Descriptive Study of Educated African American Women Successful at Weight-Loss Maintenance Through Lifestyle Changes

Barnes, Ann Smith; Kimbro, Rachel Tolbert

doi:10.1007/s11606-012-2060-2

Cited by 27 publications

(17 citation statements)

References 30 publications

(34 reference statements)

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“…Furthermore, behaviors associated with successful weight management such as monitoring of food intake [77], limited intake of fast food [76], and sugar sweetened beverages [58], limited TV viewing [78], regular self-weighing [79], eating breakfast [80], and meal planning [81] were not closely tracked or routinely reported or, when reported, distinctions were not made based on race/ethnicity and or sex [9]. In a recent article, by Barnes and Kimbro [82], limiting fat intake, consuming less fast food, and monthly weighing were associated with better long-term weight control in AAs who successfully reduced their weight by ≥10% and maintained the loss for at least one year. This further emphasizes that consistent documentation of these types of behaviors in the literature, and by race/ethnicity and sex when appropriate, can help to identify behaviors that lead to successful long-term weight control [83, 84].…”

Section: Discussionmentioning

confidence: 99%

Weight Loss Maintenance in African American Women: A Systematic Review of the Behavioral Lifestyle Intervention Literature

et al. 2013

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We performed a systematic review of the behavioral lifestyle intervention trials conducted in the United States published between 1990 and 2011 that included a maintenance phase of at least six months, to identify intervention features that promote weight loss maintenance in African American women. Seventeen studies met the inclusion criteria. Generally, African American women lost less weight during the intensive weight loss phase and maintained a lower % of their weight loss compared to Caucasian women. The majority of studies failed to describe the specific strategies used in the delivery of the maintenance intervention, adherence to those strategies, and did not incorporate a maintenance phase process evaluation making it difficult to identify intervention characteristics associated with better weight loss maintenance. However, the inclusion of cultural adaptations, particularly in studies with a mixed ethnicity/race sample, resulted in less % weight regain for African American women. Studies with a formal maintenance intervention and weight management as the primary intervention focus reported more positive weight maintenance outcomes for African American women. Nonetheless, our results present both the difficulty in weight loss and maintenance experienced by African American women in behavioral lifestyle interventions.

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Section: Discussionmentioning

confidence: 99%

Weight Loss Maintenance in African American Women: A Systematic Review of the Behavioral Lifestyle Intervention Literature

et al. 2013

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“…In addition, data suggest black women have accurate knowledge of the health risks of obesity [42]; however, these health considerations are often trumped by black women’s belief that a larger body size is embraced in their culture [21, 22, 37, 42]. This notion is supported by qualitative data from focus groups of African American women involved in weight control programs where they describe social pressures “not to lose too much weight” [43]. Thus, body size perceptions likely influence weight control, physical activity and, ultimately CV risk in black women.…”

Section: Cultural Norms Psychosocial and Environmental Factors Relatmentioning

confidence: 99%

Obesity and Black Women: Special Considerations Related to Genesis and Therapeutic Approaches

Agyemang

Powell‐Wiley

2013

Curr Cardiovasc Risk Rep

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Black women in the United States are disproportionately affected by obesity, with almost two-thirds considered obese based on body mass index. Obesity has been directly linked to cardiovascular morbidity and mortality in black women. Therefore, understanding contributors to the genesis of obesity in black women is imperative. While biologic differences likely result in varying obesity prevalence across racial/ethnic groups, behaviors such as post-partum weight retention and limited leisure-time physical activity, may especially contribute to obesity in black women. Black women also appear to be particularly susceptible to cultural, psychosocial, and environmental factors that can promote weight gain. Therapeutic interventions are being tailored to specifically address these social determinants of health and to foster lifestyle modification; however, more work is needed to understand barriers to behavior change for black women. Knowledge gaps also remain in identifying mechanisms by which pharmacologic and surgical treatments for obesity modify cardiovascular risk in black women.

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“…Despite high awareness of health risks associated with obesity 142, Black women's health concerns are jeopardized by their cultural beliefs that are more tolerant of large body size (5). Black women involved in weight control programs have described social pressures such as "not to lose too much weight" (17).…”

Section: Introductionmentioning

confidence: 99%

Depressive Symptoms and Well-being of Individuals with Obesity; Race and Gender Differences

Assari

Rothberg

Evans

et al. 2017

Int J Endocrinol Metab

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Background: Although obesity increases depressive symptoms and reduces health-related quality-of-life (HRQoL), the magnitude of these effects may vary across populations. This study tested if the links between body mass index (BMI), depressive symptoms, and HRQoL of individuals with obesity depend on the intersection of race and gender. For this purpose, we compared Black and White men and women with obesity at the time of enrollment into an intensive behavioral weight management program (WMP). Methods: This cross-sectional study utilized baseline data from the University of Michigan WMP, in which 801 (295 men and 506 women, 697 Whites and 104 Blacks) obese individuals were enrolled. Baseline socio-demographic factors, BMI, medical comorbidity, health-related quality-of-life: [EuroQol (EQ-5D) and impact of weight on quality-of-life-lite (IWQOL-lite©, Duke University)] and depressive symptoms [inventory of depressive symptomatology-self report (IDS-SR)] were obtained. We used linear regression models for data analysis. Results: High BMI was associated with low EQ-5D, IWQOL-lite, and IDS-SR scores. We found significant race by BMI interactions on EQ-5D index, IWQOL-lite (self-esteem, sexual life, public distress, and work), and depressive symptoms for women but not for men. These interactions suggested that the effect of BMI on these outcomes is greater is larger for White than Black women. Conclusions: How BMI influences depressive symptoms and HRQoL in individuals with obesity at WMP entry depends on the intersection of race and gender. BMI has a larger effect on depressive symptoms and HRQoL of Black women compared to White women with obesity. These findings advocate for tailoring of weight management programs based on the intersection of race and gender.

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Descriptive Study of Educated African American Women Successful at Weight-Loss Maintenance Through Lifestyle Changes

Cited by 27 publications

References 30 publications

Weight Loss Maintenance in African American Women: A Systematic Review of the Behavioral Lifestyle Intervention Literature

Weight Loss Maintenance in African American Women: A Systematic Review of the Behavioral Lifestyle Intervention Literature

Obesity and Black Women: Special Considerations Related to Genesis and Therapeutic Approaches

Depressive Symptoms and Well-being of Individuals with Obesity; Race and Gender Differences

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