Mexican-origin male perspectives of diet-related behaviors associated with weight management

Valdez, Luis; Amézquita, Aléjandro; Hooker, Steven P.; Garcia, David O.

doi:10.1038/ijo.2017.173

Cited by 25 publications

(36 citation statements)

References 15 publications

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“…These elements include the following: (1) language, (2) persons, (3) metaphors, (4) content, (5) concepts, (6) goals, (7) methods, and (8) context. Given the extent of interactions between gender and cultural factors in our sample (Garcia et al, 2017;Valdez et al, 2017), a great deal of the tailoring for gender and culture occurred simultaneously. For example, within the element of context, which considers a participants broader social, economic, and political reality, discussions were held during intervention sessions related to gender role strain and perceived challenges providing healthy foods for family members.…”

Section: Gender and Cultural Tailoring Frameworkmentioning

confidence: 99%

“…Culture is a group phenomenon of situationally-based beliefs, practices, and behaviors that are differentially shared and distributed (Kagawa Singer, Dressler, George, & Panel, 2016). Cultural factors influencing Hispanic men's health include acculturation status (Ahluwalia, Ford, Link, & Bolen, 2007;Delavari, Sonderlund, Swinburn, Mellor, & Renzaho, 2013;Power, O'Connor, Orlet Fisher, & Hughes, 2015), physically-demanding jobs Valdez, Amezquita, Hooker, & Garcia, 2017), dietary cultural norms (Power et al, 2015;Santiago-Torres et al, 2015), and access to health services (Timmins, 2002). Given these factors, efforts to tailor weight loss interventions more specifically to the needs of Hispanic men are warranted.…”

Section: Introductionmentioning

confidence: 99%

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A Gender- and Culturally Sensitive Weight Loss Intervention for Hispanic Men: Results From the Animo Pilot Randomized Controlled Trial

et al. 2019

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Background. Hispanic males have the highest rates of overweight and obesity compared with men of all other racial/ethnic groups. While weight loss can significantly reduce obesity-related health risks, there is limited research examining effective gender- and culturally tailored behavioral weight loss programs for Hispanic men. Objective. To assess the feasibility and preliminary efficacy of a 12-week gender- and culturally sensitive weight loss intervention (GCSWLI) as compared with a waist-list control (WLC) in sedentary, Hispanic males with overweight/obesity. Method. Fifty Hispanic males (age: 43 years [ SD = 11]; BMI: 34 ± 5 kg/m2; 58% Spanish monolingual) were randomized to one of two groups: GCSWLI ( n = 25) or WLC ( n = 25). GCSWLI participants attended weekly in-person individual sessions with a bilingual, bicultural Hispanic male lifestyle coach, and were prescribed a daily reduced calorie goal and 225 minutes of moderate-intensity physical activity per week. The WLC were asked to maintain their usual diet and physical activity habits for 12 weeks. GCSWLI participants continued with 12 additional weeks of follow-up including biweekly phone calls with lifestyle coaches. Results. At Week 12, the mean weight loss in the GCSWLI was −6.3 kg (95% confidence interval [CI; −8.1, −4.4]) compared with −0.8 kg (95% CI [−2.5, 0.9]) for the WLC (difference = −5.5 kg, 95% CI [−8.0, −2.9], p < .01). At Week 24, weight loss in the GCSWLI was maintained. Conclusions. The GCSWLI appears to be a feasible strategy to engage Hispanic males in short-term weight loss. Our pilot study indicates preliminary evidence of efficacy, though confirmation of these findings is needed in a larger study.

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Section: Gender and Cultural Tailoring Frameworkmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Gender- and Culturally Sensitive Weight Loss Intervention for Hispanic Men: Results From the Animo Pilot Randomized Controlled Trial

et al. 2019

View full text Add to dashboard Cite

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“…As a result, we focused latter efforts on recruiting a less-acculturated sample (e.g., Spanish-speaking; foreign-born, low educational attainment) for parallel inquiry. We completed a second qualitative assessment with 15 Spanish-speaking Mexican-origin men who were interested in engaging in behavior changes to improve diet and physical activity habits for weight management [ 23 ]. The men identified additional barriers to weight management-related behaviors; specifically, that healthful eating habits were hindered by lack of knowledge, sociocultural norms, and conceptualizations of masculinity [ 23 ].…”

Section: Methodsmentioning

confidence: 99%

“…We completed a second qualitative assessment with 15 Spanish-speaking Mexican-origin men who were interested in engaging in behavior changes to improve diet and physical activity habits for weight management [ 23 ]. The men identified additional barriers to weight management-related behaviors; specifically, that healthful eating habits were hindered by lack of knowledge, sociocultural norms, and conceptualizations of masculinity [ 23 ]. Participants also recommended viable strategies for weight management including expanding knowledge of obesity-related risks, promotion of traditional Mexican foods, and increasing participant-interventionist accountability.…”

