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

肥胖是一个重要的公共健康问题，对服务不足的群体影响尤为严重。在美国，非裔美国人（31.1%的黑人肥胖，而白人肥胖的比例为19.6%）和南部农村居民承受着肥胖流行的最高负担。针对农村和非洲裔美国人群体的肥胖干预措施对于解决健康差距至关重要。减肥可以改善肥胖相关的危险因素，防止肥胖相关合并症的发生，减肥干预措施已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。几个多中心的肥胖生活方式改变疗效试验报告了不同人群显著和持续的体重减轻。然而，将以证据为基础的减肥和维持干预措施转化为常规实践环境（如社区）的工作很少。为了有效地解决肥胖差异，需要针对社区中农村非洲裔美国人群体的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.