title: Impact of Self-Preference Community Fitness Interventions in High-Risk African Americans.
abstract: African Americans have a high prevalence of obesity and physical inactivity, but few interventions have been successful in the long term. We describe a 1-year intervention program to increase physical activity and reduce cardiometabolic risk. Interventions incorporated the premise that self-selection into flexible venues and varying exercise modalities would result in improvement in fitness and risk factors. Results of this single-group pretest/posttest observational study show 1-year overall group reductions in body weight and body mass index and cardiometabolic factors including high-sensitivity C-reactive protein, and increases in dual-energy x-ray absorptiometry-derived absolute and percent lean mass and lean-fat ratio, and decreased fat mass.
authors.affiliation: The GeneSTAR Research Program, Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland.
authors.forename: Lisa R
authors.initials: LR
authors.lastname: Yanek
authors.forename: Dhananjay
authors.initials: D
authors.lastname: Vaidya
authors.forename: Brian G
authors.initials: BG
authors.lastname: Kral
authors.forename: Rita R
authors.initials: RR
authors.lastname: Kalyani
authors.forename: Taryn F
authors.initials: TF
authors.lastname: Moy
authors.forename: Kerry J
authors.initials: KJ
authors.lastname: Stewart
authors.forename: Diane M
authors.initials: DM
authors.lastname: Becker
mesh_terms: D000328:Adult; D001741:Black or African American; D061345:Early Medical Intervention / Q000379:methods*; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000517:prevention & control*; D012307:Risk Factors