Gary G. Bennett|Perry Foley|Erica Levine|Jessica A. Whiteley|Sandy Askew|Dori Steinberg|Bryan C. Batch|Mary L. Greaney|Heather Miranda|Thomas H. Wroth|Marni Gwyther Holder|Karen M. Emmons|Elaine Puleo
Behavioral Treatment for Weight Gain Prevention Among Black Women in Primary Care Practice
Duke University|Duke Institute for Health Innovation|Duke Institute for Health Innovation|Duke University|Duke Institute for Health Innovation|Duke University|University of Massachusetts Boston|Duke Institute for Health Innovation|Duke University|Duke Institute for Health Innovation|Duke University|Duke University Hospital|Duke Medical Center|Dana-Farber Cancer Institute|Piedmont HealthCare|Piedmont HealthCare|Piedmont HealthCare|Dana-Farber Cancer Institute|University of Massachusetts Amherst
h3importanceh3 weight loss treatments produce clinically meaningful weight loss outcomes among black women particularly primary care setting new weight management strategies necessary population weight gain prevention might effective treatment option particular benefits overweight class 1 obese black women h3objectiveh3 compare changes weight cardiometabolic risk 12month period among black women randomized primary carebased behavioral weight gain prevention intervention relative usual care h3design setting participantsh3 twoarm randomized clinical trial shape program recruited patients 6site community health center system randomized 194 overweight class 1 obese body mass index calculated weight kilograms divided height meters squared 25349 premenopausal black women aged 25 44 years enrollment began december 7 2009 12 18month assessments completed february october 2 2012 h3interventionsh3 mediumintensity intervention included tailored behavior change goals weekly selfmonitoring via interactive voice response monthly counseling calls tailored skills training materials gym membership h3main outcomes measuresh3 twelvemonth change weight body mass index maintenance change 18 months h3resultsh3 participants mean age 354 years mean weight 811 kg mean body mass index 302 baseline socioeconomically disadvantaged 797 educational level less college degree 743 reporting annual income lt30 000 12month weight change larger among intervention participants mean sd 10 05 kg relative usual care 05 05 kg mean difference 14 kg 95 ci 28 01 kgipi 04 month 12 62 intervention participants baseline weights compared 45 usualcare participants ipi 03 18 months intervention participants maintained significantly larger changes weight mean difference 17 kg 95 ci 33 02 kg h3conclusions relevanceh3 mediumintensity primary carebased behavioral intervention demonstrated efficacy weight gain prevention among socioeconomically disadvantaged black women maintain dont gain approach might useful alternative treatment reducing obesityassociated disease risk among premenopausal black women h3trial registrationh3 clinicaltrialsgov identifiernct00938535