HEALTHY LIFESTYLES AMONG AFRICAN AMERICAN WOMEN THROUGH WEIGHT LOSS

这个项目的目的是比较HYPE(通过体育锻炼健康年)的效果， 在行为选择治疗(BCT)和行为治疗的基础上增加文化定制的运动干预 (BT)，既有BCT，也有行为疗法(BT)加上步行。主要结果是持续的行为 两年内的变化和体重维持情况。这项拟议研究的中心假设是 BCT加上炒作可以在24个月内促进更大的持续减肥和运动维持 后续行动。我们根据先前研究的结果提出了这一假设，这些结果表明 行为选择疗法成功应用于促进持续减肥和12岁以上的锻炼 一个月的随访1和非裔美国女性的数据显示体重稳定到两年。 该应用程序的目标是(1)进一步评估行为选择的长期效果 在非裔美国女性中进行治疗与传统行为治疗的比较和(2)检查 使用HYPE，一个为非裔美国女性量身定做的锻炼计划，在促进长期锻炼方面的影响 保持体重。这种疗法可能不仅对控制肥胖有深远的影响，而且对 在其他疾病状态(如高血压、糖尿病)和为了健康而维持健康行为 升职。

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.