title: Interventions for improving nutrition and physical activity behaviors in adult African American populations: a systematic review, January 2000 through December 2011.
abstract: BACKGROUND
  The incidence of preventable chronic diseases is disproportionally high among African Americans and could be reduced through diet and physical activity interventions. Our objective was to systematically review the literature on clinical outcomes of diet and physical activity interventions conducted among adult African American populations in the United States.
  
  
  METHODS
  We used the Preferred Reporting Items for Systematic Review and Meta Analysis construct in our review. We searched Medline (PubMed and Ovid), Cochrane, and DARE databases and restricted our search to articles published in English from January 2000 through December 2011. We included studies of educational interventions with clinically relevant outcomes and excluded studies that dealt with nonadult populations or populations with pre-existing catabolic or other complicated disorders, that did not focus on African Americans, that provided no quantitative baseline or follow-up data, or that included no diet or physical activity education or intervention. We report retention and attendance rates, study setting, program sustainability, behavior theory, and education components.
  
  
  RESULTS
  Nineteen studies were eligible for closer analysis. These studies described interventions for improving diet or physical activity as indicators of health promotion and disease prevention and that reported significant improvement in clinical outcomes.
  
  
  CONCLUSIONS
  Our review suggests that nutrition and physical activity educational interventions can be successful in improving clinically relevant outcomes among African Americans in the United States. Further research is needed to study the cost and sustainability of lifestyle interventions. Further studies should also include serum biochemical parameters to substantiate more specifically the effect of interventions on preventing chronic disease and reducing its incidence and prevalence.
authors.affiliation: University of Southern Mississippi, Hattiesburg, MS 39406, USA. Jennifer.lemacks@usm.edu
authors.forename: Jennifer
authors.initials: J
authors.lastname: Lemacks
authors.forename: Brittny A
authors.initials: BA
authors.lastname: Wells
authors.forename: Jasminka Z
authors.initials: JZ
authors.lastname: Ilich
authors.forename: Penny A
authors.initials: PA
authors.lastname: Ralston
mesh_terms: D000328:Adult; D001741:Black or African American; D002908:Chronic Disease / Q000517:prevention & control; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006266:Health Education; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D009752:Nutritional Status; D014481:United States