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Ethnic comparison of weight loss in the Trial of Nonpharmacologic Interventions in the Elderly
Journal article   Open access   Peer reviewed

Ethnic comparison of weight loss in the Trial of Nonpharmacologic Interventions in the Elderly

Shiriki K Kumanyika, Mark A Espeland, Judy L Bahnson, Juliene B Bottom, Jeanne B Charleston, Steve Folmar, Alan C Wilson, Paul K Whelton and TONE Cooperative Res Grp
Obesity research, v 10(2), pp 96-106
01 Feb 2002
DOI: https://doi.org/10.1038/oby.2002.16
PMID: 11836455
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1038/oby.2002.16View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

OBJECTIVETo compare weight loss in blacks and whites in the Trial of Nonpharmacologic Interventions in the Elderly (TONE).RESEARCH METHODS AND PROCEDURESTONE enrolled 421 overweight white and 164 overweight black adults, 60 to 79 years old, with blood pressure well-controlled on a single, antihypertensive drug. Drug therapy withdrawal was attempted 3 months after randomization to counseling for weight loss, sodium reduction, both weight loss and sodium reduction, or to usual care, with follow-up for 15 to 36 months after enrollment. Statistical procedures included repeated measures analysis of covariance and logistic and proportional hazards regression.RESULTSIn the weight-loss condition, net weight change (in kilograms) was -2.7 in blacks and -5.9 in whites (p < 0.001; ethnic difference, p = 0.0002) at 6 months and -2.0 (p < 0.05) in blacks and -4.9 (p < 0.001) in whites at the end of follow-up (ethnic difference, p = 0.007). In weight/sodium, net weight change was -2.1 (p < 0.01) in blacks and -2.8 (p < 0.001) in whites at 6 months, and -1.9 in blacks and -1.7 in whites at the end of follow-up (p < 0.05; ethnic difference, p > 0.5). Exploratory analyses suggested a more favorable pattern of weight change in blacks than in whites from 6 months onward. There was no ethnic difference in blood pressure outcomes.DISCUSSIONWhites lost more weight than blacks without, but not with, a concurrent focus on sodium reduction.

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104 citations in Web of Science
103 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Endocrinology & Metabolism
Nutrition & Dietetics
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