HEALTHY LIFESTYLES AMONG AFRICAN AMERICAN WOMEN THROUGH WEIGHT LOSS

该项目的目的是比较HYPE（通过体育锻炼健康年）的有效性， 在行为选择治疗（BCT）和行为治疗（Behavior Therapy）的基础上， (BT)，BCT和行为疗法（BT）加步行。主要结果是持续的行为 变化和体重维持超过两年的随访。拟议研究的中心假设是 BCT加HYPE可以促进24个月以上持续减肥和运动维持 随访我们根据以前的研究结果制定了这一假设，这些研究表明， 行为选择治疗成功地应用于促进持续减肥和运动超过12 一个月的随访1和非裔美国妇女的数据表明，体重稳定了两年。 本申请的目的是（1）进一步评估行为选择的长期疗效 治疗与传统的行为疗法相比，在非洲裔美国妇女和（2）检查 使用HYPE的影响，为非洲裔美国妇女量身定制的锻炼计划，在促进长期 体重维持这种治疗方法不仅对控制肥胖， 在其他疾病状态下维持健康行为（例如，高血压、糖尿病）和健康 推广.

The purpose of this project is to compare the effectiveness of HYPE (Health Years through Physical Exercise), a culturally tailored exercise intervention added to Behavior Choice Treatment (BCT) and Behavior Therapy (BT), with both BCT and Behavior Therapy (BT) plus walking. The primary outcomes are sustained behavioral changes and weight maintenance over two-year follow up. The central hypothesis of the proposed research is that BCT plus HYPE can promote greater continuing weight loss and exercise maintenance over 24 month follow-up. We have formulated this hypothesis based on results of previous studies, which demonstrate that Behavior Choice Treatment was successfully applied to promote continuing weight loss and exercise over 12 month follow-up1 and data with African American women demonstrating weight stabilization out to two years. The objectives of this particular application are (1) to further evaluate the long-term efficacy of Behavior Choice Treatment compared to traditional behavior therapy among African-American women and (2) to examine the impact of using HYPE, an exercise program tailored to African American women, in promoting long-term weight maintenance. This treatment may have far-reaching implications for not only controlling obesity, but for the maintenance of health behavior in other disease states (e.g., hypertension, diabetes) and for health promotion.