African Americans in Standard Behavioral Treatment for Obesity, 2001-2015: What Have We Learned?

Overview

Journal West J Nurs Res

Publisher Sage Publications

Specialty Nursing

Date 2017 Mar 22

PMID 28322668

Citations 27

Authors

Rachel W Goode

Mindi A Styn

Dara D Mendez

Tiffany L Gary-Webb

Affiliations

Soon will be listed here.

Abstract

African Americans (AAs) bear a disproportionate burden of the obesity epidemic, yet have historically been underrepresented in weight loss research. We conducted a narrative review of large ( N > 75) randomized prospective clinical trials of standard behavioral treatment for weight loss that reported results in the past 15 years (2001-2015) to (a) determine the rates of inclusion and reported results for AAs and (b) further identify strategies that may result in improved outcomes. Of the 23 trials reviewed, 69.6% of the studies met or exceeded population estimates for AAs in the United States. However, only 10 reported outcomes and/or considered race in the analytic approach. At 6 months, AA participants consistently lost less weight than White participants. The use of culturally tailored intervention materials and monthly personal telephone calls were reported as factors that may have enhanced treatment response. Future behavioral weight loss trials should also increase reporting of outcomes by race.

Citing Articles

Black Feminism and Womanism: A Narrative Review of the Weight Loss Literature.

Blackman Carr L, Barlow J Ethn Dis. 2024; 33(4):170-179.

PMID: 38854411 PMC: 11155623. DOI: 10.18865/ed.33.4.170.

Weight Loss Using an mHealth App Among Individuals With Obesity in Different Economic Regions of China: Cohort Study.

Huang X, Shi Y, Yao H, Li M, Lei Z, Shi J JMIR Mhealth Uhealth. 2024; 12:e48675.

PMID: 38297510 PMC: 10851113. DOI: 10.2196/48675.

Predictors of racial differences in weight loss: the PROPEL trial.

Newton Jr R, Zhang D, Johnson W, Martin C, Apolzan J, Denstel K Obesity (Silver Spring). 2023; 32(3):476-485.

PMID: 38058232 PMC: 10922207. DOI: 10.1002/oby.23936.

Rural African American Women With Severe Obesity: A Cross-Sectional Analysis of Lifestyle Behaviors and Psychosocial Characteristics.

Alick C, Braxton D, Skinner H, Alexander R, Ammerman A, Keyserling T Am J Health Promot. 2023; 37(8):1060-1069.

PMID: 37505193 PMC: 10631280. DOI: 10.1177/08901171231190597.

What's theory got to do with it: measuring effects of theory on lifestyle behaviors and weight in the Better Me Within Randomized Trial.

Dodgen L, Kitzman H, Spence E, Mamun A, Walters S, Cervantes D Am J Health Educ. 2023; 54(2):86-98.

PMID: 37396565 PMC: 10311983. DOI: 10.1080/19325037.2022.2163007.

References

Perri M, Nezu A, McKelvey W, Shermer R, Renjilian D, Viegener B . Relapse prevention training and problem-solving therapy in the long-term management of obesity. J Consult Clin Psychol. 2001; 69(4):722-6. View

Jeffery R, Wing R, Sherwood N, Tate D . Physical activity and weight loss: does prescribing higher physical activity goals improve outcome?. Am J Clin Nutr. 2003; 78(4):684-9. DOI: 10.1093/ajcn/78.4.684. View

Foster-Schubert K, Alfano C, Duggan C, Xiao L, Campbell K, Kong A . Effect of diet and exercise, alone or combined, on weight and body composition in overweight-to-obese postmenopausal women. Obesity (Silver Spring). 2011; 20(8):1628-38. PMC: 3406229. DOI: 10.1038/oby.2011.76. View

Burke L, Hudson A, Warziski M, Styn M, Music E, Elci O . Effects of a vegetarian diet and treatment preference on biochemical and dietary variables in overweight and obese adults: a randomized clinical trial. Am J Clin Nutr. 2007; 86(3):588-96. DOI: 10.1093/ajcn/86.3.588. View

Lasser V, Raczynski J, Stevens V, Kumanyika S, Evans M, Danielson E . Trials of Hypertension Prevention, phase II. Structure and content of the weight loss and dietary sodium reduction interventions. Trials of Hypertension Prevention (TOHP) Collaborative Research Group. Ann Epidemiol. 1995; 5(2):156-64. DOI: 10.1016/1047-2797(94)00060-7. View

