Culturally-Sensitive Weight Loss Intervention for Women of Mexican Origin

针对墨西哥裔女性的文化敏感减肥干预措施

基本信息

批准号：
7660227
负责人：
NANGEL M. LINDBERG
金额：
$ 19.75万
依托单位：
KAISER FOUNDATION RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-06-15 至 2011-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7660227
关键词：
Acculturation Address Affect Age Age-Years Attention Behavior Therapy Belief Body Weight Body Weight decreased Build-it Clinical Trials Consumption Country Data Desire for food Development Diabetes Mellitus Dietary Practices Dietary intake Elements Epidemic Epidemiology Focus Groups Goals High Prevalence Hispanics Immigrant Interdisciplinary Study Intervention Life Maintenance Mexican Mexican Americans Minority Groups Modeling National Health and Nutrition Examination Survey Not Hispanic or Latino Nutritionist Obesity Outcome Overweight Participant Phase Physical activity Plant Roots Play Population Protocols documentation Role Series Target Populations Testing Time Translations United States United States National Center for Health Statistics Weight Woman Work base cardiovascular risk factor design ethnic minority population experience food preparation high risk intervention program programs public health relevance weight loss intervention

Acculturation Address Affect Age Age-Years Attention Behavior Therapy Belief Body Weight Body Weight decreased Build-it Clinical Trials Consumption Country Data Desire for food Development Diabetes Mellitus Dietary Practices Dietary intake Elements Epidemic Epidemiology Focus Groups Goals High Prevalence Hispanics Immigrant Interdisciplinary Study Intervention Life Maintenance Mexican Mexican Americans Minority Groups Modeling National Health and Nutrition Examination Survey Not Hispanic or Latino Nutritionist Obesity Outcome Overweight Participant Phase Physical activity Plant Roots Play Population Protocols documentation Role Series Target Populations Testing Time Translations United States United States National Center for Health Statistics Weight Woman Work base cardiovascular risk factor design ethnic minority population experience food preparation high risk intervention program programs public health relevance weight loss intervention

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项目摘要

DESCRIPTION (provided by applicant): Mexican-American women are at particularly high risk for obesity. Recent NHANES data showed that over 75% of Mexican-American women over the age of 40 were overweight or obese, and nearly 53% were obese. In spite of the high prevalence of diabetes and cardiovascular risk factors in this population, Mexican- American women have received relatively little attention in weight-loss intervention programs. Likewise, the few clinical trials specifically targeting this population have shown disappointing results. Culture plays an important role in the epidemiology of obesity, and it has become increasingly clear that treatments must incorporate a cultural perspective to effectively treat obesity in ethnic minority populations. This study specifically targets Mexican-American women and will develop a culturally appropriate weight-loss intervention program based on the DASH dietary pattern and the WLM weight-loss intervention, and will test the feasibility of this intervention. This intervention is modeled after the WLM intervention, a comprehensive, multicomponent, behavioral intervention program shown to be successful in previous trials. The WLM intervention will be modified by a well-defined series of cultural adjustments in order to address the specific needs of Mexican-American women. These cultural adjustments were developed from a series of focus groups on the topic of weight and weight-loss conducted with Mexican-American women, as well as through the collaborative work of a bicultural multidisciplinary research team. The specific goals of the intervention are to help participants lose 7% of baseline body weight during an initial 6-month intervention and then maintain the weight loss for the subsequent 6 months. Experience gained from this study will be an important step toward developing similar weight-loss interventions targeting other Hispanic subethnicities. PUBLIC HEALTH RELEVANCE: While Mexican-American women are especially susceptible to obesity, we have little information on how to stop this epidemic. This study will address the cultural roots of obesity to help Mexican- American women lose weight and keep it off.

描述（由申请人提供）：墨西哥裔美国妇女的肥胖风险特别高。最近的NHANES数据显示，超过75％的墨西哥裔美国人超过40岁的妇女超重或肥胖，近53％的妇女肥胖。尽管该人群中糖尿病和心血管危险因素的患病率很高，但墨西哥妇女在减肥干预计划中的关注很少。同样，少数针对该人群的临床试验表现出令人失望的结果。文化在肥胖的流行病学中起着重要作用，并且越来越清楚的是，治疗必须纳入文化观点，以有效地治疗少数民族的肥胖。这项研究专门针对墨西哥裔美国妇女，并将基于破折号饮食模式和WLM减轻体重干预制定适当的文化减肥干预计划，并将测试这种干预的可行性。该干预措施是在WLM干预后建模的，WLM干预措施是一项全面的，多组分的行为干预计划，在先前的试验中已经成功。 WLM干预将通过定义明确的文化调整来修改，以满足墨西哥裔美国妇女的特定需求。这些文化调整是由一系列焦点小组对墨西哥裔妇女进行的体重和减肥主题以及双文化多学科研究团队的合作工作进行了开发。干预的具体目标是帮助参与者在最初的6个月干预期间减轻基线体重的7％，然后在随后的6个月内保持体重减轻。从这项研究中获得的经验将是制定针对其他西班牙裔种族的类似减肥干预措施的重要一步。公共卫生相关性：虽然墨西哥裔美国妇女特别容易受到肥胖症的影响，但我们几乎没有关于如何阻止这种流行病的信息。这项研究将解决肥胖的文化根源，以帮助墨西哥妇女减轻体重并保持体重。