scholarly journals Hispanic Male’s Perspectives of Health Behaviors Related to Weight Management

2015 ◽  
Vol 11 (5) ◽  
pp. 1547-1559 ◽  
Author(s):  
David O. Garcia ◽  
Luis A. Valdez ◽  
Steven P. Hooker
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Health Behaviors ◽  
Weight Management ◽  
Health Beliefs ◽  
The United States ◽  
Overweight And Obesity ◽  
Future Research ◽  
Hispanic Males ◽  
Semistructured Interviews

Hispanic males have the highest prevalence of overweight and obesity among men in the United States; yet are significantly underrepresented in weight loss research. The purpose of the current study was to examine Hispanic male’s perspectives of health behaviors related to weight management to refine the methodologies to deliver a gender-sensitive and culturally sensitive weight loss intervention. From October 2014 to April 2015, semistructured interviews were conducted with 14 overweight Hispanic men of ages 18 to 64 years. The interviews lasted approximately 60 minutes. Participants also completed a brief questionnaire and body weight/height were measured. Grounded in a deductive process, a preliminary codebook was developed based on the topics included in the interview guides. A thematic analysis facilitated the identification of inductive themes and the finalization of the codebook used for transcript analysis. Four overarching themes were identified: (a) general health beliefs of how diet and physical activity behaviors affect health outcomes, (b) barriers to healthy eating and physical activity, (c) motivators for change, and (d) viable recruitment and intervention approaches. Future research should examine feasible and appropriate recruitment and intervention strategies identified by Hispanic males to improve weight management in this vulnerable group.

Psychological Well-Being, Health Behaviors, and Weight Loss Among Participants in a Residential, Kripalu Yoga-Based Weight Loss Program

2012 ◽  
Vol 22 (1) ◽  
pp. 9-22 ◽  
Author(s):  
Tosca Braun ◽  
Crystal Park ◽  
Lisa Ann Conboy
Keyword(s):  
Weight Loss ◽  
Health Behaviors ◽  
Well Being ◽  
The United States ◽  
Overweight And Obesity ◽  
Weight Loss Program ◽  
Health Concern ◽  
Psychological Well Being ◽  
The Impact

The increasing prevalence of overweight and obesity in humans is a growing public health concern in the United States. Concomitants include poor health behaviors and reduced psychological well-being. Preliminary evidence suggests yoga and treatment paradigms incorporating mindfulness, self-compassion (SC), acceptance, non-dieting, and intuitive eating may improve these ancillary correlates, which may promote long-term weight loss. Methods: We explored the impact of a 5-day residential weight loss program, which was multifaceted and based on Kripalu yoga, on health behaviors, weight loss, and psychological well-being in overweight/obese individuals. Thirty-seven overweight/obese program participants (age 32-65, BMI<25) completed validated mind-fulness, SC, lifestyle behavior, and mood questionnaires at baseline, post-program, and 3-month follow-up and reported their weight 1 year after program completion. Results: Significant improvements in nutrition behaviors, SC, mindfulness, stress management, and spiritual growth were observed immediately post-program (n = 31, 84% retention), with medium to large effect sizes. At 3-month follow-up (n = 18, 49% retention), most changes persisted. Physical activity and mood disturbance had improved significantly post-program but failed to reach significance at 3-month follow-up. Self-report weight loss at 1 year (n = 19, 51% retention) was significant. Conclusion: These findings suggest a Kripalu yoga-based, residential weight loss program may foster psychological well-being, improved nutrition behaviors, and weight loss. Given the exploratory nature of this investigation, more rigorous work in this area is warranted.

Physical Activity Levels and Self-Reported Risk-Taking Behavior among Rural Australian and American 7th–9th Grade Adolescents

1998 ◽  
Vol 17 (4) ◽  
pp. 345-360 ◽  
Author(s):  
Michael P. Savage ◽  
Derek R. Holcomb
Keyword(s):  
Physical Activity ◽  
Body Weight ◽  
Health Behaviors ◽  
Risk Taking ◽  
The United States ◽  
Activity Level ◽  
Future Research ◽  
Drinking Alcohol ◽  
Health Related ◽  
Risk Taking Behaviors

