title: Trends in Evidence-Based Lifestyle Interventions Directed at Obese and Overweight Adult Latinos in the US: A Systematic Review of the Literature.
abstract: The increasing prevalence of obesity in the United States (US) is well documented and presents a significant challenge for healthcare providers working with under-resourced communities that often face great obstacles to health-related weight loss. Specifically, it has been reported that obesity disproportionately affects US Latino communities. Yet, little is known about what obesity lifestyle interventions currently exist. Healthcare professionals working in predominantly Latino communities might be interested in learning about the designs and outcomes of existing lifestyle interventions that have been specifically tailored for Latino communities. Here, we report the results of a systematic review of obesity lifestyle interventions targeting Latino adults. We examine the designs and outcomes of the nine articles that met our inclusion criteria. All the studies had physical activity and/or nutritional education components, measurements of both crude weight loss and body mass index (BMI), and some used culturally relevant intervention designs. Two of the nine studies reported significant between-group differences in BMI. Significant barriers between studies include small sample size, low retention rate, enrollment, low adherence, differences in control group activities, and differences in outcomes measured. We recommend that future obesity interventions select and report BMI, raw weight, and body fat percentage as outcome variables and that multiple measurements over multiple days be recorded for pre- and post-intervention data points.
authors.affiliation: UCLA David Geffen School of Medicine, CHS 12-159, Los Angeles, CA, USA. EdgarCorona@mednet.ucla.edu.
authors.forename: Edgar
authors.initials: E
authors.lastname: Corona
authors.affiliation: Center for Cancer Prevention and Control Research, Fielding School of Public Health and Jonsson Comprehensive Cancer Center, UCLA Department of Health Policy and Management, Los Angeles, CA, USA.|Unidad de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social, Cuernavaca, Morelos, Mexico.
authors.forename: Yvonne N
authors.initials: YN
authors.lastname: Flores
authors.affiliation: Division of General Internal Medicine, UCLA Department of Medicine, Los Angeles, CA, USA.|UCLA Department of Biological Chemistry, Los Angeles, CA, USA.
authors.forename: Lenore
authors.initials: L
authors.lastname: Arab
mesh_terms: D000328:Adult; D000072001:Diet, Healthy; D055317:Evidence-Based Practice; D015444:Exercise; D005260:Female; D000070497:Healthy Lifestyle; D006630:Hispanic or Latino; D006801:Humans; D009765:Obesity / Q000208:ethnology* / Q000628:therapy; D050177:Overweight / Q000208:ethnology / Q000628:therapy; D016032:Randomized Controlled Trials as Topic; D014481:United States; D015431:Weight Loss
keywords: Adults; Intervention; Latinos; Lifestyle; Obesity