• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of jnmaLink to Publisher's site
J Natl Med Assoc. Oct 2005; 97(10): 1393–1402.
PMCID: PMC2594697

Results of a faith-based weight loss intervention for black women.

Abstract

Obesity is a risk factor for a variety of chronic diseases. Although weight loss may reduce these risks, weight loss programs designed for black women have yielded mixed results. Studies suggest that religion/spirituality is a prominent component of black culture. Given this, the inclusion of religion/spirituality as an active component of a weight loss program may enhance the benefits of the program. The role of religion/spirituality, however, has not been specifically tested as a mechanism that enhances the weight loss process. This paper presents the results of "Faith on the Move," a randomized pilot study of a faith-based weight loss program for black women. The goals of the study were to estimate the effects of a 12-week culturally tailored, faith-based weight loss intervention on weight loss, dietary fat consumption and physical activity. The culturally tailored, faith-based weight loss intervention was compared to a culturally tailored weight loss intervention with no active faith component. Fifty-nine overweight/obese black women were randomized to one of the two interventions. Although the results were not statistically significant, the effect size suggests that the addition of the faith component improved results. These promising preliminary results will need to be tested in an adequately powered trial.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.8M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Hedley Allison A, Ogden Cynthia L, Johnson Clifford L, Carroll Margaret D, Curtin Lester R, Flegal Katherine M. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA. 2004 Jun 16;291(23):2847–2850. [PubMed]
  • Williamson DF, Kahn HS, Remington PL, Anda RF. The 10-year incidence of overweight and major weight gain in US adults. Arch Intern Med. 1990 Mar;150(3):665–672. [PubMed]
  • Lewis CE, Smith DE, Wallace DD, Williams OD, Bild DE, Jacobs DR., Jr Seven-year trends in body weight and associations with lifestyle and behavioral characteristics in black and white young adults: the CARDIA study. Am J Public Health. 1997 Apr;87(4):635–642. [PMC free article] [PubMed]
  • van den Brandt PA, Spiegelman D, Yaun SS, Adami HO, Beeson L, Folsom AR, Fraser G, Goldbohm RA, Graham S, Kushi L, et al. Pooled analysis of prospective cohort studies on height, weight, and breast cancer risk. Am J Epidemiol. 2000 Sep 15;152(6):514–527. [PubMed]
  • Tretli S, Haldorsen T, Ottestad L. The effect of pre-morbid height and weight on the survival of breast cancer patients. Br J Cancer. 1990 Aug;62(2):299–303. [PMC free article] [PubMed]
  • Ballard-Barbash R. Anthropometry and breast cancer. Body size--a moving target. Cancer. 1994 Aug 1;74(3 Suppl):1090–1100. [PubMed]
  • Brinton LA, Swanson CA. Height and weight at various ages and risk of breast cancer. Ann Epidemiol. 1992 Sep;2(5):597–609. [PubMed]
  • Huang Z, Hankinson SE, Colditz GA, Stampfer MJ, Hunter DJ, Manson JE, Hennekens CH, Rosner B, Speizer FE, Willett WC. Dual effects of weight and weight gain on breast cancer risk. JAMA. 1997 Nov 5;278(17):1407–1411. [PubMed]
  • Magnusson C, Baron J, Persson I, Wolk A, Bergström R, Trichopoulos D, Adami HO. Body size in different periods of life and breast cancer risk in post-menopausal women. Int J Cancer. 1998 Mar 30;76(1):29–34. [PubMed]
  • Kumar NB, Lyman GH, Allen K, Cox CE, Schapira DV. Timing of weight gain and breast cancer risk. Cancer. 1995 Jul 15;76(2):243–249. [PubMed]
  • Ziegler RG, Hoover RN, Nomura AM, West DW, Wu AH, Pike MC, Lake AJ, Horn-Ross PL, Kolonel LN, Siiteri PK, et al. Relative weight, weight change, height, and breast cancer risk in Asian-American women. J Natl Cancer Inst. 1996 May 15;88(10):650–660. [PubMed]
  • Trentham-Dietz A, Newcomb PA, Storer BE, Longnecker MP, Baron J, Greenberg ER, Willett WC. Body size and risk of breast cancer. Am J Epidemiol. 1997 Jun 1;145(11):1011–1019. [PubMed]
