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Chronic Illness
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Limited stair-climbing ability and weight control in family medicine patients

James E. Rohrer

Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA, rohrer.james{at}mayo.edu

Darryl E. Barnes

Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

Steven C. Adamson

Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

Paul M. Altrichter

Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

Victor P. Yapuncich

Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA

Objective: To assess the association between self-assessed stair-climbing limitation and weight control among family medicine patients, after adjustment for age, gender, marital status, body mass index (BMI), and co-morbidity.

Methods: This study was a retrospective analysis of a cohort of 840 adult family medicine patient records drawn from a large family medicine department in Rochester, Minnesota. Weight control was measured as no change or decline in BMI over approximately 1 year.

Results: Adjusting for co-morbidity and other confounders using multiple logistic regression analysis revealed that limited stair-climbing ability was unrelated to weight control over approximately 1 year. Instead, patients with BMI ≥ 30 were more likely to control their weight (p<0.01), and age exhibited a non-linear relationship with weight control. The odds of weight control were lower for patients between the ages of 36 and 45 years than for those aged 18—35 years (p<0.01).

Conclusions: In our sample of family medicine patients, self-assessed stair-climbing limitations did not preclude weight control. Weight gain prevention programmes might be targeted at patients who are entering middle age.

Key Words: Body mass index • Family medicine • Stair-climbing

Chronic Illness, Vol. 4, No. 3, 183-187 (2008)
DOI: 10.1177/1742395308089060


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