Section: Methodsmentioning

confidence: 99%

“…Using existing practice guidelines and evidence from our recently completed in-depth qualitative interviews in overweight/obese Hispanic males [ 22 , 23 ], we developed and tested a novel intervention to address this gap in knowledge. We proposed to 1) assess the feasibility, acceptability and preliminary efficacy of a gender- and culturally-sensitive weight loss intervention in 48 overweight/obese Hispanic males ages 18–64 over 12-weeks; 2) assess participant characteristics and process measures related to the uptake of mobile-health (mHealth) technology in overweight/obese Hispanic males over 12-weeks; and 3) evaluate pathologic changes in the liver in Hispanic men enrolled in a 12-week weight loss intervention using non-invasive magnetic resonance imaging (MRI) as a therapeutic response biomarker.…”

Section: Introductionmentioning

confidence: 99%

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A gender- and culturally-sensitive weight loss intervention for Hispanic males: The ANIMO randomized controlled trial pilot study protocol and recruitment methods

Garcia

Valdez

Bell

et al. 2018

Contemporary Clinical Trials Communications

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Hispanic men have the highest rates of overweight and obesity when compared to men of other racial/ethnic groups, placing them at increased risk for obesity-related disease. Yet, Hispanic men are grossly underrepresented in weight loss research. Tailored intervention strategies to improve obesity treatment programs for this vulnerable racial/ethnic subgroup are needed. This manuscript describes recruitment strategies, methodology, and participant characteristics of the ANIMO study, a 24-week randomized controlled pilot trial testing the effects of a gender- and culturally-sensitive weight loss intervention (GCSWLI) on body weight in Hispanic men compared to a wait-list control condition. The ANIMO study included two phases. The first phase was a 12-week GCSWLI. Participants attended weekly in-person individual sessions guided by a trained bilingual Hispanic male lifestyle coach, were prescribed a daily reduced calorie goal, and 225 min of moderate-intensity physical activity per week. In the second phase, GCSWLI participants received bi-weekly phone calls across a 12-week follow-up. Wait-list control (WLC) participants from phase 1 received the GCSWLI plus mobile health technology support. Recruitment strategies included face-to-face efforts at a swap meet (outdoor marketplace), family/friend referrals, printed advertisements and social media. Recruitment, screening, and participant enrollment occurred over three months. Overall, 143 men expressed interest in participation. Of these, 115 were screened and 78% (n = 90) were eligible to participate; 45% of enrolled participants (n = 52) completed baseline assessments and 43% (n = 50) were randomized (mean age of 43.3 ± 11.4 years; BMI: 34.1 ± 5.3 kg/m2; 58% Spanish monolingual). Parameter estimates from ANIMO will support future adequately powered trials for this health disparate population.Trial registrationClinicalTrials.gov: NCT02783521

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Dietary Patterns with Healthy and Unhealthy Traits Among Overweight/Obese Hispanic Women with or at High Risk for Type 2 Diabetes

Arias-Gastelum

Lindberg

Leo

et al. 2020

J. Racial and Ethnic Health Disparities

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Hispanic women are at high risk for type 2 diabetes (T2D), with obesity and unhealthy eating being important contributing factors. A cross-sectional design was used in this study to identify dietary patterns and their associations with diabetes risk factors. Participants completed a culturally adapted Food Frequency Questionnaire capturing intake over the prior 3 months. Overweight/ obese Hispanic women (n = 191) with or at risk for T2D were recruited from a community clinic into a weight loss intervention. Only baseline data was used for this analysis. Dietary patterns and their association with diabetes risk factors (age, body mass index, abdominal obesity, elevated fasting blood glucose [FBG], and hemoglobin A1c). An exploratory factor analysis of dietary data adjusted for energy intake was used to identify eating patterns, and Pearson correlation coefficient (r) to assess the association of the eating patterns with the diabetes risk factors. Six meaningful patterns with healthful and unhealthful traits emerged: (1) sugar and fatladen, (2) plant foods and fish, (3) soups and starchy dishes, (4) meats and snacks, (5) beans and grains, and (6) eggs and dairy. Scores for the "sugar and fat-laden" and "meats and snacks" patterns were negatively associated with age (r = − 0.230, p = 0.001 and r = − 0.298, p < 0.001, respectively). Scores for "plant foods and fish" were positively associated with FBG (r = 0.152, p = 0.037). Being younger may be an important risk factor for a diet rich in sugar and fat; this highlights the need to assess dietary patterns among younger Hispanic women to identify traits potentially detrimental for their health.

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Mexican-origin male perspectives of diet-related behaviors associated with weight management

Cited by 25 publications

References 15 publications

A Gender- and Culturally Sensitive Weight Loss Intervention for Hispanic Men: Results From the Animo Pilot Randomized Controlled Trial

A Gender- and Culturally Sensitive Weight Loss Intervention for Hispanic Men: Results From the Animo Pilot Randomized Controlled Trial

A gender- and culturally-sensitive weight loss intervention for Hispanic males: The ANIMO randomized controlled trial pilot study protocol and recruitment methods

Dietary Patterns with Healthy and Unhealthy Traits Among Overweight/Obese Hispanic Women with or at High Risk for Type 2 Diabetes

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