Outpatient weight management in African-Americans: the Healthy Eating and Lifestyle Program (HELP) study

Kumanyika, Shiriki; Shults, Justine; Fassbender, Jennifer E.; Whitt, Melicia C.; Brake, Vivian; Kallan, Michael J.; Iqbal, Nayyar; Bowman, Marjorie A.

doi:10.1016/j.ypmed.2004.09.049

Cited by 68 publications

(139 citation statements)

References 25 publications

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“…This may have contributed to high class attendance, since 77% of subjects completed the program. These completion and attendance rates compare positively to other community-based programs (11,20,21).…”

Section: Translating the Diabetes Prevention Programsupporting

confidence: 57%

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Translating the Diabetes Prevention Program Into an Urban Medically Underserved Community

et al. 2008

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OBJECTIVE -The objective of this study was to determine if a community-based modified Diabetes Prevention Program Group Lifestyle Balance (GLB) intervention, for individuals with metabolic syndrome, was effective in decreasing risk for type 2 diabetes and cardiovascular disease (CVD) in an urban medically underserved community, and subsequently to determine if improvements in clinical outcomes could be sustained in the short term. RESEARCH DESIGN AND METHODS-This nonrandomized prospective intervention study used a one-group design to test the effectiveness of a community-based GLB intervention. Residents from 11 targeted neighborhoods were screened for metabolic syndrome (n ϭ 573) and took part in a 12-week GLB intervention (n ϭ 88) that addressed safe weight loss and physical activity.RESULTS -A marked decline in weight (46.4% lost Ն5% and 26.1% lost Ն7%) was observed in individuals after completion of the intervention. Of these subjects, 87.5% (n ϭ 28) and 66.7% (n ϭ 12) sustained the 5% and 7% reduction, respectively, at the 6-month reassessment. Over one-third of the population (43.5%, n ϭ 30) experienced improvements in one or more component of metabolic syndrome, and 73.3% (n ϭ 22) sustained this improvement at the 6-month reassessment. Additional improvements occurred in waist circumference (P Ͻ 0.009) and blood pressure levels (P ϭ 0.04) after adjustment for age, sex, race, mean number of GLB classes attended, and time.CONCLUSIONS -Adults in an urban medically underserved community can decrease their risk for type 2 diabetes and CVD through participation in a GLB intervention, and shortterm sustainability is feasible. Future research will include long-term follow-up of these subjects.

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Section: Translating the Diabetes Prevention Programsupporting

confidence: 57%

“…The weight loss goal in the national DPP was 7%; however, other studies have found a 5% loss to be clini- cally significant (11,20). Of those who lost at least 5% of their body weight at 3 months, a greater proportion was able to sustain this improvement than those who lost at least 7% of their body weight.…”

Section: Translating the Diabetes Prevention Programmentioning

confidence: 97%

Translating the Diabetes Prevention Program Into an Urban Medically Underserved Community

et al. 2008

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“…However, we found many fewer studies that focused specifically on retention as distinct from recruitment of minority participants. Coverage of retention data within the main results of studies, i.e., drop-out rates described in articles not focused on participant engagement as such [e.g., Kumanyika et al (59)], was beyond the scope of this review.…”

mentioning

confidence: 99%

Effective Recruitment and Retention of Minority Research Participants

Yancey

Ortega

Kumanyika

2006

Annu. Rev. Public Health

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998

1,107

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describing methods of increasing minority enrollment and retention in research studies, more than three times the average annual output of scholarly work in this area during the prior 15-year period. Ten themes emerged from the 75 studies that were primarily descriptive. The remaining 20 studies, which directly analyzed the efficacy or effectiveness of recruitment/retention strategies, were examined in detail and provided useful insights related to four of the ten factors: sampling approach/identification of targeted participants, community involvement/nature and timing of contact with prospective participants, incentives and logistical issues, and cultural adaptations. We then characterized the current state of this literature, discussing implications for future research needs and directions.

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“…For example, girls and women in African American culture may not wish to perspire because of arduous hair styling maintenance. 50,58,71,75 Despite the importance of PA intervention research in underserved populations, little data is available. Most large-scale studies have not had sufficient sample sizes of any underrepresented group to conduct subgroup analyses by ethnicity, much less by ethnicity and gender or SES.…”

Section: Physical Activity Intervention In Underserved Populations Immentioning

confidence: 99%

Physical Activity as Primary Prevention to Address Cancer Disparities

Yancey¹,

Tomiyama²

2007

Seminars in Oncology Nursing

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Outpatient weight management in African-Americans: the Healthy Eating and Lifestyle Program (HELP) study

Cited by 68 publications

References 25 publications

Translating the Diabetes Prevention Program Into an Urban Medically Underserved Community

Translating the Diabetes Prevention Program Into an Urban Medically Underserved Community

Effective Recruitment and Retention of Minority Research Participants

Physical Activity as Primary Prevention to Address Cancer Disparities

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