title: Weight Loss Success Among Overweight and Obese Women of Mexican-Origin Living in Mexico and the United States: A Comparison of Two National Surveys.
abstract: We assessed variations in and correlates of weight-loss success (WLS) among overweight/obese women in Mexico (WIMX) and Mexican-American women (MA). We used cross-national data from 2006 ENSANUT (Mexico) and NHANES (2001-2008) to compare 5061 WIMX with 550 MA's without known metabolic conditions. WLS was defined as losing ≥5 % of body weight over 1 year. MA's were more likely to attain WLS (OR 1.31; 95 % CI 1.01-1.70). WLS among WIMX was higher in those with at least high school, a provider screen of overweight and a lower BMI. Among MA's, an incomplete high school versus primary education reduced the odds of WLS. Among women who lost ≥10 lbs, weight-loss strategies such as eating less were higher among MA's. MA women were more likely than WIMX to attain WLS. Understanding these disparities can help design customized public health interventions that curb the obesity epidemic in these women in both countries.
authors.affiliation: School of Public Health, University of California, Berkeley, 50 University Hall, Berkeley, CA, 94720-7360, USA.
authors.forename: Sylvia
authors.initials: S
authors.lastname: Guendelman
authors.affiliation: School of Public Health, University of California, Berkeley, 50 University Hall, Berkeley, CA, 94720-7360, USA.|Public Health Program, Touro University California, Vallejo, CA, USA.
authors.forename: Miranda
authors.initials: M
authors.lastname: Ritterman Weintraub
authors.affiliation: Obesity and Eating Disorders Clinic, Department of Endocrinology and Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Vasco de Quiroga 15; Col. Belisario Domínguez Sección XVI, 14080, Tlalpan, Mexico, D.F., Mexico. marthakaufer@gmail.com.
authors.forename: Martha
authors.initials: M
authors.lastname: Kaufer-Horwitz
mesh_terms: D000328:Adult; D000367:Age Factors; D015992:Body Mass Index; D001835:Body Weight; D005260:Female; D006304:Health Status; D006801:Humans; D017058:Mexican Americans / Q000706:statistics & numerical data*; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009749:Nutrition Surveys; D009765:Obesity / Q000208:ethnology / Q000628:therapy; D050177:Overweight / Q000208:ethnology* / Q000628:therapy*; D010298:Parity; D015995:Prevalence; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D015431:Weight Loss / Q000208:ethnology*
keywords: Binational comparison; Mexican-origin women; Obesity; Perceived weight control; Weight maintenance; Weight-loss success