African Americans in Standard Behavioral Treatment for Obesity, 2001-2015: What Have We Learned?
African Americans (AAs) bear a disproportionate burden of the obesity epidemic, yet have historically been underrepresented in weight loss research. We conducted a narrative review of large (N > 75) randomized prospective clinical trials of standard behavioral treatment for weight loss that repor...
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| Veröffentlicht in: | Western journal of nursing research 2017-08, Vol.39 (8), p.1045-1069 |
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| container_title | Western journal of nursing research |
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| creator | Goode, Rachel W. Styn, Mindi A. Mendez, Dara D. Gary-Webb, Tiffany L. |
| description | African Americans (AAs) bear a disproportionate burden of the obesity epidemic, yet have historically been underrepresented in weight loss research. We conducted a narrative review of large (N > 75) randomized prospective clinical trials of standard behavioral treatment for weight loss that reported results in the past 15 years (2001-2015) to (a) determine the rates of inclusion and reported results for AAs and (b) further identify strategies that may result in improved outcomes. Of the 23 trials reviewed, 69.6% of the studies met or exceeded population estimates for AAs in the United States. However, only 10 reported outcomes and/or considered race in the analytic approach. At 6 months, AA participants consistently lost less weight than White participants. The use of culturally tailored intervention materials and monthly personal telephone calls were reported as factors that may have enhanced treatment response. Future behavioral weight loss trials should also increase reporting of outcomes by race. |
| doi_str_mv | 10.1177/0193945917692115 |
| format | Article |
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We conducted a narrative review of large (N > 75) randomized prospective clinical trials of standard behavioral treatment for weight loss that reported results in the past 15 years (2001-2015) to (a) determine the rates of inclusion and reported results for AAs and (b) further identify strategies that may result in improved outcomes. Of the 23 trials reviewed, 69.6% of the studies met or exceeded population estimates for AAs in the United States. However, only 10 reported outcomes and/or considered race in the analytic approach. At 6 months, AA participants consistently lost less weight than White participants. The use of culturally tailored intervention materials and monthly personal telephone calls were reported as factors that may have enhanced treatment response. Future behavioral weight loss trials should also increase reporting of outcomes by race.</description><subject>African Americans</subject><subject>African Americans - psychology</subject><subject>Behavior modification</subject><subject>Behavior Therapy - methods</subject><subject>Behavior Therapy - trends</subject><subject>Clinical research</subject><subject>Clinical trials</subject><subject>Clinical Trials as Topic</subject><subject>Continental Population Groups</subject><subject>Exercise</subject><subject>Health Behavior - ethnology</subject><subject>Humans</subject><subject>Nursing</subject><subject>Obesity</subject><subject>Obesity - ethnology</subject><subject>Obesity - therapy</subject><subject>Prospective Studies</subject><subject>Race</subject><subject>Telephone calls</subject><subject>Weight control</subject><subject>Weight loss</subject><subject>Weight Loss - ethnology</subject><issn>0193-9459</issn><issn>1552-8456</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1UU1P20AQXSEqSIF7T9VKvfSA2531fvYACqgtlSLlABLHZb0eE6PYhl0nUv597QYiisRpRnpv3ryZR8gnYN8AtP7OwOZWSAtaWQ4g98gEpOSZEVLtk8kIZyN-SD6m9MAY4wL4ATnkJudcKTMhd9Mq1sG3dNrgvybRuqXXvW9LH0t6gQu_rrvol_Qmou8bbHtadZHOC0x1vzmlnDHIOAP5g94ufE-v_BrpLdIZ-thieX5MPlR-mfDkuR6R618_by6vstn895_L6SwLQvE-C9zbkFtlClGYIIyVmgWosELDRqcacmVLJkolS850URlVqQKY1wJB5kfkbKv6uCoaLMNgc_DsHmPd-Lhxna_d_0hbL9x9t3ZSDj8S-SDw9Vkgdk8rTL1r6hRwufQtdqvkwGirlLRcD9Qvb6gP3Sq2w3EO7PhZofkoyLasELuUIlY7M8DcGJ57G94w8vn1EbuBl7QGQrYlJH-Pr7a-J_gXzE-ewA</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Goode, Rachel W.</creator><creator>Styn, Mindi A.</creator><creator>Mendez, Dara D.</creator><creator>Gary-Webb, Tiffany L.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170801</creationdate><title>African Americans in Standard Behavioral Treatment for Obesity, 2001-2015: What Have We Learned?</title><author>Goode, Rachel W. ; Styn, Mindi A. ; Mendez, Dara D. ; Gary-Webb, Tiffany L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-c2a9c3968b4b8c489570c1fefe80266871369d04d65d207bf86f6b10a74e153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>African Americans</topic><topic>African Americans - psychology</topic><topic>Behavior modification</topic><topic>Behavior Therapy - methods</topic><topic>Behavior Therapy - trends</topic><topic>Clinical research</topic><topic>Clinical trials</topic><topic>Clinical Trials as Topic</topic><topic>Continental Population Groups</topic><topic>Exercise</topic><topic>Health Behavior - ethnology</topic><topic>Humans</topic><topic>Nursing</topic><topic>Obesity</topic><topic>Obesity - ethnology</topic><topic>Obesity - therapy</topic><topic>Prospective Studies</topic><topic>Race</topic><topic>Telephone calls</topic><topic>Weight control</topic><topic>Weight loss</topic><topic>Weight Loss - ethnology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goode, Rachel W.</creatorcontrib><creatorcontrib>Styn, Mindi A.</creatorcontrib><creatorcontrib>Mendez, Dara D.</creatorcontrib><creatorcontrib>Gary-Webb, Tiffany L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Western journal of nursing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goode, Rachel W.</au><au>Styn, Mindi A.</au><au>Mendez, Dara D.</au><au>Gary-Webb, Tiffany L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>African Americans in Standard Behavioral Treatment for Obesity, 2001-2015: What Have We Learned?</atitle><jtitle>Western journal of nursing research</jtitle><addtitle>West J Nurs Res</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>39</volume><issue>8</issue><spage>1045</spage><epage>1069</epage><pages>1045-1069</pages><issn>0193-9459</issn><eissn>1552-8456</eissn><abstract>African Americans (AAs) bear a disproportionate burden of the obesity epidemic, yet have historically been underrepresented in weight loss research. 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Future behavioral weight loss trials should also increase reporting of outcomes by race.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>28322668</pmid><doi>10.1177/0193945917692115</doi><tpages>25</tpages><oa>free_for_read</oa></addata></record> |
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| source | Access via SAGE; MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | African Americans African Americans - psychology Behavior modification Behavior Therapy - methods Behavior Therapy - trends Clinical research Clinical trials Clinical Trials as Topic Continental Population Groups Exercise Health Behavior - ethnology Humans Nursing Obesity Obesity - ethnology Obesity - therapy Prospective Studies Race Telephone calls Weight control Weight loss Weight Loss - ethnology |
| title | African Americans in Standard Behavioral Treatment for Obesity, 2001-2015: What Have We Learned? |
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