Weight Discrimination Experienced Prior to Enrolling in a Behavioral Obesity Intervention is Associated with Treatment Response Among Black and White Adults in the Southeastern U.S.
Weight Discrimination Experienced Prior to Enrolling in a Behavioral Obesity Intervention is Associated with Treatment Response Among Black and White Adults in the Southeastern U.S.
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DOI：
10.1007/s12529-021-10009-x
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发表时间：
2022-04
影响因子：
2.7
通讯作者：
Dutton, Gareth
中科院分区：
文献类型：
--
作者：
Crockett, Kaylee B.;Borgatti, Alena;Tan, Fei;Tang, Ziting;Dutton, Gareth
目前的研究评估了体重歧视史和种族对治疗前抑郁症状，治疗会议出席率和体重减轻之间的关联，在黑人和白色成年人参加了16周的肥胖干预。参与者（N=271;平均BMI=35.7 kg/m2; 59%黑人; 92%女性）报告了既往体重歧视经历，并在基线时完成了流行病学研究中心抑郁（CES-D）量表。记录每周参加小组会议的情况，并在基线和治疗后测量体重。所有模型均根据基线BMI、年龄和性别进行校正。有体重歧视史的参与者在CES-D上的得分高出2.4分（B=2.432，p= 0.012），相对于没有体重歧视的参与者，体重减少了2%（B=0.023，p= 0.002）。种族之间的关联修改的重量歧视和治疗会议出席，这样，黑人个人参加较少的会议，如果他们有以前的经验，重量歧视，但以前的重量歧视与治疗出席白色个人之间没有显着相关。体重歧视与治疗前的抑郁症状有关，无论种族如何，都可能阻碍体重减轻。黑人个人可能会参加较少的减肥治疗会议，如果他们有体重歧视的经验。
The current study evaluated the associations between history of weight discrimination and race on pre-treatment depressive symptoms, treatment session attendance, and weight loss among Black and White adults enrolled in a 16-week obesity intervention. Participants (N=271; mean BMI=35.7 kg/m2; 59% Black; 92% women) reported prior experiences of weight discrimination and completed the Center for Epidemiological Studies Depression (CES-D) Scale at baseline. Weekly attendance at group sessions was recorded, and weight was measured at baseline and post-treatment. All models adjusted for baseline BMI, age, and sex. Participants with a history of weight discrimination scored 2.4 points higher on the CES-D (B=2.432, p=.012) and lost 2% less weight relative to those without weight discrimination (B=0.023, p=.002). Race modified the association between weight discrimination and treatment session attendance, such that Black individuals attended fewer sessions if they had prior experience of weight discrimination, but prior weight discrimination was not significantly associated with treatment attendance among White individuals. Weight discrimination is associated with pre-treatment depressive symptoms and may hinder weight loss regardless of race. Black individuals may attend fewer weight loss treatment sessions if they have prior experience of weight discrimination.
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影响因子：
8.9
作者：
Emmer, Christine;Bosnjak, Michael;Mata, Jutta
通讯作者：
Mata, Jutta
DOI：
10.1016/j.nurpra.2016.05.013
发表时间：
2016-07-01
期刊：
JNP-JOURNAL FOR NURSE PRACTITIONERS
影响因子：
--
作者：
Fruh, Sharon M.;Nadglowski, Joe;Zlomke, Kimberly
通讯作者：
Zlomke, Kimberly
影响因子：
6.9
作者：
Andreyeva, Tatiana;Puhl, Rebecca M.;Brownell, Kelly D.
通讯作者：
Brownell, Kelly D.
影响因子：
5.1
作者：
Gudzune, Kimberly A.;Bennett, Wendy L.;Bleich, Sara N.
通讯作者：
Bleich, Sara N.
DOI：
10.1186/s12966-017-0564-1
发表时间：
2017-08-15
期刊：
The international journal of behavioral nutrition and physical activity
影响因子：
--
作者：
Dutton GR;Gowey MA;Tan F;Zhou D;Ard J;Perri MG;Lewis CE
通讯作者：
Lewis CE