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
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DOI：
10.1177/1090198119853011
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发表时间：
2019-10-01
影响因子：
4.2
通讯作者：
Hooker, Steven P.
中科院分区：
文献类型：
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作者：
Garcia, David O.;Valdez, Luis A.;Hooker, Steven P.
背景。与所有其他种族/族裔群体的男性相比，西班牙裔男性的超重和肥胖率最高。虽然减肥可以显着降低与肥胖相关的健康风险，但针对西班牙裔男性有效的性别和文化定制行为减肥计划的研究有限。客观的。旨在评估针对久坐的超重/肥胖西班牙裔男性，为期 12 周的性别和文化敏感减肥干预措施 (GCSWLI) 与腰围控制 (WLC) 的可行性和初步效果。方法。 50 名西班牙裔男性（年龄：43 岁 [SD = 11]；BMI：34 +/- 5 kg/m(2)；58% 只讲西班牙语）被随机分入两组中的一组：GCSWLI (n = 25) 或 WLC (n = 25)。 GCSWLI 参与者每周参加一位双语、双文化西班牙裔男性生活方式教练的面对面个人课程，并被规定每日减少卡路里目标和每周 225 分钟中等强度的身体活动。 WLC 被要求在 12 周内保持平常的饮食和身体活动习惯。 GCSWLI 参与者继续进行另外 12 周的随访，包括每两周与生活方式教练通电话。结果。第 12 周时，GCSWLI 的平均体重减轻为 -6.3 kg（95% 置信区间 [CI; -8.1, -4.4]），而 WLC 的平均体重减轻为 -0.8 kg（95% CI [-2.5, 0.9]）（差异 = -5.5 kg，95% CI [-8.0, -2.9]，p < .01）。第 24 周时，GCSWLI 的体重减轻得以维持。结论。 GCSWLI 似乎是让西班牙裔男性参与短期减肥的可行策略。我们的试点研究表明了有效性的初步证据，尽管这些发现需要在更大规模的研究中得到证实。
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/m(2); 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.