This study compares self-reported physical activities and selected health behaviors (i.e., participation in physical activity, alcohol and cigarette use, perceived level of energy, and satisfaction with body weight) of a sample of seventh and ninth grade adolescents from Australia and the United States. A modified version of the Personal Wellness Profile 400™ (PWP 400) was used to measure adolescents' participation in physical activity and health behaviors. Five of the seven items studied showed significant differences ( p < .05). Ninety-seven percent of Australian adolescents reported they engaged in physical activity long enough to work up a sweat four or more times per week, compared to 94 percent of U.S. adolescents. The Australian cohort, however, reported a significantly higher level of ever smoking (34.1% vs. 12.3%), and drinking alcohol during the past year than did U.S. adolescents (55.0% vs. 16.0%). Male adolescents demonstrated significant differences on five of the seven items measured. Australian males reported greater participation in physical activity, smoking and drinking, and reported they had higher levels of energy than did U.S. males. The female adolescents also demonstrated significant differences on five of the seven items measured, e.g., over 76 percent of Australian females reported engaging in strength exercises at least once a week compared to 59 percent of U.S. females, and only 23 percent of Australian females reported they were sedentary compared to 41 percent of U.S. females. Finally, the relationship between physical activity and involvement with risk-taking behaviors and health-related attitudes for both samples was examined. Increased activity was associated with less smoking, more satisfaction with body weight, and perceived higher energy level for U.S. adolescents. Drinking alcohol was not associated with activity level for U.S. adolescents. For Australian adolescents there was no association between physical activity and risk-taking behaviors and health-related attitudes. Future research should continue to examine cultural differences.

scholarly journals MON-601 Obesity Pharmacotherapy Is Effective in the United States Veterans Affairs Patient Population: A Local and Virtual Cohort Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Jay Pendse ◽  
Franco Vallejo-García ◽  
Andrew Parziale ◽  
Megan Griffin ◽  
Mae Callanan ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Clinical Data ◽  
The United States ◽  
Overweight And Obesity ◽  
National Database ◽  
Data Repository ◽  
Local Weight ◽  
Start Date ◽  
Clinical Data Repository

Abstract Background: Overweight and obesity are major health burdens, and the military veteran population may be disproportionately affected. Multiple new pharmacologic agents and combinations have been approved by the FDA for use in medical weight management. Using deidentified records from our local interdisciplinary weight management clinic and a national clinical data repository, we assessed obesity pharmacotherapy use and its real-world effectiveness for weight loss and improvement of comorbid metabolic parameters in this vulnerable population. Methods: During the initial year of the local weight management clinic, we found over 50 records with monthly followup of lifestyle intervention augmented by obesity pharmacotherapy. In the national clinical data repository, we identified over 2 million records for unique individuals prescribed bupropion-naltrexone, liraglutide, lorcaserin, orlistat, or phentermine-topiramate, and metformin considered as a control prescription. We selected records with detailed documentation of weight trends from 1 year before to 1 year after first prescription date for further analysis. Results: The most commonly prescribed medications in our local weight management clinic were metformin, liraglutide, orlistat, and combination phentermine/topiramate. On average, we observed −4.0 ± 2.1 kg weight loss over the initial 6-month intervention in records that completed at least 3 visits within this period. In the national database, over 800,000 records for an obesity or control metformin prescription provided adequate weight documentation to compare weight slopes during the year before and after the prescription start date. Records for metformin prescriptions showed −0.04 ± 0.008 kg/week difference in weight slope over one year before versus after the prescription start date. The greatest difference in weight slope was seen with phentermine-topiramate (−0.13 ± 0.03 kg/week), followed by lorcaserin, liraglutide, bupropion-naltrexone, and orlistat. Conclusions: Our data suggests that veterans with obesity experience weight loss at 1 year follow-up when engaged with our interdisciplinary weight management clinic. Nationally, veterans with obesity experience modest weight loss when prescribed pharmacotherapy. Taken together, our two data sources provide complementary perspectives to help guide obesity pharmacotherapy in veterans with obesity.

scholarly journals A Gender- and Culturally Sensitive Weight Loss Intervention for Hispanic Men: Results From the Animo Pilot Randomized Controlled Trial

2019 ◽  
Vol 46 (5) ◽  
pp. 763-772 ◽  
Author(s):  
David O. Garcia ◽  
Luis A. Valdez ◽  
Benjamin Aceves ◽  
Melanie L. Bell ◽  
Kyle Humphrey ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Controlled Trial ◽  
Culturally Sensitive ◽  
Overweight And Obesity ◽  
Moderate Intensity ◽  
Weight Loss Intervention ◽  
Hispanic Males ◽  
Phone Calls ◽  
Hispanic Men

