scholarly journals Perception of others’ body size influences weight loss and regain for European American but not African American women.

2009 ◽  
Vol 28 (4) ◽  
pp. 414-418 ◽  
Author(s):  
Paula C. Chandler-Laney ◽  
Gary R. Hunter ◽  
Jamy D. Ard ◽  
Jane L. Roy ◽  
David W. Brock ◽  
...  
2007 ◽  
Vol 35 (3) ◽  
pp. 410-426 ◽  
Author(s):  
Christie A. Befort ◽  
Janet L. Thomas ◽  
Christine M. Daley ◽  
Paula C. Rhode ◽  
Jasjit S. Ahluwalia

The purpose of this qualitative study was to explore perceptions and beliefs about body size, weight, and weight loss among obese African American women in order to form a design of weight loss intervention with this target population. Six focus groups were conducted at a community health clinic. Participants were predominantly middle-aged with a mean Body Mass Index of 40.3 ± 9.2 kg/m2. Findings suggest that participants (a) believe that people can be attractive and healthy at larger sizes; (b) still feel dissatisfied with their weight and self-conscious about their bodies; (c) emphasize eating behavior as the primary cause for weight gain; (d) view pregnancy, motherhood, and caregiving as major precursors to weight gain; (e) view health as the most important reason to lose weight; (f) have mixed experiences and expectations for social support for weight loss; and (g) prefer treatments that incorporate long-term lifestyle modification rather than fad diets or medication.


2015 ◽  
Vol 25 (4) ◽  
pp. 391 ◽  
Author(s):  
Meghan Baruth ◽  
Patricia A Sharpe ◽  
Gayenell Magwood ◽  
Sara Wilcox ◽  
Rebecca A Schlaff

<p class="Pa7"><strong>Objectives: </strong>Understanding body size percep­tions and discrepancies among African Ameri­can women may have implications for effec­tive weight-loss interventions. The purpose of this study is to examine body size perceptions of economically disadvantaged, overweight and obese African American women.</p><p class="Pa7"><strong>Design: </strong>Cross-sectional using baseline data from a randomized controlled trial.</p><p class="Pa7"><strong>Setting: </strong>18 census tracts in a central South Carolina city where ≥25% of residents were below poverty income.</p><p class="Pa7"><strong>Participants: </strong>147 economically disad­vantaged, overweight and obese African American women.</p><p class="Pa7"><strong>Main Outcome Measures: </strong>Using Pulvers’ figure rating scale, participants chose the figure: 1) closest to their current figure; 2) they would be satisfied with; and 3) with a body weight that would be a health problem for the average person. Mean body mass indices corresponding to each figure were compared with those in a large sample of White women.</p><p class="Pa7"><strong>Results: </strong>Most participants wanted to be smaller (mean=2.6 figures smaller) than their current size. A majority (67%) chose the largest figure as representing a body size that could lead to a health problem, and most (60%) chose a current figure smaller than the figure they believed would be associated with health problems. The mean body mass index for women selecting any given figure as their current size was significantly larger (5.2-10.8 kg/m2 larger, <em>P</em>&lt;.0001) than those established in the sample of White women.</p><p><strong>Conclusions: </strong>Although women desired a smaller body size, there nonetheless were misperceptions of body size and the as­sociated health consequences. Body size misperceptions and/or satisfaction may pose barriers for effective weight-loss. <em>Ethn Dis</em>. 2015;25(4):391-398; doi:10.18865/ ed.25.4.391</p>


Obesity ◽  
2011 ◽  
Vol 19 (11) ◽  
pp. 2283-2285 ◽  
Author(s):  
Della B. White ◽  
Zoran Bursac ◽  
Vicki DiLillo ◽  
Delia S. West

2020 ◽  
pp. 089011712095854
Author(s):  
Heather Kitzman ◽  
Abdullah Mamun ◽  
Leilani Dodgen ◽  
Donna Slater ◽  
George King ◽  
...  

Purpose: Previous DPP translations in African American women have been suboptimal. This trial evaluated a community-based participatory research developed faith-based diabetes prevention program (DPP) to improve weight loss in African American women. Design: This cluster randomized trial allocated churches to faith-based (FDPP) or standard (SDPP) DPP interventions. Setting. African American churches. Subjects. Eleven churches with 221 African American women (aged 48.8 ± 11.2 years, BMI = 36.7 ± 8.4) received the FDPP (n = 6) or SDPP (n = 5) intervention. Intervention: FDPP incorporated 5 faith-based components, including pastor involvement, into the standard DPP curriculum. The SDPP used the standard DPP curriculum. Lay health leaders facilitated interventions at church sites. Measures: Weight and biometrics were collected by blinded staff at baseline, 4- and 10-months. Analysis: A multilevel hierarchical regression model compared the FDPP and SDPP groups on outcomes. Results: FDPP and SDPP churches significantly lost weight at 10-months (overall −2.6%, p < .01). Women in FDPP churches who attended at least 15 sessions lost an additional 6.1 pounds at 4-months compared to SDPP corresponding to a 5.8% reduction at 10-months (p < .05). Both groups had significant improvements in health behaviors and biometrics. Conclusions: Faith-based and standard DPP interventions led by lay health leaders successfully improved weight, health behaviors, and chronic disease risk. However, the faith-based DPP when fully implemented met the CDC’s recommendation for weight loss for diabetes prevention in African American women.


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