title: Effectiveness of lifestyle interventions to reduce binge eating symptoms in African American and Hispanic women.
abstract: OBJECTIVE
  Lifestyle interventions that promote physical activity and healthy dietary habits may reduce binge eating symptoms and be more feasible and sustainable among ethnic minority women, who are less likely to seek clinical treatment for eating disorders. The purpose of this study was to investigate (1) whether participating in a lifestyle intervention is a feasible way to decrease binge eating symptoms (BES) and (2) whether changes in BES differed by intervention (physical activity vs. dietary habits) and binge eating status at baseline (binger eater vs. non-binge eater) in African American and Hispanic women.
  
  
  METHODS
  Health Is Power (HIP) was a longitudinal randomized controlled trial to promote physical activity and improve dietary habits. Women (N = 180) who completed anthropometric measures and questionnaires assessing fruit and vegetable and dietary fat intake, BES and demographics at baseline and post-intervention six months later were included in the current study.
  
  
  RESULTS
  Over one-fourth (27.8%) of participants were categorized as binge-eaters. Repeated measures ANOVA demonstrated significant two- and three-way interactions. Decreases in BES over time were greater in binge eaters than in non-binge eaters (F(1,164) = 33.253, p < .001), and women classified as binge eaters who participated in the physical activity intervention reported greater decreases in BES than non-binge eaters in the dietary habits intervention (F(1,157) = 5.170, p = .024).
  
  
  CONCLUSIONS
  Findings suggest behavioral interventions to increase physical activity may lead to reductions in BES among ethnic minority women and ultimately reduce the prevalence of binge eating disorder and health disparities in this population.
authors.affiliation: Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, 1400 Pressler St., Unit 1440, Houston, TX 77030-3906, USA; Texas Obesity Research Center, Department of Health and Human Performance, University of Houston, 3855 Holman St., Garrison Gym Rm 104, Houston, TX 77204-6015, USA. Electronic address: skm167@psu.edu.
authors.forename: Scherezade K
authors.initials: SK
authors.lastname: Mama
authors.affiliation: Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, 1155 Pressler St., Unit 1330, Houston, TX 77030, USA. Electronic address: sschembre@mdanderson.org.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Schembre
authors.affiliation: Texas Obesity Research Center, Department of Health and Human Performance, University of Houston, 3855 Holman St., Garrison Gym Rm 104, Houston, TX 77204-6015, USA. Electronic address: doconnor2@uh.edu.
authors.forename: Daniel P
authors.initials: DP
authors.lastname: O'Connor
authors.affiliation: Hamovitch Center for Science in the Human Services, School of Social Work, University of Southern California, 669 W. 34th Street, Montgomery Ross Fisher Building, Los Angeles, CA 90089-0411, USA. Electronic address: cdkaplan@usc.edu.
authors.forename: Charles D
authors.initials: CD
authors.lastname: Kaplan
authors.affiliation: Texas Obesity Research Center, Department of Health and Human Performance, University of Houston, 3855 Holman St., Garrison Gym Rm 104, Houston, TX 77204-6015, USA. Electronic address: sbode@uh.edu.
authors.forename: Sharon
authors.initials: S
authors.lastname: Bode
authors.affiliation: College of Nursing and Health Innovation, Arizona State University, 550 N. 3rd,St., Phoenix, AZ 85004, USA. Electronic address: releephd@yahoo.com.
authors.forename: Rebecca E
authors.initials: RE
authors.lastname: Lee
mesh_terms: D000328:Adult; D001741:Black or African American; D000704:Analysis of Variance; D056912:Binge-Eating Disorder / Q000208:ethnology / Q000628:therapy; D002032:Bulimia / Q000208:ethnology / Q000628:therapy*; D052018:Bulimia Nervosa / Q000208:ethnology / Q000628:therapy; D004032:Diet; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006630:Hispanic or Latino; D006801:Humans; D006963:Hyperphagia / Q000208:ethnology / Q000628:therapy; D008019:Life Style; D008875:Middle Aged; D009765:Obesity / Q000208:ethnology / Q000209:etiology / Q000628:therapy; D011795:Surveys and Questionnaires
keywords: Binge eating disorder; Energy intake; Exercise; Intervention study; Minority health; Women's health