Racial/Ethnic Differences in Weight-Loss Strategies Among US Adults: National Health and Nutrition Examination Survey 2007-2012

Overview

Journal J Acad Nutr Diet

Publisher Elsevier

Specialty Nutritional Sciences

Date 2017 Mar 24

PMID 28330732

Citations 12

Authors

Becky Marquez

Rosenda Murillo

Affiliations

Soon will be listed here.

Abstract

Background: Dieting, exercising, and seeking professional help have been associated with intentional weight loss among adults.

Objective: This study examined the use of diet (eg, ate less, ate less fat, or switched to low-calorie foods), exercise, diet and exercise, and professional help (eg, weight-loss program or prescribed diet pills) for weight loss among non-Hispanic whites, Mexican Americans, and non-Hispanic blacks.

Design: Cross-sectional data from the 2007-2012 National Health and Nutrition Examination Survey were used.

Participants: Males and females (n=9,046) aged 20 to 65 years were included.

Main Outcome Measure: The weight history questionnaire assessed weight-loss attempts and use of weight-loss strategies in the past year.

Statistical Analyses Performed: Multivariate logistic regression models were used to estimate associations of race/ethnicity with strategies to lose weight. Models controlled for age, sex, education, and body mass index. In fully adjusted models, interactions of race/ethnicity by sex were tested.

Results: Lower proportions of Mexican Americans (35%) and non-Hispanic blacks (35%) than non-Hispanic whites (39%) reported trying to lose weight. Among those who tried to lose weight, non-Hispanic blacks were less likely than non-Hispanic whites to use diet (odds ratio [OR] 0.78, 95% CI 0.67 to 0.90) or exercise (OR 0.83, 95% CI 0.70 to 0.99) for weight loss. Mexican Americans (OR 0.71, 95% CI 0.53 to 0.95) and non-Hispanic blacks (OR 0.71, 95% CI 0.52 to 0.95) were also less likely than non-Hispanic whites to use professional help for weight loss. The relationships between race/ethnicity and weight-loss strategy were stronger for females than males.

Conclusions: Targeted efforts are needed to address racial/ethnic disparities in weight-loss attempts and use of recommended strategies especially among females.

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References

Johns D, Hartmann-Boyce J, Jebb S, Aveyard P . Diet or exercise interventions vs combined behavioral weight management programs: a systematic review and meta-analysis of direct comparisons. J Acad Nutr Diet. 2014; 114(10):1557-68. PMC: 4180002. DOI: 10.1016/j.jand.2014.07.005. View

Laz T, Rahman M, Pohlmeier A, Berenson A . Level of nutrition knowledge and its association with weight loss behaviors among low-income reproductive-age women. J Community Health. 2014; 40(3):542-8. PMC: 4427532. DOI: 10.1007/s10900-014-9969-9. View

Baradel L, Gillespie C, Kicklighter J, Doucette M, Penumetcha M, Blanck H . Temporal changes in trying to lose weight and recommended weight-loss strategies among overweight and obese Americans, 1996-2003. Prev Med. 2009; 49(2-3):158-64. DOI: 10.1016/j.ypmed.2009.06.030. View

Duncan D, Wolin K, Scharoun-Lee M, Ding E, Warner E, Bennett G . Does perception equal reality? Weight misperception in relation to weight-related attitudes and behaviors among overweight and obese US adults. Int J Behav Nutr Phys Act. 2011; 8:20. PMC: 3073863. DOI: 10.1186/1479-5868-8-20. View

Dorsey R, Eberhardt M, Ogden C . Racial/ethnic differences in weight perception. Obesity (Silver Spring). 2009; 17(4):790-5. DOI: 10.1038/oby.2008.603. View

Jensen M, Ryan D, Apovian C, Ard J, Comuzzie A, Donato K . 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2013; 129(25 Suppl 2):S102-38. PMC: 5819889. DOI: 10.1161/01.cir.0000437739.71477.ee. View

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

Anderson L, Eyler A, Galuska D, Brown D, Brownson R . Relationship of satisfaction with body size and trying to lose weight in a national survey of overweight and obese women aged 40 and older, United States. Prev Med. 2002; 35(4):390-6. DOI: 10.1006/pmed.2002.1079. View

Kraschnewski J, Boan J, Esposito J, Sherwood N, Lehman E, Kephart D . Long-term weight loss maintenance in the United States. Int J Obes (Lond). 2010; 34(11):1644-54. PMC: 3671378. DOI: 10.1038/ijo.2010.94. View

10.

Tsai A, Wadden T, Pillitteri J, Sembower M, Gerlach K, Kyle T . Disparities by ethnicity and socioeconomic status in the use of weight loss treatments. J Natl Med Assoc. 2009; 101(1):62-70. DOI: 10.1016/s0027-9684(15)30813-0. View

11.

New C, Xiao L, Ma J . Acculturation and overweight-related attitudes and behavior among obese Hispanic adults in the United States. Obesity (Silver Spring). 2013; 21(11):2396-404. DOI: 10.1002/oby.20146. View

12.

Wu T, Gao X, Chen M, van Dam R . Long-term effectiveness of diet-plus-exercise interventions vs. diet-only interventions for weight loss: a meta-analysis. Obes Rev. 2009; 10(3):313-23. DOI: 10.1111/j.1467-789X.2008.00547.x. View

13.

West D, Prewitt T, Bursac Z, Felix H . Weight loss of black, white, and Hispanic men and women in the Diabetes Prevention Program. Obesity (Silver Spring). 2008; 16(6):1413-20. DOI: 10.1038/oby.2008.224. View

14.

Wadden T, West D, Neiberg R, Wing R, Ryan D, Johnson K . One-year weight losses in the Look AHEAD study: factors associated with success. Obesity (Silver Spring). 2009; 17(4):713-22. PMC: 2690396. DOI: 10.1038/oby.2008.637. View

15.

Nicklas J, Huskey K, Davis R, Wee C . Successful weight loss among obese U.S. adults. Am J Prev Med. 2012; 42(5):481-5. PMC: 3339766. DOI: 10.1016/j.amepre.2012.01.005. View

16.

Weiss E, Galuska D, Khan L, Gillespie C, Serdula M . Weight regain in U.S. adults who experienced substantial weight loss, 1999-2002. Am J Prev Med. 2007; 33(1):34-40. DOI: 10.1016/j.amepre.2007.02.040. View

17.

Blair I, Steiner J, Fairclough D, Hanratty R, Price D, Hirsh H . Clinicians' implicit ethnic/racial bias and perceptions of care among Black and Latino patients. Ann Fam Med. 2013; 11(1):43-52. PMC: 3596038. DOI: 10.1370/afm.1442. View

18.

Bennett G, Wolin K . Satisfied or unaware? Racial differences in perceived weight status. Int J Behav Nutr Phys Act. 2006; 3:40. PMC: 1684255. DOI: 10.1186/1479-5868-3-40. View

19.

Paeratakul S, Lovejoy J, Ryan D, Bray G . The relation of gender, race and socioeconomic status to obesity and obesity comorbidities in a sample of US adults. Int J Obes Relat Metab Disord. 2002; 26(9):1205-10. DOI: 10.1038/sj.ijo.0802026. View

20.

Wilson P . Physical Activity and Dietary Determinants of Weight Loss Success in the US General Population. Am J Public Health. 2015; 106(2):321-6. PMC: 4815606. DOI: 10.2105/AJPH.2015.302956. View