African Americans in Standard Behavioral Treatment for Obesity, 2001-2015: What Have We Learned?

African Americans in Standard Behavioral Treatment for Obesity, 2001-2015: What Have We Learned?
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DOI:
10.1177/0193945917692115
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发表时间:
2017-08
影响因子:
1.8
通讯作者:
Gary-Webb TL
Gary-Webb TL
中科院分区:
医学4区
文献类型:
--
作者:
Goode RW;Styn MA;Mendez DD;Gary-Webb TL

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非裔美国人在肥胖流行病中承担着不成比例的负担,但在减肥研究中一直代表性不足。我们对过去15年(2001-2015年)报告结果的大型(N bbb75)随机前瞻性减肥标准行为治疗临床试验进行了叙述性回顾,以:1)确定非裔美国人的纳入率和报告结果,2)进一步确定可能导致改善结果的策略。在回顾的23项试验中,69.6%的研究达到或超过了对美国非裔美国人的人口估计。然而,在分析方法中,只有10个报告了结果和/或考虑了种族。6个月后,非裔美国人的体重一直比白人少。据报道,使用适合文化的干预材料和每月个人电话通话可能是提高治疗反应的因素。未来的行为减肥试验也应该增加种族结果的报告。
African-Americans bear a disproportionate burden of the obesity epidemic, yet have historically been underrepresented in weight loss research. We conducted a narrative review of large (N > 75) randomized prospective clinical trials of standard behavioral treatment for weight loss that reported results in the past fifteen years (2001-2015) to: 1) determine the rates of inclusion and reported results for African-Americans, and 2) further identify strategies that may result in improved outcomes. Of the 23 trials reviewed, 69.6% of the studies met or exceeded population estimates for African-Americans in the United States. However, only 10 reported outcomes and/or considered race in the analytic approach. At 6 months, African-American participants consistently lost less weight than white participants. The use of culturally tailored intervention materials and monthly personal telephone calls were reported as factors that may have enhanced treatment response. Future behavioral weight loss trials should also increase reporting of outcomes by race.
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