The PATHWAYS church-based weight loss program for urban African-American women at risk for diabetes
The PATHWAYS church-based weight loss program for urban African-American women at risk for diabetes
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DOI：
10.2337/diacare.20.10.1518
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发表时间：
1997-10-01
期刊：
影响因子：
16.2
通讯作者：
Karrison, T
中科院分区：
文献类型：
--
作者：
McNabb, W;Quinn, M;Karrison, T
目的：本研究的目的是测试PATHWAYS的有效性，这是一个专门为非洲裔美国城市女性设计的减肥项目，由训练有素的非专业辅导员在城市教堂进行管理。研究设计和方法：39名肥胖妇女从三个城市非裔美国人教堂中被招募。在随机化和收集体重和生活方式的基线数据后，实验组（n = 19）的受试者被分配接受由训练有素的非专业志愿者进行的为期14周的减肥计划（PATHWAYS）；对照组受试者（n = 20）在研究期结束时排队等候接受程序。结果：入组的39名女性中，有15名实验组受试者和18名对照组受试者可用于治疗后数据收集。完成项目后，PATHWAYS参与者平均减重10.0磅，而对照组受试者平均增重1.9磅。两组之间治疗后体重减轻的差异具有统计学意义（P < 0.0001）。PATHWAYS参与者的腰围减少了2.5英寸，而对照组受试者的腰围保持相对不变。组间差异有统计学意义（P < 0.05）。结论：一个由训练有素的非专业志愿者管理的减肥计划在非裔美国妇女中有效地产生了显著的和临床意义的体重减轻，这些妇女通常不能从典型的减肥计划中获益。目前正在进行的研究集中在是否可以通过每月的强化训练来维持或加强体重减轻。
OBJECTIVE - This study was carried out to test the effectiveness of PATHWAYS, a weight loss program designed specifically for urban African-American women, when administered in urban churches by trained lay facilitators.RESEARCH DESIGN AND METHODS - Thirty-nine obese women were recruited from three urban African-American churches. After randomization and the collection of base line data on weight and lifestyle practices, subjects in the experimental group (n = 19) were assigned to receive a 14-week weight loss program (PATHWAYS) conducted by trained lay volunteers; control group subjects (n = 20) were put on a waiting list to receive the program at the conclusion of the study period.RESULTS - Of the 39 women enrolled, 15 experimental group subjects and 18 control group subjects were available for posttreatment data collection. After completing the program, PATHWAYS participants lost an average of 10.0 lb, and the control group subjects gained an average of 1.9 lb. Posttreatment difference in weight loss between the groups was statistically significant (P < 0.0001). Waist circumference among PATHWAYS participants decreased 2.5 inches, while waist circumference among control group subjects remained relatively the same. This difference between the groups was statistically significant (P < 0.05).CONCLUSIONS - A weight loss program administered by trained lay volunteers tvas effective in producing significant and clinically meaningful weight loss among African-American women who often do not benefit from typical weight loss programs. Ongoing research is focusing on whether the weight loss can be maintained or enhanced through monthly reinforcement sessions.