Journal article
Trial of Family and Friend Support for Weight Loss in African American Adults
Archives of internal medicine (1960), v 169(19), pp 1795-1804
26 Oct 2009
PMID: 19858438
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Family and friend participation may provide culturally salient social support for weight loss in African American adults.
Methods: SHARE (Supporting Healthy Activity and eating Right Everyday) was a 2-year trial of a culturally specific weight loss program. African American women and men who enrolled alone (individual stratum, 63 index participants) or together with 1 or 2 family members or friends (family stratum, 130 index participants) were randomized, within strata, to high or low social support treatments; 90% were female.
Results: At 6 months, the family index participants lost approximately 5 to 6 kg; the individual index participants lost approximately 3 to 4 kg. The mean weight change was not different in high vs low social support in either stratum and generally not when high or low support treatments were compared across strata. The overall intention-to-treat mean weight change at 24 months was -2.4 kg (95% confidence interval, -3.3 kg to -1.5 kg). The family index participant weight loss was greater among the participants whose partners attended more personally tailored counseling sessions at 6 months in the high-support group and at 6, 12, and 24 months in the low-support group (all P<.05). Also, in the 6-month intention-to-treat analysis, the percentage of weight loss of the family index participants was greater if partners lost at least 5% vs less than 5% of their baseline weight (respectively, -6.1% vs -2.9% [P=.004], high support; and -6.1% vs -3.1% [P=.01], low support).
Conclusions: Being assigned to participate with family members, friends, or other group members had no effect on weight change. Enrolling with others was associated with greater weight loss only when partners participated more and lost more weight.
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Details
- Title
- Trial of Family and Friend Support for Weight Loss in African American Adults
- Creators
- Shiriki K. Kumanyika - University of PennsylvaniaThomas A. Wadden - Univ Penn, Ctr Weight & Eating Disorders, Sch Med, Dept Psychiat, Philadelphia, PA 19104 USAJustine Shults - Univ Penn, Ctr Clin Epidemiol & Biostat, Sch Med, Philadelphia, PA 19104 USAJennifer E. Fassbender - Univ Penn, Ctr Clin Epidemiol & Biostat, Sch Med, Philadelphia, PA 19104 USAStacey D. Brown - Univ Penn, Ctr Clin Epidemiol & Biostat, Sch Med, Philadelphia, PA 19104 USAMarjorie A. Bowman - Univ Penn, Dept Family Med & Community Hlth, Sch Med, Philadelphia, PA 19104 USAVivian Brake - Univ Penn, Ctr Clin Epidemiol & Biostat, Sch Med, Philadelphia, PA 19104 USAWilliam West - Univ Penn, Ctr Clin Epidemiol & Biostat, Sch Med, Philadelphia, PA 19104 USAJohnetta Frazier - Univ Penn, Ctr Clin Epidemiol & Biostat, Sch Med, Philadelphia, PA 19104 USAMelicia C. Whitt-Glover - Univ Penn, Ctr Clin Epidemiol & Biostat, Sch Med, Philadelphia, PA 19104 USAMichael J. Kallan - Univ Penn, Ctr Clin Epidemiol & Biostat, Sch Med, Philadelphia, PA 19104 USAEmily Desnouee - Univ Penn, Ctr Clin Epidemiol & Biostat, Sch Med, Philadelphia, PA 19104 USAXiaoying Wu - Univ Penn, Ctr Clin Epidemiol & Biostat, Sch Med, Philadelphia, PA 19104 USA
- Publication Details
- Archives of internal medicine (1960), v 169(19), pp 1795-1804
- Publisher
- Amer Medical Assoc
- Number of pages
- 10
- Grant note
- M01RR000040 / NATIONAL CENTER FOR RESEARCH RESOURCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR) National Heart, Lung, and Blood Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) R01 HL 69400 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA R01HL069400 / NATIONAL HEART, LUNG, AND BLOOD INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) M01 RR00040 / National Institutes of Health/National Center for Research Resources; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health; Community Health and Prevention
- Web of Science ID
- WOS:000271163800012
- Scopus ID
- 2-s2.0-70350508892
- Other Identifier
- 991019312605704721
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- Medicine, General & Internal