  • Trentham-Dietz A, Newcomb PA, Egan KM, Titus-Ernstoff L, Baron JA, Storer BE, Stampfer M, Willett WC. Weight change and risk of postmenopausal breast cancer (United States). Cancer Causes Control. 2000 Jul;11(6):533–542. [PubMed]
  • Solomon CG, Manson JE. Obesity and mortality: a review of the epidemiologic data. Am J Clin Nutr. 1997 Oct;66(4 Suppl):1044S–1050S. [PubMed]
  • McNabb W, Quinn M, Kerver J, Cook S, Karrison T. The PATHWAYS church-based weight loss program for urban African-American women at risk for diabetes. Diabetes Care. 1997 Oct;20(10):1518–1523. [PubMed]
  • Kumanyika SK, Obarzanek E, Stevens VJ, Hebert PR, Whelton PK, Kumanyaka SK. Weight-loss experience of black and white participants in NHLBI-sponsored clinical trials. Am J Clin Nutr. 1991 Jun;53(6 Suppl):1631S–1638S. [PubMed]
  • Stolley Melinda R, Fitzgibbon Marian L, Wells Anita, Martinovich Zoran. Addressing multiple breast cancer risk factors in African-American women. J Natl Med Assoc. 2004 Jan;96(1):76–86. [PMC free article] [PubMed]
  • Walcott-McQuigg Jacqueline A, Chen Shu-Pi, Davis Kara, Stevenson Ernestine, Choi Aeree, Wangsrikhun Suparat. Weight loss and weight loss maintenance in African-American women. J Natl Med Assoc. 2002 Aug;94(8):686–694. [PMC free article] [PubMed]
  • Marín G, Burhansstipanov L, Connell CM, Gielen AC, Helitzer-Allen D, Lorig K, Morisky DE, Tenney M, Thomas S. A research agenda for health education among underserved populations. Health Educ Q. 1995 Aug;22(3):346–363. [PubMed]
  • Resnicow K, Baranowski T, Ahluwalia JS, Braithwaite RL. Cultural sensitivity in public health: defined and demystified. Ethn Dis. 1999 Winter;9(1):10–21. [PubMed]
  • Fitzgibbon Marian L, Stolley Melinda R, Schiffer Linda, Sanchez-Johnsen Lisa A P, Wells Anita M, Dyer Alan. A combined breast health/weight loss intervention for Black women. Prev Med. 2005 Apr;40(4):373–383. [PubMed]
  • Musgrave Catherine F, Allen Carol Easley, Allen Gregory J. Spirituality and health for women of color. Am J Public Health. 2002 Apr;92(4):557–560. [PMC free article] [PubMed]
  • Miller MA. Culture, spirituality, and women's health. J Obstet Gynecol Neonatal Nurs. 1995 Mar-Apr;24(3):257–263. [PubMed]
  • Campbell MK, Demark-Wahnefried W, Symons M, Kalsbeek WD, Dodds J, Cowan A, Jackson B, Motsinger B, Hoben K, Lashley J, et al. Fruit and vegetable consumption and prevention of cancer: the Black Churches United for Better Health project. Am J Public Health. 1999 Sep;89(9):1390–1396. [PMC free article] [PubMed]
  • Lasater TM, Wells BL, Carleton RA, Elder JP. The role of churches in disease prevention research studies. Public Health Rep. 1986 Mar-Apr;101(2):125–131. [PMC free article] [PubMed]
  • Duan N, Fox SA, Derose KP, Carson S. Maintaining mammography adherence through telephone counseling in a church-based trial. Am J Public Health. 2000 Sep;90(9):1468–1471. [PMC free article] [PubMed]
  • Earp JA, Flax VL. What lay health advisors do: An evaluation of advisors' activities. Cancer Pract. 1999 Jan-Feb;7(1):16–21. [PubMed]
  • Smith ED, Merritt SL, Patel MK. Church-based education: an outreach program for African Americans with hypertension. Ethn Health. 1997 Aug;2(3):243–253. [PubMed]
  • Wilson LC. Implementation and evaluation of church-based health fairs. J Community Health Nurs. 2000 Spring;17(1):39–48. [PubMed]
  • Yanek LR, Becker DM, Moy TF, Gittelsohn J, Koffman DM. Project Joy: faith based cardiovascular health promotion for African American women. Public Health Rep. 2001;116 (Suppl 1):68–81. [PMC free article] [PubMed]
  • Karanja Njeri, Stevens Victor J, Hollis Jack F, Kumanyika Shiriki K. Steps to soulful living (steps): a weight loss program for African-American women. Ethn Dis. 2002 Summer;12(3):363–371. [PubMed]
  • Cardinal BJ, Esters J, Cardinal MK. Evaluation of the revised physical activity readiness questionnaire in older adults. Med Sci Sports Exerc. 1996 Apr;28(4):468–472. [PubMed]
