A Gender- and Culturally Sensitive Weight Loss Intervention for Hispanic Men: Results from the "Animo" Pilot Randomized Controlled Trial

Autor/inn/en	Garcia, David O.; Valdez, Luis A.; Aceves, Benjamin; Bell, Melanie L.; Humphrey, Kyle; Hingle, Melanie; McEwen, Marylyn; Hooker, Steven P.
Titel	A Gender- and Culturally Sensitive Weight Loss Intervention for Hispanic Men: Results from the "Animo" Pilot Randomized Controlled Trial
Quelle	In: Health Education & Behavior, 46 (2019) 5, S.763-772 (10 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Hingle, Melanie) ORCID (McEwen, Marylyn)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198119853011
Schlagwörter	Hispanic Americans; Males; Obesity; Life Style; Coaching (Performance); Body Weight; Gender Differences; Culturally Relevant Education; Bilingualism; Biculturalism; Physical Activity Level; Program Descriptions; Health Behavior; Eating Habits; Dietetics; Program Effectiveness; Comparative Analysis; Measurement; Body Height; Acculturation; Rating Scales; Mexican Americans; Acculturation Rating Scale for Mexican Americans + Suchen Sie Ihr Suchwort? Hispanic; Hispanoamerikaner; Male; Männliches Geschlecht; Adipositas; Lebensstil; Körpergewicht; Geschlechterkonflikt; Bilingualismus; Bikulturalität; Health behaviour; Gesundheitsverhalten; Ernährungsgewohnheit; Essgewohnheit; Ernährungslehre; Messverfahren; Körpergröße; Akkulturation; Rating-Skala
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/m[superscript 2]; 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 < 0.01). 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. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01