title: Weight loss maintenance following a primary care intervention for low-income minority women.
abstract: Although the primary care setting offers an innovative option for weight loss interventions, there is minimal research examining this type of intervention with low-income minority women. Further, there is a lack of research on the long-term effects of these programs. The purpose of this investigation was to examine the weight loss maintenance of low-income African-American women participating in a primary care weight management intervention. A randomized controlled trial was conducted with overweight and obese women (N = 144) enrolled at two primary care clinics. Women received a 6-month tailored weight loss intervention delivered by their primary care physician and completed follow-up assessments 9, 12, and 18 months following randomization. The weight loss maintenance of the tailored intervention was compared to a standard care comparison group. The weight loss of intervention participants (-1.52 +/- 3.72 kg) was significantly greater than that of standard care participants (0.61 +/- 3.37 kg) at month 9 (P = 0.01). However, there was no difference between the groups at the 12-month or 18-month follow-ups. Participants receiving a tailored weight loss intervention from their physician were able to maintain their modest weight loss up to 3-6 months following treatment. Women demonstrated weight regain at the 18-month follow-up assessment, suggesting that more intensive follow-up in the primary care setting may be needed to obtain successful long-term weight loss maintenance.
authors.affiliation: Family Medicine Residency, Baton Rouge General Medical Center, Baton Rouge, Louisiana, USA. martinpd@pbrc.edu
authors.forename: Pamela D
authors.initials: PD
authors.lastname: Martin
authors.forename: Gareth R
authors.initials: GR
authors.lastname: Dutton
authors.forename: Paula C
authors.initials: PC
authors.lastname: Rhode
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Horswell
authors.forename: Donna H
authors.initials: DH
authors.lastname: Ryan
authors.forename: Phillip J
authors.initials: PJ
authors.lastname: Brantley
mesh_terms: D000328:Adult; D001741:Black or African American; D001835:Body Weight / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D008913:Minority Groups; D009765:Obesity / Q000208:ethnology / Q000503:physiopathology / Q000628:therapy; D050177:Overweight / Q000208:ethnology / Q000503:physiopathology / Q000628:therapy; D011203:Poverty; D011320:Primary Health Care; D012959:Socioeconomic Factors; D015431:Weight Loss / Q000502:physiology*
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