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Methods

We used data on self-reported HCP weight recommendations and measured BMI from a 2011–2012 national sample of male firefighters (N= 1,002). HCP recommendations were recorded as no advice, maintain, gain, or lose weight, and BMI was categorized as normal (< 25.0 kg/m 2), overweight (25.0–29.9 kg/m 2), class I obese (30.0–34.9 kg/m 2), and class II or III obese (≥ 35.0 kg/m 2). We used multinomial logistic regression to estimate the odds of receiving weight advice by age and BMI categories.

Results

Most firefighters (96%) reported visiting an HCP in the past year. Most (69%) firefighters and 48% of class I to III obese firefighters reported receiving no weight advice. Higher BMI predicted HCP advice to lose weight (odds ratio class I obese vs normal weight: 12.98; 95% confidence interval: 5.38–31.34). Younger firefighters were less likely to receive weight loss advice than older firefighters, except …