Background. Hispanic males have the highest rates of overweight and obesity compared with men of all other racial/ethnic groups. While weight loss can significantly reduce obesity-related health risks, there is limited research examining effective gender- and culturally tailored behavioral weight loss programs for Hispanic men. Objective. To assess the feasibility and preliminary efficacy of a 12-week gender- and culturally sensitive weight loss intervention (GCSWLI) as compared with a waist-list control (WLC) in sedentary, Hispanic males with overweight/obesity. Method. Fifty Hispanic males (age: 43 years [ SD = 11]; BMI: 34 ± 5 kg/m2; 58% Spanish monolingual) were randomized to one of two groups: GCSWLI ( n = 25) or WLC ( n = 25). GCSWLI participants attended weekly in-person individual sessions with a bilingual, bicultural Hispanic male lifestyle coach, and were prescribed a daily reduced calorie goal and 225 minutes of moderate-intensity physical activity per week. The WLC were asked to maintain their usual diet and physical activity habits for 12 weeks. GCSWLI participants continued with 12 additional weeks of follow-up including biweekly phone calls with lifestyle coaches. Results. At Week 12, the mean weight loss in the GCSWLI was −6.3 kg (95% confidence interval [CI; −8.1, −4.4]) compared with −0.8 kg (95% CI [−2.5, 0.9]) for the WLC (difference = −5.5 kg, 95% CI [−8.0, −2.9], p < .01). At Week 24, weight loss in the GCSWLI was maintained. Conclusions. The GCSWLI appears to be a feasible strategy to engage Hispanic males in short-term weight loss. Our pilot study indicates preliminary evidence of efficacy, though confirmation of these findings is needed in a larger study.

Mapping Research Trends of mHealth-Based Weight Management from 2010 to 2020: A Bibliometric Analysis (Preprint)

2021 ◽  
Author(s):  
Xu Zheng ◽  
Mingfu Nuo ◽  
Kai An ◽  
Yi Liu ◽  
Yunfan He ◽  
...  
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Growth Rate ◽  
Weight Loss ◽  
Health Behaviors ◽  
Bibliometric Analysis ◽  
The United States ◽  
Overweight And Obesity ◽  
Annual Growth Rate ◽  
Promote Weight Loss

BACKGROUND Obesity and overweight have become major public health issues worldwide. mHealth is considered a potential novel strategy to intervene in overweight and obesity. The number of mHealth applications is currently large and growing rapidly, but the mechanisms and effects of their influence on users' health behaviors have not been fully elucidated. OBJECTIVE A systematic review of research on the application of mHealth to promote weight loss behaviors over the past 10 years is presented to understand the global progress of research findings on mHealth for weight loss and to deepen the systematic and comprehensive understanding of the field. METHODS A systematic review was conducted using 9 databases as search platforms. All published studies on the application of mHealth to promote weight loss between 2010 and 2020 were retrieved. The data obtained from these published studies were cleaned and structured. Excel (Microsoft Corp), VOSviewer (Nees Jan van Eck and Ludo Waltman) and the bibliometrix package in R were used to perform bibliometric analysis of publication trends, authorship, and research hot spots. RESULTS A total of 1900 articles were obtained during the initial screening, and 1561 articles were found to meet the study criteria after manual screening. We found that the number of publications is increasing rapidly, with an average annual growth rate of 20.84. A total of 7326 authors published in 613 different journals and conferences, and 39% of the articles were published in 20 core journals, including JMIR mHealth and uHealth, BMC Public Health, and Journal of Medical Internet Research. Among them, JMIR mHealth and uHealth was far ahead of the other journals in terms of growth rate and volume of publications. Among all authors, the largest number of authors were from the United States and Australia. There were 10 top authors with more than 15 total publications. The key themes of research were divided into 3 broad categories (population, behavior and interventions), and the focus of research gradually shifted over the decade from exploring the theoretical basis of mHealth to how to facilitate its application, with community information services and fitness and exercise mHealth applications as emerging and under-researched topics within the field. CONCLUSIONS In terms of overall trends, research on the application of mHealth to promote weight loss is of great interest, and a relatively popular subfield is the study of mHealth for exercise and fitness. From the research content, it was found that the effect of a single exercise intervention at the individual level is limited, and there is a need to explore multidimensional and effective intervention models for individuals, families, and society, starting with diversified health behaviors such as nutritional support and health monitoring.

