The impact of weight on quality of life in African American women

描述(由申请人提供)：蒂凡尼·L·考克斯，公共卫生硕士，致力于肥胖研究的学术生涯。她在过去已经证明了她完成项目和独立工作的能力，并通过该奖学金提供的教育和培训展示了成为一名富有成效的研究人员所需的素质。赞助商：何塞·R·费尔南德斯博士，营养科学部教育副主席，致力于指导年轻研究人员、研究员和学生，并为该部门提供主题和方向，其使命是培养将对肥胖研究领域做出贡献的批判性和分析性思想家。临床活动副主席Jamy D.Ard医学博士将担任共同赞助人，提供有关肥胖的临床研究和特定文化挑战方面的进一步专业知识。环境：UAB提供深度和多样性的临床研究努力，以及支持这一F31应用程序所需的最先进的物理资源。这项提案将利用的具体资源包括UAB资助的NIH临床营养研究中心、营养科学部和公共卫生学院内的研究设施和资源。研究：非裔美国女性目前在美国超重人群中占不成比例的比例。然而，目前尚不清楚超重是否与报告的非裔美国女性的生活质量有显著关联。由于生活质量与整体健康有关，因此有必要研究体重对这一独特人群生活质量的影响。这项建议旨在解决以下问题：1)使用体重对生活质量的影响-Lite(IWQOL-Lite)调查来评估体重对非裔美国女性生活质量的总体和特定领域的影响；2)使用现有的高加索女性数据中的匹配样本，比较非裔美国女性和高加索女性体重对生活质量的影响；以及3)使用Baron和Kenny检验进行调解，以确定身体形象不满是否在这一独特人群的BMI和生活质量之间的关系中起中介作用。 与公共健康相关：实现这项提案的目标将提供宝贵的文献，以解决肥胖领域的关键健康差距，这是国家卫生研究院内几个机构总体使命的组成部分。更好地了解体重指数对非裔美国妇女健康的所有领域，包括生活质量的影响，将导致制定适当的干预措施，以促进非裔美国妇女达到健康的体重。它还将有助于在蒂凡尼的基础上继续在代表不足的人群中进行肥胖症研究。

DESCRIPTION (provided by applicant): Tiffany L. Cox, MPH is motivated and committed to an academic career in obesity research. She has demonstrated her ability to complete projects and work independently in the past, and shows the qualities necessary to become a productive researcher with the education and training provided by this fellowship. Sponsors: Jose R. Fernandez, PhD, Vice Chair of Education in the Nutrition Sciences Department is committed to mentorship of young investigators, fellows and students as well as providing themes and direction to the department whose mission is to develop critical and analytical thinkers that will contribute to the field of obesity research. Jamy D. Ard, MD, Vice Chair of Clinical Activity will serve as co- sponsor offering further expertise in clinical research and culturally specific challenges in obesity. Environment: UAB provides depth and diversity of clinical research endeavors as well as state-of-the-art physical resources necessary to support this F31 application. Specific resources that will be utilized in this proposal include UAB's NIH funded Clinical Nutrition Research Center, research facilities and resources within the Department of Nutrition Sciences and the School of Public Health. Research: African American women currently represent a disproportionate number of overweight individuals in the United States. However, it remains unclear whether excess weight has a significant association with reported quality of life in African American women. Since quality of life is related to overall health, it is worthwhile to examine the impact of weight on quality of life in this unique population. This proposal aims to address the following: 1) assess the overall and domain specific impact of weight on quality of life in African American women using the Impact of Weight on Quality of Life - Lite (IWQOL-Lite) Survey 2) compare the reported impact of weight on quality of life in African American and Caucasian women using a matched sample from extant data on Caucasian women, and 3) use the Baron and Kenny test for mediation to determine if body image dissatisfaction is a mediator in the relationship between BMI and quality of life in this unique population. PUBLIC HEALTH RELEVANCE: Accomplishing the goals of this proposal will provide valuable literature to address a key health disparity in the field of obesity, a component of the overall mission of several agencies within the National Institutes of Health. A better understanding of the effect of BMI on all domains of health including quality of life in African American women will lead to the development of appropriate interventions to promote achieving a healthy body weight in African American women. It will also help to build upon Tiffany's foundation for a continued career in the area of obesity research in underrepresented populations.