Weight Loss Interventions for Hispanic Women in the United States: A Systematic Review

Morrill, Kristin E.; Lopez‐Pentecost, Melissa; Molina, Lupita; Pfander, Jeanne; Hingle, Melanie; Klimentidis, Yann C.; Thomson, Cynthia A.; Garcia, David O.

doi:10.1155/2021/8714873

Cited by 8 publications

(6 citation statements)

References 60 publications

(330 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several previous systematic reviews have considered the relationship between characteristics where inequalities may occur and interventions for overweight or obesity. 9 , 10 , 11 , 12 , 13 , 14 The United States Preventive Services Taskforce (USPSTF) considered the overall effectiveness of behavioral and pharmacological interventions for overweight and obesity 3 and provided narrative comment about some aspects of inequality. The authors found that unless the intervention was targeted towards a specific ethnicity, ethnicity and SES were frequently not reported.…”

Section: Introductionmentioning

confidence: 99%

“…Seven reviews focused on race or ethnicity. 9 , 10 , 11 , 12 , 13 , 14 , 15 Two only included interventions that were targeted towards Latinos in America, 9 , 14 and one only included interventions that were tailored towards African American women. 10 Four systematic reviews included studies if they reported more than one race or ethnicity represented in their sample.…”

Section: Introductionmentioning

confidence: 99%

“…It is useful to examine all of the PROGRESS‐Plus characteristics in a single review to gain a broader understanding of inequalities and identify any under‐researched characteristics. Furthermore, some of the previous systematic reviews restricted their inclusion criteria to specific races or ethnicities 9 , 14 or a specific subcategory of behavioral intervention. 12 Few reviews assessed if there were inequalities at trial stages other than weight outcome, especially in reviews that focused on SES.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults

et al. 2022

View full text Add to dashboard Cite

The extent to which behavioral weight management interventions affect health inequalities is uncertain, as is whether trials of these interventions directly consider inequalities. We conducted a systematic review, synthesizing evidence on how different aspects of inequality impact uptake, adherence, and effectiveness in trials of behavioral weight management interventions. We included (cluster-) randomized controlled trials of primary care-applicable behavioral weight management interventions in adults with overweight or obesity published prior to March 2020. Data about trial uptake, intervention adherence, attrition, and weight change by PROGRESS-Plus criteria (place of residence, race/ethnicity, occupation, gender, religion, education, socioeconomic status, social capital, plus other discriminating factors) were extracted. Data were synthesized narratively and summarized in harvest plots. We identified 91 behavioral weight loss interventions and 12 behavioral weight loss maintenance interventions. Fifty-six of the 103 trials considered inequalities in relation to at least one of intervention or trial uptake (n = 15), intervention adherence (n = 15), trial attrition (n = 32), or weight outcome (n = 34). Most trials found no inequalities gradient. If a gradient was observed for trial uptake, intervention adherence, and trial attrition, those considered "more advantaged" did best. Alternative methods of data synthesis that enable data to be pooled and increase statistical power may enhance understanding of inequalities in behavioral weight management interventions.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The Mediterranean diet has been found to be among the most effective diets to improve cardio-metabolic factors associated with NAFLD and to induce weight loss [71], the most effective way to reduce hepatic steatosis and improve histopathological features of NASH [11]. However, barriers to engage in such dietary modifications and long-term weight loss maintenance have been difficult among Hispanic patients for a variety of reasons [30,72]. First, the cultural relevance and overall acceptability of the Mediterranean diet among Hispanics may be questionable.…”

Section: Discussionmentioning

confidence: 99%

Adherence to a Traditional Mexican Diet Is Associated with Lower Hepatic Steatosis in US-Born Hispanics of Mexican Descent with Overweight or Obesity