Fad Diets: Dietary Dilemmas, Predicaments, and Recommendations for its Use

2020 ◽  
Vol 16 (9) ◽  
pp. 1362-1380
Author(s):  
Jyoti Singh ◽  
Prasad Rasane ◽  
Vidisha Tomer ◽  
Sawinder Kaur ◽  
Yogesh Gat ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Health Care Expenditures ◽  
Overweight And Obesity ◽  
Lifestyle Changes ◽  
Health Issues ◽  
Lifestyle Modifications ◽  
Treatment Measures ◽  
Long Time ◽  
Extra Weight

The health issues, mainly overweight and obesity are the growing concerns nowadays due to the associated factors and lifestyle changes which significantly have increased the individual’s health care expenditures. Fad diets are promoted as the easiest and simplest way of shedding the extra weight despite the availability of several treatments available. The prevention and treatment measures, including modification in lifestyle, dietary pattern, and physical activity, are the foundation of weight loss. However, the standard treatment measures are not effective for certain populations as they require long time adherence, which leads to the search for other approaches like fad diet. We steered a comprehensive literature review to present the facts related to fad diets to their efficacy and sustainability. Although fad diets have yielded tremendous positive results in weight loss and cardiovascular risk prevention, the studies reported death in long-term interventions and the results and some of them show side effects too. Randomized controlled trials have significantly reported weight loss in comparison with the popular fad diets; however, persisting on the same diet has also reported kidney problems, ketosis, and other metabolic related problems. The conclusion of this critical review reported that gradual weight loss could be attained by the combination of lifestyle modifications, physical activity, and recommended dietary approaches.

scholarly journals Identifying and measuring the behavioural, dietary, and physical activity components of weight management consultations delivered by general practice nurses in routine care

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Heather Tong ◽  
Elizabeth Morris ◽  
Susan A. Jebb ◽  
Dimitrios A. Koutoukidis
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Weight Management ◽  
Care Group ◽  
Dietary Recommendations ◽  
Practice Nurses ◽  
Audio Recordings ◽  
Baseline Weight ◽  
Physical Activity Recommendations ◽  
Activity Recommendations

Abstract Background Many people with obesity receive weight loss consultations by general practice nurses (GPNs) in routine primary care. This exploratory study aimed to characterise the components of these consultations, including behaviour change techniques (BCTs), and dietary and physical activity recommendations. Methods We analysed audio recordings of weight management consultations conducted by 8 GPNs as part of the ‘usual care’ group in a randomised controlled trial (ISRCTN75092026). Consultations were coded against three taxonomies to classify BCTs, dietary recommendations, and physical activity recommendations. Associations between coded content and weight loss were assessed. Differences in the content of consultations where weight loss was < 5% or ≥ 5% from baseline weight at 6 months were explored. Results One hundred and fifty audio recordings were available from 53 out of 140 (38%) participants in the usual care group. Participants had on average 3 (SD = 1) recorded consultations over 3 months, lasting 14 (SD = 7) minutes each. Weight change at 3, 6, and 12 months was -3.6% (SD = 4.3), -5.5% (SD = 6.0) and -4.2% (SD = 6.5) for participants with audio recordings. GPNs used 3.9 (SD = 1.6) of 93 BCTs, 3.3 (SD = 2.7) of 30 dietary recommendations and 1.4 (SD = 1.2) of 10 physical activity recommendations per consultation. The most commonly employed BCTs were feedback on outcome of behaviour (80.0%), problem solving (38.0%), and social reward (34.3%). The most common dietary recommendations were about portion size (31.3%), nutrients (28.0%), and balanced diet (19.7%). The main physical activity recommendation was about walking (30.3%). There was no association between weight loss and the number of dietary recommendations, physical activity recommendations, or BCTs used per consultation, or per participant. Social reward was the only technique used significantly more in consultations of participants that lost ≥ 5% of their baseline weight at 6 months. Conclusions The study provides a new method that could be used to describe the content of weight management consultations. Specific dietary or physical activity recommendations and BCTs were used infrequently and inconsistently in this group of GPNs. Although replication is required in larger samples, this may point to a weakness in current practice.

