K R Fontaine

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CONTEXT Obesity is a major health problem in the United States, but the number of obesity-attributable deaths has not been rigorously estimated. OBJECTIVE To estimate the number of deaths, annually, attributable to obesity among US adults. DESIGN Data from 5 prospective cohort studies (the Alameda Community Health Study, the Framingham Heart Study, the(More)
BACKGROUND The U.S. Surgeon General advocates the accumulation of moderate-intensity activity throughout the day to improve health. OBJECTIVES To test the effectiveness of signs to encourage use of stairs instead of escalators. DESIGN Community intervention. SETTING Shopping center. PARTICIPANTS 17901 shoppers. INTERVENTION Signs promoting the(More)
Although it is well documented that obesity is strongly associated with morbidity and mortality, less is known about the impact of obesity on functional status and health-related quality of life (HRQL). However, in recent years research has been conducted to estimate the impact of obesity on HRQL, and to determine the effects of weight reduction on HRQL.(More)
OBJECTIVE The objective of this study was to estimate and compare the distributions of body mass index (BMI: kg/m2) among individuals with and without schizophrenia, and, thereby, place the weight gain-inducing effects of antipsychotic drugs into context. METHOD Data sources were (1) the mental health supplement of the 1989 National Health Interview(More)
OBJECTIVE To examine the relation between body mass index ([BMI] calculated as weight in kilograms divided by the square of height in meters) and the use of medical care services among a nationally representative sample of women. DESIGN AND SETTING Multistage cluster-area probability sampling survey. Data are from the Cancer Control and Health Insurance(More)
Objective:Sustained depressive mood is a gateway symptom for a major depressive disorder. This paper investigated whether the association between depressive mood and obesity differs as function of sex, age, and race in US adults after controlling for socio-economic variables of martial status, employment status, income level and education level.Methods:A(More)
Objective:To investigate plausible contributors to the obesity epidemic beyond the two most commonly suggested factors, reduced physical activity and food marketing practices.Design:A narrative review of data and published materials that provide evidence of the role of additional putative factors in contributing to the increasing prevalence of(More)
Obesity increases cancer risk, yet small-scale surveys indicate that obese women delay or avoid cancer screening even more so than do nonobese women. We sought to estimate the association between body mass index (BMI) (kg/m(2)) and delayed cancer screening among adult women in a population-based survey. Subjects were women classified by BMI as underweight(More)
Many anti-psychotic medications produce marked weight gain. In this study, we estimate the expected impact of degrees of antipsychotic-induced weight gain on selected mortality rate and incidence rates of impaired glucose tolerance (IGT) and hypertension (HTN) among US adults. Using raw data from 5209 respondents from the Framingham Heart Study's public use(More)
OBJECTIVE To compare sociodemographic characteristics and health-related quality of life (HRQL) between groups of obese persons who sought and did not seek university-based treatment for overweight. METHOD Three-hundred twelve consecutive obese persons sought outpatient university-based weight management treatment. The sample of obese persons (N = 89) who(More)