Franz M, VanWormer J, Crain A, Boucher J, Histon T, Caplan W . Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc. 2007; 107(10):1755-67. DOI: 10.1016/j.jada.2007.07.017. View

Foster G, Shantz K, Vander Veur S, Oliver T, Lent M, Virus A . A randomized trial of the effects of an almond-enriched, hypocaloric diet in the treatment of obesity. Am J Clin Nutr. 2012; 96(2):249-54. PMC: 3396441. DOI: 10.3945/ajcn.112.037895. View

Blackburn G . Benefits of weight loss in the treatment of obesity. Am J Clin Nutr. 1999; 69(3):347-9. DOI: 10.1093/ajcn/69.3.347. View

Marques L, Alegria M, Becker A, Chen C, Fang A, Chosak A . Comparative prevalence, correlates of impairment, and service utilization for eating disorders across US ethnic groups: Implications for reducing ethnic disparities in health care access for eating disorders. Int J Eat Disord. 2010; 44(5):412-20. PMC: 3011052. DOI: 10.1002/eat.20787. View

10.

McManus K, Antinoro L, Sacks F . A randomized controlled trial of a moderate-fat, low-energy diet compared with a low fat, low-energy diet for weight loss in overweight adults. Int J Obes Relat Metab Disord. 2001; 25(10):1503-11. DOI: 10.1038/sj.ijo.0801796. View

11.

Ogden C, Carroll M, Fryar C, Flegal K . Prevalence of Obesity Among Adults and Youth: United States, 2011-2014. NCHS Data Brief. 2015; (219):1-8. View

12.

Svetkey L, Stevens V, Brantley P, Appel L, Hollis J, Loria C . Comparison of strategies for sustaining weight loss: the weight loss maintenance randomized controlled trial. JAMA. 2008; 299(10):1139-48. DOI: 10.1001/jama.299.10.1139. View

13.

Burke L, Conroy M, Sereika S, Elci O, Styn M, Acharya S . The effect of electronic self-monitoring on weight loss and dietary intake: a randomized behavioral weight loss trial. Obesity (Silver Spring). 2010; 19(2):338-44. PMC: 3268702. DOI: 10.1038/oby.2010.208. View

14.

Samuel-Hodge C, Johnson C, Braxton D, Lackey M . Effectiveness of Diabetes Prevention Program translations among African Americans. Obes Rev. 2014; 15 Suppl 4:107-24. DOI: 10.1111/obr.12211. View

15.

Nackers L, Middleton K, Dubyak P, Daniels M, Anton S, Perri M . Effects of prescribing 1,000 versus 1,500 kilocalories per day in the behavioral treatment of obesity: a randomized trial. Obesity (Silver Spring). 2013; 21(12):2481-7. PMC: 5771240. DOI: 10.1002/oby.20439. View

16.

Herring S, Cruice J, Bennett G, Rose M, Davey A, Foster G . Preventing excessive gestational weight gain among African American women: A randomized clinical trial. Obesity (Silver Spring). 2015; 24(1):30-6. PMC: 4688057. DOI: 10.1002/oby.21240. View

17.

Hollis J, Gullion C, Stevens V, Brantley P, Appel L, Ard J . Weight loss during the intensive intervention phase of the weight-loss maintenance trial. Am J Prev Med. 2008; 35(2):118-26. PMC: 2515566. DOI: 10.1016/j.amepre.2008.04.013. View

18.

Wingo B, Carson T, Ard J . Differences in weight loss and health outcomes among African Americans and whites in multicentre trials. Obes Rev. 2014; 15 Suppl 4:46-61. DOI: 10.1111/obr.12212. View

19.

Burke L, Wang J . Treatment strategies for overweight and obesity. J Nurs Scholarsh. 2011; 43(4):368-75. DOI: 10.1111/j.1547-5069.2011.01424.x. View

20.

Fitzgibbon M, Stolley M, Schiffer L, Sharp L, Singh V, Van Horn L . Obesity Reduction Black Intervention Trial (ORBIT): design and baseline characteristics. J Womens Health (Larchmt). 2008; 17(7):1099-110. PMC: 2944416. DOI: 10.1089/jwh.2007.0614. View