scholarly journals Physical Activity Among Somali Men in Minnesota

2013 ◽  
Vol 8 (1) ◽  
pp. 35-44 ◽  
Author(s):  
Ahmed A. Mohamed ◽  
Abdullahi M. Hassan ◽  
Jennifer A. Weis ◽  
Irene G. Sia ◽  
Mark L. Wieland
Keyword(s):  
Physical Activity ◽  
United States ◽  
Community Based Participatory Research ◽  
The United States ◽  
Success Stories ◽  
Semistructured Interviews ◽  
High Knowledge ◽  
African Refugee ◽  
Competing Priorities ◽  
Exercise Equipment

Immigrants and refugees arrive to the United States healthier than the general population, but this advantage declines with increasing duration of residence. One factor contributing to this decline is suboptimal physical activity, but reasons for this are poorly understood. Persons from Somalia represent the largest African refugee population to the United States, yet little is known about perceptions of physical activity among Somali men. Somali members of a community-based participatory research partnership implemented three age-stratified focus groups and three semistructured interviews among 20 Somali men in Rochester, Minnesota. Team-based inductive analysis generated themes for barriers and facilitators to physical activity. Barriers to physical activity included less walking opportunities in the United States, embarrassment about exercise clothing and lack of familiarity with exercise equipment/modalities, fear of harassment, competing priorities, facility costs, transportation, and winter weather. Facilitators to physical activity included high knowledge about how to be active, success stories from others in their community as inspiration, and community cohesion. Findings may be used to derive interventions aimed to promote physical activity among Somali men in the United States.

scholarly journals Are Men More Intuitive When It Comes to Eating and Physical Activity?

2011 ◽  
Vol 6 (2) ◽  
pp. 164-171 ◽  
Author(s):  
Julie Gast ◽  
Hala Madanat ◽  
Amy Campbell Nielson
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Weight Loss ◽  
Intrinsic Motivation ◽  
Weight Management ◽  
Body Mass ◽  
Demographic Variables ◽  
Intuitive Eating ◽  
Lower Body ◽  
Behavioral Regulation

The purpose of this study was to determine where men fall on the motivation continuum based on intuitive eating status and if motivation for physical activity and intuitive eating are correlated. Results indicate that being an intuitive eater was associated with a lower body mass index. In terms of demographic variables, as age increased, intuitive eating status decreased and body mass index increased. Men scored high on the antidieting and self-care subscales of the Intuitive Eating Scale. Men who were classified as intuitive eaters scored higher on the external and introjected regulation of the Behavioral Regulation in Exercise Questionnaire but no significant differences were reported by eating status and the identified and intrinsic motivation subscales. Intuitive eating holds promise as a weight management and weight loss tool for men. Intuitive eating may also influence initial motivation for physical activity for men.

scholarly journals Predictors of Weight Loss Maintenance following an Insurance-Sponsored Weight Management Program

2014 ◽  
Vol 2014 ◽  
pp. 1-12 ◽  
Author(s):  
Christiaan G. Abildso ◽  
Olivier Schmid ◽  
Megan Byrd ◽  
Sam Zizzi ◽  
Alessandro Quartiroli ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Weight Loss Maintenance ◽  
The United States ◽  
Management Program ◽  
Weight Management Program ◽  
Post Intervention ◽  
Physically Active ◽  
Intentional Weight Loss ◽  
Predictors Of Weight Loss

Intentional weight loss among overweight and obese adults (body mass index ≥ 25 kg/m2) is associated with numerous health benefits, but weight loss maintenance (WLM) following participation in weight management programming has proven to be elusive. Many individuals attempting to lose weight join formal programs, especially women, but these programs vary widely in focus, as do postprogram weight regain results. We surveyed 2,106 former participants in a community-based, insurance-sponsored weight management program in the United States to identify the pre, during, and post-intervention behavioral and psychosocial factors that lead to successful WLM. Of 835 survey respondents (39.6% response rate), 450 met criteria for inclusion in this study. Logistic regression analyses suggest that interventionists should assess and discuss weight loss and behavior change perceptions early in a program. However, in developing maintenance plans later in a program, attention should shift to behaviors, such as weekly weighing, limiting snacking in the evening, limiting portion sizes, and being physically active every day.

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