Participants had long histories of shame and fear surrounding weight loss attempts. Weight loss group participants needed cultural connectivity and a sense of safety and acceptance to address issues contributing to weight gain and in order to lose weight and maintain weight loss. Although more research is needed before implementation of a sexual minority women-specific weight loss program, these data are the basis for further exploration into the development of such a program.

Annual measurements of skinfold thicknesses at six sites (triceps, biceps, medial calf, subscapular, abdominal, and suprailiac) and the body mass index have been obtained from a sample of native Hawaiian school children and their non-Hawaiian classmates in a four year semilongitudinal study. Four cohorts were measured, with the children beginning the study in grades one, four, seven and ten, respectively. Information on percentage of Polynesian ancestry, identity with Hawaiian culture, social class, and income were obtained from family interviews for the native Hawaiian children. Hawaiian boys at most ages surveyed are significantly fatter than their classmates on trunk sites, and are also fatter than National Health and Nutrition Examination Survey II (NHANES-II) medians. Native Hawaiian girls have significantly greater trunk skinfold measures than classmates in only one surveyed age group. The percentage of Polynesian ancestry in this admixed sample of Hawaiian children is significantly related to fatness and body mass among children aged 9-12 years, but is not clearly related to fatness in other age groups. Socioeconomic measures are also not related to fatness in a simple manner. Intensive study of specific sex-age groups may be required to identify factors that influence the amount of fatness of native Hawaiian school children. © 1992 Wiley-Liss, Inc.

Overweight and obesity are known risk factors for several modifiable, if not preventable diseases. Growing evidence suggests that lesbians may have higher rates of obesity than other women. This study was designed to describe weight loss and behavior changes related to food choices and exercise habits among lesbians who participated in a predominantly lesbian, mainstream, commercial weight loss program. Behavioral changes were recorded in exercise, quality of food choices, and number of times dining out. Although there were several limitations based on sample size and heterogeneity, the impact of a lesbian-supportive environment for behavior change was upheld.

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