Weight Loss and Maintenance for Rural, African American Communities of Faith

非裔美国人社区的肥胖和减肥维持肥胖是一个重大的公共卫生问题，对服务不足的群体造成了不成比例的影响。在美国国内，非裔美国人(31.1%的黑人肥胖，而白人的肥胖率为19.6%)和南部农村居民是肥胖症流行的最大负担。针对农村非裔美国人群体的肥胖干预对于解决健康差距至关重要。减肥改善了肥胖相关的危险因素，防止了肥胖相关并发症的发展，减肥干预措施已经显示出这些结果的改善。然而，除非保持减肥，否则减肥的积极影响往往会减弱。几项改变肥胖生活方式的多中心疗效试验报告称，不同群体的体重都有显著和持续的减轻。然而，在将循证减肥和维持干预措施转化为常规实践环境(如社区)方面的工作很少。为了有效地解决肥胖差距，需要为社区中的农村非裔美国人群体翻译基于证据的减肥和维持干预措施。

Obesity and Weight Loss Maintenance in African American Communities Obesity is a significant public health problem that disproportionately affects underserved groups. Within the U.S., African Americans (31.1% of blacks are obese compared to 19.6% of whites) and Southern rural residents bear some of the highest burdens of the obesity epidemic. Obesity interventions targeting rural, African American groups are essential to address disparities in health. Weight loss improves obesity-related risk factors and prevents the development of obesity-related comorbidities, and weight loss interventions have shown improvements in these outcomes. However, the positive effects of weight loss tend to diminish unless weight loss is maintained. Several multi-center efficacy trials of lifestyle modification for obesity have reported significant and sustained weight loss for diverse groups. However, there has been very little work in the translation of evidence-based weight loss and maintenance interventions into regular practice settings, such as the community. To effectively address obesity disparities, evidence-based weight loss and maintenance interventions translated for rural African American groups in the community are needed.