Weight loss and African-American women: a systematic review of the behavioural weight loss intervention literature.
Weight loss and African-American women: a systematic review of the behavioural weight loss intervention literature.
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DOI：
10.1111/j.1467-789x.2011.00945.x
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发表时间：
2012-03
期刊：
影响因子：
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通讯作者：
Sharp LK
中科院分区：
文献类型：
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作者：
Fitzgibbon ML;Tussing-Humphreys LM;Porter JS;Martin IK;Odoms-Young A;Sharp LK
黑人女性过度肥胖的负担是有据可查的。然而，行为减肥干预文献通常不按种族或性别报告结果。本文的目的是对 1990 年至 2010 年间发表的所有行为减肥干预试验进行系统回顾，其中包括并单独报告了针对黑人女性的结果。入选标准包括：1）参与者年龄≥18岁； 2）行为减肥干预； 3）权重作为结果变量； 4）包容黑人女性； 5) 按种族和性别分别报告的减肥结果。文献检索确定了 25 项符合纳入标准的研究。我们的研究结果表明，针对医疗风险人群进行更深入的随机行为减肥试验会产生更好的结果。目前，针对医疗高危人群进行的精心设计、更密集的多中心试验为黑人女性提供了最有希望的结果。尽管如此，在行为减肥干预措施中，黑人女性的体重减轻仍少于其他亚群体。现在至关重要的是扩大个人层面的方法并纳入影响肥胖的生物、社会和环境因素。这将有助于让这群受肥胖影响尤为严重的女性采取更健康的行为。
The excess burden of obesity among black women is well-documented. However, the behavioral weight loss intervention literature often does not report results by ethnic group or gender. The purpose of this article is to conduct a systematic review of all behavioral weight loss intervention trials published between 1990 and 2010 that included and reported results separately for black women. The criteria for inclusion included: 1) participants age ≥18 years; 2) a behavioral weight loss intervention; 3) weight as an outcome variable; 4) inclusion of black women; and 5) weight loss results reported separately by ethnicity and gender. The literature search identified 25 studies that met inclusion criteria. Our findings suggest more intensive randomized behavioral weight loss trials with medically at-risk populations yield better results. Well-designed and more intensive multi-site trials with medically at-risk populations currently offer the most promising results for black women. Still, black women lose less weight than other subgroups in behavioral weight loss interventions. It is now critical to expand on individual-level approaches and incorporate the biological, social, and environmental factors that influence obesity. This will help enable the adoption of healthier behaviors for this group of women disproportionately affected by obesity.