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Lose weight and win: A church-based weight loss program for blood pressure control among black women
Journal article   Peer reviewed

Lose weight and win: A church-based weight loss program for blood pressure control among black women

Shiriki K. Kumanyika and Jeanne B. Charleston
Patient education and counseling, v 19(1), pp 19-32
1992
PMID: 1298945
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Blacks Hypertension Weight control Women
The Baltimore Church High Blood Pressure Program (CHBPP) offers a behaviorally oriented weight control program consisting of eight weekly 2-h diet counseling/exercise sessions. Pre- and post program weight and blood pressure measurements were analyzed for 184 black and 3 white women aged 18–81 years (mean 51) who participated in the program in 1984–1986: 88 were taking antihypertensive medication ( R x ) and 99 were not (no R x). Mean weight loss was 6 lb in both groups: −18 to +7 lb in the R x group and −31 to +3 lb in the no R x group. The mean systolic/diastolic blood pressure (SBP/DBP) decrease was 10/6 mmHg in the R x group and 5/3 mmHg in the no R x group (P < 0.001 for all pre/post comparisons). Final SBP was < 140 mmHg for 74% of participants, versus 52% initially. Final DBP was < 90 mmHg in 92% versus 65% initially. Supporting the inference that BP decreases among weight control program participants reflect program effects, percent changes in SBP and DBP (week 2 to week 8) were significantly correlated with percent change in weight (r s = 0.23–0.36; P < 0.05). Comparison data for 25 women from the CHBPP population showed a mean SBP/DBP increase of 8/2 mmHg over an 8-week interval. Based on follow up measurements 6 months after the end of the 8-week program for 74 of the 187 women, weight lost during the 8-week program was maintained or exceeded by 65%. Net weight change at 8 months from baseline for women in the follow up subsample ranged from −28 to +4 lb; mean (SD) −6 (7) lb. Weight loss and related dietary or behavioral changes resulting from participation in a weight control program can enhance blood pressure control among black women.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
Social Sciences, Interdisciplinary
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