduction supplements compared to those who didn`t used such agents (Adjusted OR=4.02; 95% CI: 2.09-9.00, p<0.001). More than half of the participants spent between 201 and 400 SR/month on weight reducing supplements.

Conclusion: Weight reduction supplements were used by almost one third of overweight/obese patients attending primary health care centers in Jeddah. Weight reduction supplements were commonly purchased without prescription from pharmacies or trade markets. In addition, most of users did not know their side effects.

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