  • Blair SN, Haskell WL, Ho P, Paffenbarger RS, Jr, Vranizan KM, Farquhar JW, Wood PD. Assessment of habitual physical activity by a seven-day recall in a community survey and controlled experiments. Am J Epidemiol. 1985 Nov;122(5):794–804. [PubMed]
  • Donnelly JE, Jacobsen DJ, Jakicic JM, Whatley JE. Very low calorie diet with concurrent versus delayed and sequential exercise. Int J Obes Relat Metab Disord. 1994 Jul;18(7):469–475. [PubMed]
  • Dunn AL, Marcus BH, Kampert JB, Garcia ME, Kohl HW, 3rd, Blair SN. Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness: a randomized trial. JAMA. 1999 Jan 27;281(4):327–334. [PubMed]
  • Washburn Richard A, Jacobsen Dennis J, Sonko Bakary J, Hill James O, Donnelly Joseph E. The validity of the Stanford Seven-Day Physical Activity Recall in young adults. Med Sci Sports Exerc. 2003 Aug;35(8):1374–1380. [PubMed]
  • Pereira MA, FitzerGerald SJ, Gregg EW, Joswiak ML, Ryan WJ, Suminski RR, Utter AC, Zmuda JM. A collection of Physical Activity Questionnaires for health-related research. Med Sci Sports Exerc. 1997 Jun;29(6 Suppl):S1–205. [PubMed]
  • Koenig H, Parkerson GR, Jr, Meador KG. Religion index for psychiatric research. Am J Psychiatry. 1997 Jun;154(6):885–886. [PubMed]
  • Underwood Lynn G, Teresi Jeanne A. The daily spiritual experience scale: development, theoretical description, reliability, exploratory factor analysis, and preliminary construct validity using health-related data. Ann Behav Med. 2002 Winter;24(1):22–33. [PubMed]
  • Levin JS, Chatters LM. Religion, health, and psychological well-being in older adults: findings from three national surveys. J Aging Health. 1998 Nov;10(4):504–531. [PubMed]
  • Chatters LM. Religion and health: public health research and practice. Annu Rev Public Health. 2000;21:335–367. [PubMed]
  • Campbell MK, Motsinger BM, Ingram A, Jewell D, Makarushka C, Beatty B, Dodds J, McClelland J, Demissie S, Demark-Wahnefried W. The North Carolina Black Churches United for Better Health Project: intervention and process evaluation. Health Educ Behav. 2000 Apr;27(2):241–253. [PubMed]
  • Gallant MP, Dorn GP. Gender and race differences in the predictors of daily health practices among older adults. Health Educ Res. 2001 Feb;16(1):21–31. [PubMed]
  • Hummer RA, Rogers RG, Nam CB, Ellison CG. Religious involvement and U.S. adult mortality. Demography. 1999 May;36(2):273–285. [PubMed]
  • Strawbridge WJ, Shema SJ, Cohen RD, Kaplan GA. Religious attendance increases survival by improving and maintaining good health behaviors, mental health, and social relationships. Ann Behav Med. 2001 Winter;23(1):68–74. [PubMed]
  • Kumanyika Shiriki K, Shults Justine, Fassbender Jennifer, Whitt Melicia C, Brake Vivian, Kallan Michael J, Iqbal Nayyar, Bowman Marjorie A. Outpatient weight management in African-Americans: the Healthy Eating and Lifestyle Program (HELP) study. Prev Med. 2005 Aug;41(2):488–502. [PubMed]
  • Agurs-Collins TD, Kumanyika SK, Ten Have TR, Adams-Campbell LL. A randomized controlled trial of weight reduction and exercise for diabetes management in older African-American subjects. Diabetes Care. 1997 Oct;20(10):1503–1511. [PubMed]
  • Ard JD, Rosati R, Oddone EZ. Culturally-sensitive weight loss program produces significant reduction in weight, blood pressure, and cholesterol in eight weeks. J Natl Med Assoc. 2000 Nov;92(11):515–523. [PMC free article] [PubMed]
  • Mayer-Davis EJ, D'Antonio A, Martin M, Wandersman A, Parra-Medina D, Schulz R. Pilot study of strategies for effective weight management in type 2 diabetes: Pounds Off with Empowerment (POWER). Fam Community Health. 2001 Jul;24(2):27–35. [PubMed]
  • Hébert JR, Peterson KE, Hurley TG, Stoddard AM, Cohen N, Field AE, Sorensen G. The effect of social desirability trait on self-reported dietary measures among multi-ethnic female health center employees. Ann Epidemiol. 2001 Aug;11(6):417–427. [PubMed]

Articles from Journal of the National Medical Association are provided here courtesy of National Medical Association

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • Cited in Books
    Cited in Books
    PubMed Central articles cited in books
  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...