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严重的公共卫生问题，不成比例地影响服务不足的群体。在美国，非裔美国人（31.1%的黑人肥胖，而白人肥胖率为19.6%）和南部农村居民承担着肥胖流行病的最高负担。针对农村非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，防止肥胖相关的合并症的发展，减肥干预措施已经显示出这些结果的改善。然而，减肥的积极作用往往会减少，除非减肥保持不变。几个多中心的生活方式改变对肥胖症的疗效试验报告了不同群体的显着和持续的体重减轻。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的差距，以证据为基础的减肥和维护干预措施翻译为农村非洲裔美国人群体在社区是必要的。

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.