Weight loss and improved metabolic outcomes amongst rural African American women in the Deep South: six-month outcomes from a community-based randomized trial.
Weight loss and improved metabolic outcomes amongst rural African American women in the Deep South: six-month outcomes from a community-based randomized trial.
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DOI：
10.1111/joim.12622
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发表时间：
2017-07
影响因子：
11.1
通讯作者：
Baskin ML
中科院分区：
文献类型：
--
作者：
Ard JD;Carson TL;Shikany JM;Li Y;Hardy CM;Robinson JC;Williams AG;Baskin ML
肥胖在非裔美国女性中非常普遍，尤其是美国南部农村地区的女性，导致持续的健康差距。测试社区健康顾问向南部农村的非裔美国妇女提供的循证行为减肥干预措施的有效性。来自密西西比州和阿拉巴马州 8 个县的超重或肥胖非裔美国女性（30-70 岁）参加了一项为期 24 个月的随机对照试验，该试验的目的是与单独的减肥计划（仅减肥，N=255）相比，以证据为基础的行为减肥计划辅以支持健康生活方式的社区策略（增重，N=154）。本研究报告了 6 个月的主要（体重变化）和次要（腰围、血压、血脂、空腹血糖）结果，同时强化减肥阶段完成。体重减轻 仅参与者平均减重 2.2 公斤 (p <.001)。 Weight Loss Plus 参与者平均减重 3.2 公斤 (p <.001)。总样本中体重减轻至少 5% 的比例为 27.1%，治疗组之间没有差异。同样，我们观察到每个治疗组的血压、腰围和甘油三酯都有统计学上的显着降低，但组间没有统计学差异。来自美国南部农村的训练有素的非专业卫生人员和志愿者能够针对非裔美国女性进行高强度的行为干预，从而使相当大比例的参与者实现了具有临床意义的体重减轻和其他代谢结果的改善。
Obesity is highly prevalent in African American women, especially those in the rural southern U.S., resulting in persistent health disparities. To test the effectiveness of an evidence-based behavioral weight loss intervention delivered by community health advisors to African American women in the rural south. Overweight or obese African American women (30–70 years) from eight counties in Mississippi and Alabama participated in a 24-month randomized controlled trial of an evidence-based behavioral weight loss program augmented with community strategies to support healthy lifestyles (Weight Loss Plus, N=154) compared to the weight loss program alone (Weight Loss Only, N=255). This study reports on 6-month outcomes on primary (weight change) and secondary (waist circumference, blood pressure, lipids, fasting blood glucose) outcomes, coinciding with the completion of the intensive weight loss phase. Weight Loss Only participants lost an average of 2.2 kg (p <.001). Weight Loss Plus participants lost an average of 3.2 kg (p <.001). The proportion of the total sample that lost at least 5% of their body weight was 27.1% with no difference between treatment groups. Similarly, we observed statistically significant reductions in blood pressure, waist circumference, and triglycerides in each treatment group, with no statistical differences between groups. Trained lay health staff and volunteers from the rural southern U.S. were able to deliver a translation of a high intensity behavioral intervention targeted to African American women, resulting in clinically meaningful weight loss and improvement in other metabolic outcomes in a significant proportion of participants.
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影响因子：
37.8
作者：
Jensen MD;Ryan DH;Apovian CM;Ard JD;Comuzzie AG;Donato KA;Hu FB;Hubbard VS;Jakicic JM;Kushner RF;Loria CM;Millen BE;Nonas CA;Pi-Sunyer FX;Stevens J;Stevens VJ;Wadden TA;Wolfe BM;Yanovski SZ;Jordan HS;Kendall KA;Lux LJ;Mentor-Marcel R;Morgan LC;Trisolini MG;Wnek J;Anderson JL;Halperin JL;Albert NM;Bozkurt B;Brindis RG;Curtis LH;DeMets D;Hochman JS;Kovacs RJ;Ohman EM;Pressler SJ;Sellke FW;Shen WK;Smith SC Jr;Tomaselli GF;American College of Cardiology/American Heart Association Task Force on Practice Guidelines;Obesity Society
通讯作者：
Obesity Society
影响因子：
6.9
作者：
Ard, Jamy D.;Kumanyika, Shiriki;Svetkey, Laura P.
通讯作者：
Svetkey, Laura P.
影响因子：
2.3
作者：
Ard, Jamy D.;Zunker, Christie;Shewchuk, Richard
通讯作者：
Shewchuk, Richard
影响因子：
6.9
作者：
Batch, Bryan C.;Ard, Jamy D.;Vollmer, William M.;Funk, Kristine;Appel, Lawrence J.;Stevens, Victor J.;Samuel-Hodge, Carmen;Loria, Catherine M.;Hollis, Jack F.;Svetkey, Laura P.
通讯作者：
Svetkey, Laura P.
DOI：
10.1111/j.1467-789x.2011.00945.x
发表时间：
2012-03
期刊：
Obesity reviews : an official journal of the International Association for the Study of Obesity
影响因子：
--
作者：
Fitzgibbon ML;Tussing-Humphreys LM;Porter JS;Martin IK;Odoms-Young A;Sharp LK
通讯作者：
Sharp LK