Racial/ethnic representation in lifestyle weight loss intervention studies in the United States: A systematic review.
Racial/ethnic representation in lifestyle weight loss intervention studies in the United States: A systematic review.
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DOI：
10.1016/j.pmedr.2018.01.012
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发表时间：
2018-03
影响因子：
2.8
通讯作者：
Lemon SC
中科院分区：
文献类型：
--
作者：
Haughton CF;Silfee VJ;Wang ML;Lopez-Cepero AC;Estabrook DP;Frisard C;Rosal MC;Pagoto SL;Lemon SC
在美国，肥胖仍然是一个持续的公共卫生和健康差距问题。消除健康差距，特别是在种族/少数民族群体之间，是美国的一个主要健康优先事项。本综述的主要目的是评估在美国成年人中进行的行为减肥干预中种族/民族亚组成员的代表性。次要目的是评估招募和研究设计方法，以纳入种族/族裔群体以及在这些研究中进行的种族/族裔亚组分析的程度。检索PubMed、PsycInfo、Medline和CINAHL中2009-2015年进行的行为减肥干预试验，使用关键词：体重、减肥、超重、肥胖、干预和试验。94项研究中的大多数包括大多数白色参与者，而不是任何其他种族/民族。在纳入的研究中，58.9%的参与者是白色，18.2%是非洲裔美国人，8.7%是西班牙裔/拉丁裔，5.0%是亚洲人，1.0%是美洲原住民。另有8.2%被归类为“其他”。94项研究中有9项仅包括少数民族样本。在行为试验中缺乏种族和少数民族人群的充分代表性限制了这些干预措施对可能从减肥中获益最多的群体的普遍性和潜在的公共卫生影响。考虑到美国少数群体肥胖率的种族/民族差异以及肥胖和肥胖相关疾病的负担，有必要将更多的人纳入减肥干预研究。描述行为减肥研究中的种族/少数民族纳入大多数研究继续包括大多数白色样本。一些少数种族/族裔群体的代表人数略有增加。少数群体缺乏足够的代表性限制了普遍性。在减肥干预研究中纳入更多的种族/民族是必要的。
Obesity remains a persistent public health and health disparity concern in the United States. Eliminating health disparities, particularly among racial/ethnic minority groups, is a major health priority in the US. The primary aim of this review was to evaluate representation of racial/ethnic sub-group members in behavioral weight loss interventions conducted among adults in the United States. The secondary aims were to assess recruitment and study design approaches to include racial/ethnic groups and the extent of racial/ethnic sub-group analyses conducted in these studies. PubMed, PsycInfo, Medline, and CINAHL were searched for behavioral weight loss intervention trials conducted in 2009–2015 using keywords: weight, loss, overweight, obese, intervention and trial. Most of the 94 studies included a majority of White participants compared to any other racial/ethnic group. Across the included studies, 58.9% of participants were White, 18.2% were African American, 8.7% were Hispanic/Latino, 5.0% were Asian and 1.0% were Native Americans. An additional 8.2% were categorized as “Other”. Nine of the 94 studies exclusively included minority samples. Lack of adequate representation of racial and ethnic minority populations in behavioral trials limits the generalizability and potential public health impact of these interventions to groups that might most benefit from weight loss. Given racial/ethnic disparities in obesity rates and the burden of obesity and obesity-related diseases among minority groups in the United States, greater inclusion in weight loss intervention studies is warranted. Describes racial/ethnic minority inclusion in behavioral weight loss studies Majority of studies continue to include a majority white sample. Modest increases in the representation of some racial/ethnic minority groups. Lack of adequate representation of minority groups limits generalizability. Greater racial/ethnic inclusion in weight loss intervention studies is warranted.