Lopez-Pentecost,

Tamez,

Mattei

et al. 2023

Nutrients

Self Cite

View full text Add to dashboard Cite

Hispanics of Mexican descent have disproportionate rates of non-alcoholic fatty liver disease (NAFLD). The purpose of this work is to investigate the association between the traditional Mexican diet score (tMexS) and hepatic steatosis and fibrosis, two NAFLD-related clinical endpoints, in Hispanic adults of Mexican descent. Data from 280 Hispanic adults of Mexican descent (n = 102 men, 178 women) with overweight or obesity enrolled in a cross-sectional observational study were analyzed. The tMexS was calculated from 24 h dietary recalls. Hepatic steatosis and fibrosis measurements were assessed using transient elastography (Fibroscan®). Linear regression models testing the association between tMexS and hepatic steatosis and fibrosis were run individually and through the stratification of significant modifiers. Mean tMexS were 5.9 ± 2.1, hepatic steatosis scores were 288.9 ± 48.9 dB/m, and fibrosis scores were 5.6 ± 2.2 kPa. Among the US-born group, with every point increase in the tMexS, there was a statistically significant 5.7 lower hepatic steatosis point (95% CI: −10.9, −0.6, p-value = 0.07). Higher adherence to a traditional Mexican diet was associated with lower hepatic steatosis in US-born Hispanics of Mexican descent. Findings from the current work may serve to inform future culturally relevant interventions for NAFLD prevention and management in individuals of Mexican descent.

show abstract

“…Regarding feasibility and acceptability, our mHealth intervention was well received and produced a retention rate of 88.9%. In general, weight loss interventions in Hispanic adults have previously reported lower retention rates; however, they did not include mHealth components [ 40 ]. Rosas et al [ 14 ] observed a retention rate of 96.9%, suggesting that technology-mediated strategies may support retention efforts [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

mHealth-Supported Gender- and Culturally Sensitive Weight Loss Intervention for Hispanic Men With Overweight and Obesity: Single-Arm Pilot Study

Garcia¹,

Valdez²,

Aceves³

et al. 2022

JMIR Form Res

Self Cite

View full text Add to dashboard Cite

Background Hispanic men have disproportionate rates of overweight and obesity compared with other racial and ethnic subpopulations. However, few weight loss interventions have been developed specifically for this high-risk group. Furthermore, the use of mobile health (mHealth) technologies to support lifestyle behavior changes in weight loss interventions for Hispanic men is largely untested. Objective This single-arm pilot study examined the feasibility and acceptability of integrating mHealth technology into a 12-week gender- and culturally sensitive weight loss intervention (GCSWLI) for Hispanic men with overweight and obesity. Methods A total of 18 Hispanic men (mean age 38, SD 10.9 years; mean BMI 34.3, SD 5.5 kg/m²; 10/18, 56% Spanish monolingual) received a GCSWLI, including weekly in-person individual sessions, a daily calorie goal, and prescription of ≥225 minutes of moderate-intensity physical activity per week. mHealth technology support included tailored SMS text messaging, behavior self-monitoring support using Fitbit Charge 2, and weight tracking using a Fitbit Aria Wi-Fi Smart Scale. Changes in weight from baseline to 12 weeks were estimated using a paired 2-tailed t test. Descriptive analyses characterized the use of Fitbit and smart scales. Semistructured interviews were conducted immediately after intervention to assess the participants’ weight loss experiences and perspectives on mHealth technologies. Results Of 18 participants, 16 (89%) completed the 12-week assessments; the overall attrition rate was 11.1%. The mean weight loss at week 12 was −4.7 kg (95% CI 7.1 to −2.4 kg; P<.001). Participants wore the Fitbit 71.58% (962/1344) of the intervention days and logged their body weight using the smart scale (410/1344, 30.51% of the intervention days). Participants identified barriers to the use of the technology, such as lack of technological literacy and unreliable internet access for the smart scale. Conclusions Although clinically significant weight loss was achieved by integrating mHealth technology into the GCSWLI, adherence to the prescribed use of technology was modest. Addressing barriers to the use of such technologies identified in our work may help to refine an mHealth intervention approach for Hispanic men. Trial Registration ClinicalTrials.gov NCT02783521; https://clinicaltrials.gov/ct2/show/NCT02783521

show abstract

Weight Loss Interventions for Hispanic Women in the United States: A Systematic Review

Cited by 8 publications

References 60 publications

A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults

A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults

Adherence to a Traditional Mexican Diet Is Associated with Lower Hepatic Steatosis in US-Born Hispanics of Mexican Descent with Overweight or Obesity

mHealth-Supported Gender- and Culturally Sensitive Weight Loss Intervention for Hispanic Men With Overweight and Obesity: Single-Arm Pilot Study

Contact Info

Product

Resources

About