Beyond Body Mass Index: Are Weight-loss Programs the Best Way to Improve the Health of African American Women?

Dodgen, Leilani; Spence-Almaguer, Emily

doi:10.5888/pcd14.160573

Cited by 16 publications

(10 citation statements)

References 24 publications

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“…Obesity is one risk factor for development and potentiation of dyslipidemia. African American women have a higher prevalence of being overweight or obese (BMI ≥25) than white women (82.0 vs. 63.2%, respectively) ( Dodgen & Spence-Almaguer, 2017 ). Overweight and obese patients have increased risk of developing long-term health consequences, such as dyslipidemia, hypertension, diabetes, obstructive sleep apnea, and heart disease ( Bland & Sharma, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

“…In a study by Cheng et al examining diabetes in the United States from 2011–2016, the prevalence of diabetes in African Americans was 20.4% compared to non-Hispanic Caucasians at 12.1% ( Cheng et al, 2019 ). African American women were also 1.9 times more likely to develop diabetes, 2.3 times as likely to develop end-stage renal disease, and 2.4 times more likely to die of diabetes complications when compared to white women ( Dodgen & Spence-Almaguer, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

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Disparity and Multimorbidity in Heart Failure Patients Over the Age of 80

Błach

Pangle

Azhar

et al. 2022

Gerontology and Geriatric Medicine

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Background: Healthcare is currently struggling to provide access and coverage for an increasingly diverse aging population who frequently have multiple co-morbid conditions complicating their care and medical management. Methods: This retrospective study analyzed the prevalence and distribution of common co-morbid conditions (hypertension, dyslipidemia, dementia, and diabetes mellitus) in 316 elderly heart failure patients (age range 80–103; mean 87 ±4.9). Results: Chart review analysis showed a racial distribution of 65 African American versus 251 Caucasian patients (21 vs. 79%). Hypertension was comparable in both groups (98.5% African American vs. 92.4% Caucasian). Dyslipidemia, diabetes and dementia diagnoses were all approximately 20% higher in African American versus Caucasian patients. The concurrent presence of all four conditions was approximately three times more prevalent in African Americans (18.5%) versus Caucasians (7.2%). Conclusion: Our study is unique for studying disparity in octogenarian and nonagenarians residing in a rural setting. Our results also highlight the importance of making a special effort to engage older African American patients in seeking healthcare. In addition, strategies must be designed to reduce barriers that impede access and availability of resources and clinical care, especially in economically underserved regions of the country.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Disparity and Multimorbidity in Heart Failure Patients Over the Age of 80

Błach

Pangle

Azhar

et al. 2022

Gerontology and Geriatric Medicine

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“…26 Therefore, using BMI reduces the complexities of the human body to 1 basic parameter. 27 Bioelectrical impedance analysis (BIA), one of the body composition measurement methods, provides detailed information, such as the mass and structure of tissues and organs, beyond that obtained from measuring height and weight. 24,25 With this method, the equipment sends out a weak electrical current to the upper or lower limbs.…”

Section: Discussionmentioning

confidence: 99%

A Cohort Study Assessing the Association Between Body Composition Parameters and Symptomatic Hypocalcemia After Total Thyroidectomy

Çelik

Konca

Genç

2020

The American Surgeon

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Background Postoperative hypocalcemia is one of the major concerns following thyroidectomy and the most frequent cause of prolonged hospital stay. The aim of this study was to evaluate the relationship between body composition parameters and symptomatic hypocalcemia following total thyroidectomy. In addition, the effects of disease- and patient-related factors on hypocalcemia were investigated. Methods A total of 144 patients were prospectively included between March 2014 and September 2017. Patients were divided into 2 groups according to the presence or absence of clinical symptoms of hypocalcemia. Subsequently, the relationship between body composition parameters and hypocalcemia was evaluated. Results Postoperative hypocalcemia-related symptoms occurred in 28 patients (19.4%). Permanent hypocalcemia was not encountered in any patient. Patients with hypocalcemic symptoms were more likely to have nodules ≥40 mm (39.3% vs. 17.2%, P = .011), retrosternal goiters (25.0% vs. 7.8%, P = .017), central lymph node dissection (LND) (32.1% vs. 11.2%, P = .015), and parathyroid autotransplantation (28.6% vs. 3.4%, P < .001) than those without symptoms. However, no differences were observed in the body composition parameters between symptomatic and asymptomatic patients. On multivariate analysis, lower preoperative intact parathyroid hormone (iPTH) levels (odds ratios (ORs) .96, 95% confidence intervals (CIs) .93-.99), the presence of retrosternal goiters (OR 10.26, 95% CI 2.23-47.14), central LND (OR 16.05, 95% CI 3.90-66.07), and parathyroid autotransplantation (OR 36.22, 95% CI 6.76-194.13) predicted hypocalcemia. Discussion This study demonstrates that patients with lower preoperative iPTH levels, retrosternal goiters, central LND, and parathyroid autotransplantation are at an increased risk of developing clinical symptoms of hypocalcemia. Body composition parameters have no effect on the incidence of hypocalcemia after total thyroidectomy.

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“…In 2017, both the Centers for Disease Control and Prevention (https://www.cdc.gov/pcd/issues/2017/16_0573.htm) and the National Institutes of Health (https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC5477783/pdf/PCD-14-E48.pdf) publicized the article "Beyond Body Mass Index: Are Weight-Loss Programs the Best Way to Improve the Health of African American Women?" (Dodgen & Spence-Almaguer, 2017). The article indicated that African American women tend to lose even less weight than White women during dieting programs, followed by weight regain.…”

Section: Prestigious Journals Have Emphasized Lack Of Efficacy Of Wei...mentioning

confidence: 99%

Slim chance for permanent weight loss.

Rothblum¹

2018

Archives of Scientific Psychology

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Since the 1950s, health and mental health professionals have criticized the conventional wisdom that people can lose weight and keep it off. Weight loss programs have high dropout rates and rarely have participants move from “clinical” to “normal” weights, and the overwhelming majority of people who lose even 5–10% of body weight have regained it 1 year later. The present article reviews some challenges in the weight loss research and provides some possible reasons why psychologists continue to uphold the conventional wisdom that permanent weight loss is possible.

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Beyond Body Mass Index: Are Weight-loss Programs the Best Way to Improve the Health of African American Women?

Cited by 16 publications

References 24 publications

Disparity and Multimorbidity in Heart Failure Patients Over the Age of 80

Disparity and Multimorbidity in Heart Failure Patients Over the Age of 80

A Cohort Study Assessing the Association Between Body Composition Parameters and Symptomatic Hypocalcemia After Total Thyroidectomy

Slim chance for permanent weight loss.

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