How effective are church-based weight-loss interventions among Black adults? A systematic review

IF 4.2 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Obesity Pub Date : 2024-08-28 DOI:10.1002/oby.24115

Lovoria B. Williams, Bassema Abu Farsakh, Erika R. Karle, Zainab S. Almogheer, Steven Coughlin, Karen H. Kim Yeary

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引用次数: 0

Abstract

Objective

Churches are frequently used to reach Black adults to effect weight loss. However, there has been no recent review, to our knowledge, inclusive of solely Black adults in church settings. We sought to comprehensively examine the methodological approaches and weight-loss outcomes of church-based weight-loss lifestyle interventions conducted among Black adults to provide insights on literature gaps and offer suggestions for future research.

Methods

Google Scholar, PubMed, and CINAHL (Cumulative Index to Nursing and Allied Health Literature) were searched for trials conducted in churches that reported weight outcomes at any time point. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guided manuscript development.

Results

A total of 15 studies (N = 2285) from 2007 to 2023 met inclusion criteria, and 33% were high-quality randomized trials. The majority were pilot studies (60%) conducted in the Southern United States. Most reported significant postintervention weight loss. The follow-up time points varied from 2 to 12 months. Methodological approaches included the following: cultural adaptations (93%); theory-guided (93%); delivered by community health workers (80%); and delivered in person in a group format (100%). Only one study offered individual-level attention beyond texts/emails. Most participants were well-educated female individuals.

Conclusions

Weight-loss interventions among Black church settings effect statistically significant weight loss, albeit in a small way. Limitations include pilot studies and small samples. More rigorously designed studies are warranted.

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基于教堂的黑人成年人减肥干预措施效果如何？系统综述。

目的：教会经常被用来帮助黑人成年人减肥。然而，据我们所知，最近还没有一篇专门针对教会环境中的黑人成年人的综述。我们试图全面研究在黑人成年人中开展的基于教堂的减肥生活方式干预的方法和减肥效果，以深入了解文献空白并为未来研究提供建议：搜索了谷歌学术、PubMed 和 CINAHL（护理和联合健康文献累积索引）中在教堂进行的、报告任何时间点体重结果的试验。系统综述和荟萃分析的首选报告项目（PRISMA）为稿件的撰写提供了指导：从 2007 年到 2023 年，共有 15 项研究（N = 2285）符合纳入标准，其中 33% 为高质量随机试验。大部分是在美国南部进行的试点研究（60%）。大多数研究报告称，干预后体重明显减轻。随访时间点从 2 个月到 12 个月不等。方法包括以下几种：文化适应（93%）；理论指导（93%）；由社区卫生工作者提供（80%）；以小组形式亲自提供（100%）。只有一项研究提供了短信/电子邮件以外的个人关注。大多数参与者是受过良好教育的女性：结论：在黑人教会环境中进行的减肥干预在统计学上具有显著的减肥效果，尽管效果很小。局限性包括试点研究和样本较小。需要进行更严格设计的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity 医学-内分泌学与代谢

CiteScore

11.70

自引率

1.40%

发文量

261

审稿时长

2-4 weeks

期刊介绍： Obesity is the official journal of The Obesity Society and is the premier source of information for increasing knowledge, fostering translational research from basic to population science, and promoting better treatment for people with obesity. Obesity publishes important peer-reviewed research and cutting-edge reviews, commentaries, and public health and medical developments.