Sisters in Health: A Weight Loss Study for African American Women
Panoramica dello studio
Stato
Condizioni
Descrizione dettagliata
A disparity exists in the prevalence of overweight and obesity between non-Hispanic white (NHW) and African American (AA) women. More AA women (78.2%) are overweight or obese compared to NHW (61.2%). Obesity increases the risk of developing numerous chronic diseases, including type 2 diabetes (T2DM), hypertension, cardiovascular disease, and some cancers. Among AA women, there is a higher prevalence, and almost double the risk, of developing T2DM compared to NHW. African Americans also have higher rates of complications and mortality from T2DM, and are more at risk for hypertension compared to NHW. Obesity is a costly epidemic. Fortunately, weight is a modifiable risk factor for reducing or preventing obesity and related diseases.
Interventions to reduce overweight and obesity through lifestyle change have been less effective for AA women compared to NHW women. African American women tend to lose less weight in standard behavioral weight loss interventions. A potential reason for smaller weight loss is that compared to NHW women, AA women have been shown to engage in less physical activity (PA) during these interventions.
The Sisters in Health study will test the efficacy of a 6-month randomized controlled trial in overweight and obese African American women. Women will be recruited to participate in this study comparing a standard behavioral weight loss intervention (BWI) to a physical activity enhanced BWI (BWI-PA) for 6 months. The primary objective of this study is to determine if AA women randomized to the BWI-PA will experience greater weight loss and PA compared to women receiving the BWI. Women in both groups will receive 18 face-to-face sessions on a tapered basis (weekly to biweekly). Face-to-face sessions will provide women with the knowledge, behavioral skills and strategies for weight loss.
Tipo di studio
Iscrizione (Effettivo)
Fase
- Non applicabile
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
- 21-65 years old
Ability to read, write, and speak English
- Female gender
- African American/Black/African/Afro-Caribbean race (self-identified)
- BMI 25-45 (> 45 may have greater risks while participating)
- Meets criteria for low active (defined as <3 days/week of at most 20 min. of PA/day) assessed by X
- Willingness to be randomized
- Willingness to participate for 6 months, including attending face-to-face sessions & outside of session tasks
- Access to a computer reliable internet access
- Willingness to use an app for diet and physical activity monitoring
- Regularly used email address
- Not planning to relocate
- Able to attend group sessions on scheduled day
Exclusion Criteria:
- Recently lost weight, 5-10% in last 6 months
- Currently participating in another weight loss or PA study, or taking weight loss medication, and unwilling to discontinue those activities
- Pregnant or planning to become pregnant
- Any physical limitations to engaging in or increasing physical activity/exercise- assessed by PAR-Q (including but not limited to heart attack/myocardial infarction, congestive heart failure)
- Type 2 diabetes being treated with insulin
- Major psychological disorder
- History of diagnosed eating disorder
- Medications that affect weight (determined by study staff)
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: Physical Activity Enhanced Weight Loss Intervention
Participants will engage in 18 weight loss intervention group sessions over 6 months.
Sessions will occur weekly for the first 3 months, and biweekly for the latter 3 months.
Participants will receive a behavioral weight loss curriculum, calorie and physical activity recommendations.
This arm, uniquely, will receive a culturally based physical activity component.
|
18 session, group-based, 6-month, physical activity enhanced behavioral weight loss intervention
|
|
Comparatore attivo: Standard Weight Loss Intervention
Participants will engage in 18 weight loss intervention group sessions over 6 months.
Sessions will occur weekly for the first 3 months, and biweekly for the latter 3 months.
Participants will receive a behavioral weight loss curriculum, calorie and physical activity recommendations.
|
18 session, group-based, 6-month, standard behavioral weight loss intervention
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Lasso di tempo |
|---|---|
|
Change in Weight
Lasso di tempo: Baseline to 6 months
|
Baseline to 6 months
|
Collaboratori e investigatori
Collaboratori
Investigatori
- Cattedra di studio: Deborah F. Tate, PhD, University of North Carolina, Chapel Hill
- Investigatore principale: Loneke T. Blackman Carr, MA, RD, University of North Carolina, Chapel Hill
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Completamento primario (Effettivo)
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- 15-0484
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .