Journal article
Outpatient weight management in African-Americans: the Healthy Eating and Lifestyle Program (HELP) study
Preventive medicine, v 41(2), pp 488-502
2005
PMID: 15917045
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Effective clinical weight management approaches are needed to reach African-Americans.
African-Americans recruited through outpatient practices for a culturally-adapted Healthy Eating and Lifestyle Program were offered 10 weekly weight loss classes (Phase 1) with the option of continuing for another 8–18 months (Phase 2) in a randomized comparison of further group counseling or staff-facilitated self-help vs. follow-up clinic visits only.
Of 237 enrollees (91% women; mean age 43.5 years; mean body mass index 38.0 kg/m
2), 167 attended no classes or only the first Phase 1 class, 134 provided Phase 1 follow-up data, 128 were randomized in Phase 2, and 87 provided final follow-up data (“completers”). Mean weight changes for completers were: −1.5 (
P < 0.001), +0.3 (
P = 0.47), and −1.2 (
P = 0.04) kg, respectively, for Phase 1, Phase 2, and overall (baseline to final visit; average 18 months total duration), with no Phase 2 treatment effect (
P = 0.55). Final study weight was ≥5% below baseline for 25% of completers and was strongly predicted by Phase 1 weight loss.
Weight loss achieved in Phase 1 was maintained even with relatively minimal follow-up contact. Increasing the percent who achieve clinically significant weight loss initially would improve long-term results.
Metrics
Details
- Title
- Outpatient weight management in African-Americans: the Healthy Eating and Lifestyle Program (HELP) study
- Creators
- Shiriki K. Kumanyika - University of PennsylvaniaJustine Shults - University of PennsylvaniaJennifer Fassbender - University of PennsylvaniaMelicia C. Whitt - University of PennsylvaniaVivian Brake - University of PennsylvaniaMichael J. Kallan - University of PennsylvaniaNayyar Iqbal - University of PennsylvaniaMarjorie A. Bowman - University of Pennsylvania
- Publication Details
- Preventive medicine, v 41(2), pp 488-502
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000230008000017
- Scopus ID
- 2-s2.0-19544387442
- Other Identifier
- 991019312325704721
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- Web of Science research areas
- Public, Environmental & Occupational Health