A Gender- and Culturally Sensitive Weight Loss Intervention for Hispanic Men: Results From the Pilot Randomized Controlled Trial
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Final Accepted Version
Author
Garcia, David OValdez, Luis A
Aceves, Benjamin
Bell, Melanie L
Humphrey, Kyle
Hingle, Melanie
McEwen, Marylyn
Hooker, Steven P
Affiliation
Univ ArizonaIssue Date
2019-06-19
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SAGE PUBLICATIONS INCCitation
Garcia, D. O., Valdez, L. A., Aceves, B., Bell, M. L., Humphrey, K., Hingle, M., … Hooker, S. P. (2019). A Gender- and Culturally Sensitive Weight Loss Intervention for Hispanic Men: Results From the Animo Pilot Randomized Controlled Trial. Health Education & Behavior, 46(5), 763–772. https://doi.org/10.1177/1090198119853011Journal
HEALTH EDUCATION & BEHAVIORRights
Copyright © 2019 Society for Public Health EducationCollection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Background. Hispanic males have the highest rates of overweight and obesity compared with men of all other racial/ethnic groups. While weight loss can significantly reduce obesity-related health risks, there is limited research examining effective gender- and culturally tailored behavioral weight loss programs for Hispanic men. Objective. To assess the feasibility and preliminary efficacy of a 12-week gender- and culturally sensitive weight loss intervention (GCSWLI) as compared with a waist-list control (WLC) in sedentary, Hispanic males with overweight/obesity. Method. Fifty Hispanic males (age: 43 years [SD = 11]; BMI: 34 ± 5 kg/m2; 58% Spanish monolingual) were randomized to one of two groups: GCSWLI (n = 25) or WLC (n = 25). GCSWLI participants attended weekly in-person individual sessions with a bilingual, bicultural Hispanic male lifestyle coach, and were prescribed a daily reduced calorie goal and 225 minutes of moderate-intensity physical activity per week. The WLC were asked to maintain their usual diet and physical activity habits for 12 weeks. GCSWLI participants continued with 12 additional weeks of follow-up including biweekly phone calls with lifestyle coaches. Results. At Week 12, the mean weight loss in the GCSWLI was -6.3 kg (95% confidence interval [CI; -8.1, -4.4]) compared with -0.8 kg (95% CI [-2.5, 0.9]) for the WLC (difference = -5.5 kg, 95% CI [-8.0, -2.9], p < .01). At Week 24, weight loss in the GCSWLI was maintained. Conclusions. The GCSWLI appears to be a feasible strategy to engage Hispanic males in short-term weight loss. Our pilot study indicates preliminary evidence of efficacy, though confirmation of these findings is needed in a larger study.ISSN
1090-1981PubMed ID
31216875Version
Final accepted manuscriptae974a485f413a2113503eed53cd6c53
10.1177/1090198119853011
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