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Article
Racial/ethnic representation in lifestyle weight loss intervention studies in the United States: A systematic review
UMass Worcester Prevention Research Center Publications
  • Christina Haughton, University of Massachusetts Medical School
  • Valerie J. Silfee, University of Massachusetts Medical School
  • Monica L. Wang, Boston University
  • Andrea Lopez-Cepero, University of Massachusetts Medical School
  • David P. Estabrook, University of Massachusetts Medical School
  • Christine F. Frisard, University of Massachusetts Medical School
  • Milagros C. Rosal, University of Massachusetts Medical School
  • Sherry L. Pagoto, University of Massachusetts Medical School
  • Stephenie C. Lemon, University of Massachusetts Medical School
UMMS Affiliation
UMass Worcester Prevention Research Center; Graduate School of Biomedical Sciences, Clinical and Population Health Research Program; Department of Medicine, Division of Preventive and Behavioral Medicine
Publication Date
2-2-2018
Document Type
Article
Abstract
Obesity remains a persistent public health and health disparity concern in the United States. Eliminating health disparities, particularly among racial/ethnic minority groups, is a major health priority in the US. The primary aim of this review was to evaluate representation of racial/ethnic sub-group members in behavioral weight loss interventions conducted among adults in the United States. The secondary aims were to assess recruitment and study design approaches to include racial/ethnic groups and the extent of racial/ethnic sub-group analyses conducted in these studies. PubMed, PsycInfo, Medline, and CINAHL were searched for behavioral weight loss intervention trials conducted in 2009-2015 using keywords: weight, loss, overweight, obese, intervention and trial. Most of the 94 studies included a majority of White participants compared to any other racial/ethnic group. Across the included studies, 58.9% of participants were White, 18.2% were African American, 8.7% were Hispanic/Latino, 5.0% were Asian and 1.0% were Native Americans. An additional 8.2% were categorized as "Other". Nine of the 94 studies exclusively included minority samples. Lack of adequate representation of racial and ethnic minority populations in behavioral trials limits the generalizability and potential public health impact of these interventions to groups that might most benefit from weight loss. Given racial/ethnic disparities in obesity rates and the burden of obesity and obesity-related diseases among minority groups in the United States, greater inclusion in weight loss intervention studies is warranted.
Keywords
  • Intervention,
  • Minority health,
  • Race/ethnicity,
  • Review,
  • Weight loss
Rights and Permissions
© 2018 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).
DOI of Published Version
10.1016/j.pmedr.2018.01.012
Source

Prev Med Rep. 2018 Feb 2;9:131-137. doi: 10.1016/j.pmedr.2018.01.012. eCollection 2018 Mar. Link to article on publisher's site

Related Resources

Link to Article in PubMed

PubMed ID
29616185
Creative Commons License
Creative Commons Attribution-Noncommercial-No Derivative Works 4.0
Citation Information
Christina Haughton, Valerie J. Silfee, Monica L. Wang, Andrea Lopez-Cepero, et al.. "Racial/ethnic representation in lifestyle weight loss intervention studies in the United States: A systematic review" Vol. 9 (2018) ISSN: 2211-3355 (Linking)
Available at: http://works.bepress.com/stephenie_lemon/119/