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Steps to soulful living (steps): a weight loss program for African-American women.
Ethn Dis. 2002 Summer; 12(3):363-71.ED

Abstract

BACKGROUND

The disproportionate disease burden experienced by African-American women can be explained partially by the higher rates of obesity in this population. African-American women who can benefit from weight loss may be less likely to attempt it and may have relatively less success in using traditional weight loss programs compared to White women. Steps to Soulful Living (Steps) was a pilot study to test the effects of a culturally adapted weight loss program on weight loss in African-American women.

METHODS

Sixty-six African-American women participated in a 6-month weight loss program that included weekly group meetings and supervised exercise sessions. Mean baseline body mass index was 39 kg/m2, and mean baseline weight was 107 kg. Cultural adaptations, defined as program adjustments, made in response to women's preferences as expressed in focus group interviews included changes in intervention format, the content of the group meetings, and the location and format of the exercise sessions.

RESULTS

Seventy-six percent of the participants attended at least 50% of the 26 weekly sessions, and 56% attended at least 75% of the sessions. Average hours of exercise per week approximately doubled during the program in comparison to baseline levels. Mean weight loss at 26 weeks was 3.7 kg, categorizing those who were lost to follow-up as having zero weight loss. Participants who attended at least 75% of the group meetings lost a mean of 6.2 kg at six months. Those who attended fewer meetings lost a mean of 0.9 kg.

CONCLUSIONS

This 6-month program was associated with relatively larger weight losses, particularly among participants with high attendance, than have usually been observed in culturally adapted programs for African-American women.

Authors+Show Affiliations

Kaiser Permanente Center for Health Research, Portland, Oregon 97227-1098, USA. njeri.karanja@kpchr.orgNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

12148707

Citation

Karanja, Njeri, et al. "Steps to Soulful Living (steps): a Weight Loss Program for African-American Women." Ethnicity & Disease, vol. 12, no. 3, 2002, pp. 363-71.
Karanja N, Stevens VJ, Hollis JF, et al. Steps to soulful living (steps): a weight loss program for African-American women. Ethn Dis. 2002;12(3):363-71.
Karanja, N., Stevens, V. J., Hollis, J. F., & Kumanyika, S. K. (2002). Steps to soulful living (steps): a weight loss program for African-American women. Ethnicity & Disease, 12(3), 363-71.
Karanja N, et al. Steps to Soulful Living (steps): a Weight Loss Program for African-American Women. Ethn Dis. 2002;12(3):363-71. PubMed PMID: 12148707.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Steps to soulful living (steps): a weight loss program for African-American women. AU - Karanja,Njeri, AU - Stevens,Victor J, AU - Hollis,Jack F, AU - Kumanyika,Shiriki K, PY - 2002/8/1/pubmed PY - 2003/1/8/medline PY - 2002/8/1/entrez SP - 363 EP - 71 JF - Ethnicity & disease JO - Ethn Dis VL - 12 IS - 3 N2 - BACKGROUND: The disproportionate disease burden experienced by African-American women can be explained partially by the higher rates of obesity in this population. African-American women who can benefit from weight loss may be less likely to attempt it and may have relatively less success in using traditional weight loss programs compared to White women. Steps to Soulful Living (Steps) was a pilot study to test the effects of a culturally adapted weight loss program on weight loss in African-American women. METHODS: Sixty-six African-American women participated in a 6-month weight loss program that included weekly group meetings and supervised exercise sessions. Mean baseline body mass index was 39 kg/m2, and mean baseline weight was 107 kg. Cultural adaptations, defined as program adjustments, made in response to women's preferences as expressed in focus group interviews included changes in intervention format, the content of the group meetings, and the location and format of the exercise sessions. RESULTS: Seventy-six percent of the participants attended at least 50% of the 26 weekly sessions, and 56% attended at least 75% of the sessions. Average hours of exercise per week approximately doubled during the program in comparison to baseline levels. Mean weight loss at 26 weeks was 3.7 kg, categorizing those who were lost to follow-up as having zero weight loss. Participants who attended at least 75% of the group meetings lost a mean of 6.2 kg at six months. Those who attended fewer meetings lost a mean of 0.9 kg. CONCLUSIONS: This 6-month program was associated with relatively larger weight losses, particularly among participants with high attendance, than have usually been observed in culturally adapted programs for African-American women. SN - 1049-510X UR - https://www.unboundmedicine.com/medline/citation/12148707/Steps_to_soulful_living__steps_:_a_weight_loss_program_for_African_American_women_ L2 - https://medlineplus.gov/obesity.html DB - PRIME DP - Unbound Medicine ER -