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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 2005 Oct;97(10):1393–1402.

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

Marian L Fitzgibbon 1, Melinda R Stolley 1, Pamela Ganschow 1, Linda Schiffer 1, Anita Wells 1, Nolanna Simon 1, Alan Dyer 1
PMCID: PMC2594697  PMID: 16355489

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.

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Selected References

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  1. Agurs-Collins T. D., Kumanyika S. K., Ten Have T. R., Adams-Campbell L. L. 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. doi: 10.2337/diacare.20.10.1503. [DOI] [PubMed] [Google Scholar]
  2. Ard J. D., Rosati R., Oddone E. Z. 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] [Google Scholar]
  3. Ballard-Barbash R. Anthropometry and breast cancer. Body size--a moving target. Cancer. 1994 Aug 1;74(3 Suppl):1090–1100. doi: 10.1002/1097-0142(19940801)74:3+<1090::aid-cncr2820741518>3.0.co;2-x. [DOI] [PubMed] [Google Scholar]
  4. Blair S. N., Haskell W. L., Ho P., Paffenbarger R. S., Jr, Vranizan K. M., Farquhar J. W., Wood P. D. 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. doi: 10.1093/oxfordjournals.aje.a114163. [DOI] [PubMed] [Google Scholar]
  5. Brinton L. A., Swanson C. A. Height and weight at various ages and risk of breast cancer. Ann Epidemiol. 1992 Sep;2(5):597–609. doi: 10.1016/1047-2797(92)90004-a. [DOI] [PubMed] [Google Scholar]
  6. Campbell M. K., Demark-Wahnefried W., Symons M., Kalsbeek W. D., Dodds J., Cowan A., Jackson B., Motsinger B., Hoben K., Lashley J. 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. doi: 10.2105/ajph.89.9.1390. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Campbell M. K., Motsinger B. M., 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. doi: 10.1177/109019810002700210. [DOI] [PubMed] [Google Scholar]
  8. Cardinal B. J., Esters J., Cardinal M. K. Evaluation of the revised physical activity readiness questionnaire in older adults. Med Sci Sports Exerc. 1996 Apr;28(4):468–472. doi: 10.1097/00005768-199604000-00011. [DOI] [PubMed] [Google Scholar]
  9. Chatters L. M. Religion and health: public health research and practice. Annu Rev Public Health. 2000;21:335–367. doi: 10.1146/annurev.publhealth.21.1.335. [DOI] [PubMed] [Google Scholar]
  10. Donnelly J. E., Jacobsen D. J., Jakicic J. M., Whatley J. E. Very low calorie diet with concurrent versus delayed and sequential exercise. Int J Obes Relat Metab Disord. 1994 Jul;18(7):469–475. [PubMed] [Google Scholar]
  11. Duan N., Fox S. A., Derose K. P., Carson S. Maintaining mammography adherence through telephone counseling in a church-based trial. Am J Public Health. 2000 Sep;90(9):1468–1471. doi: 10.2105/ajph.90.9.1468. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Dunn A. L., Marcus B. H., Kampert J. B., Garcia M. E., Kohl H. W., 3rd, Blair S. N. Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness: a randomized trial. JAMA. 1999 Jan 27;281(4):327–334. doi: 10.1001/jama.281.4.327. [DOI] [PubMed] [Google Scholar]
  13. Earp J. A., Flax V. L. What lay health advisors do: An evaluation of advisors' activities. Cancer Pract. 1999 Jan-Feb;7(1):16–21. doi: 10.1046/j.1523-5394.1999.07104.x. [DOI] [PubMed] [Google Scholar]
  14. 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. doi: 10.1016/j.ypmed.2004.06.018. [DOI] [PubMed] [Google Scholar]
  15. Gallant M. P., Dorn G. P. Gender and race differences in the predictors of daily health practices among older adults. Health Educ Res. 2001 Feb;16(1):21–31. doi: 10.1093/her/16.1.21. [DOI] [PubMed] [Google Scholar]
  16. 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. doi: 10.1001/jama.291.23.2847. [DOI] [PubMed] [Google Scholar]
  17. Huang Z., Hankinson S. E., Colditz G. A., Stampfer M. J., Hunter D. J., Manson J. E., Hennekens C. H., Rosner B., Speizer F. E., Willett W. C. Dual effects of weight and weight gain on breast cancer risk. JAMA. 1997 Nov 5;278(17):1407–1411. [PubMed] [Google Scholar]
  18. Hummer R. A., Rogers R. G., Nam C. B., Ellison C. G. Religious involvement and U.S. adult mortality. Demography. 1999 May;36(2):273–285. [PubMed] [Google Scholar]
  19. Hébert J. R., Peterson K. E., Hurley T. G., Stoddard A. M., Cohen N., Field A. E., 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. doi: 10.1016/s1047-2797(01)00212-5. [DOI] [PubMed] [Google Scholar]
  20. 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] [Google Scholar]
  21. Koenig H., Parkerson G. R., Jr, Meador K. G. Religion index for psychiatric research. Am J Psychiatry. 1997 Jun;154(6):885–886. doi: 10.1176/ajp.154.6.885b. [DOI] [PubMed] [Google Scholar]
  22. Kumanyika S. K., Obarzanek E., Stevens V. J., Hebert P. R., Whelton P. K., Kumanyaka S. K. Weight-loss experience of black and white participants in NHLBI-sponsored clinical trials. Am J Clin Nutr. 1991 Jun;53(6 Suppl):1631S–1638S. doi: 10.1093/ajcn/53.6.1631S. [DOI] [PubMed] [Google Scholar]
  23. 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. doi: 10.1016/j.ypmed.2004.09.049. [DOI] [PubMed] [Google Scholar]
  24. Kumar N. B., Lyman G. H., Allen K., Cox C. E., Schapira D. V. Timing of weight gain and breast cancer risk. Cancer. 1995 Jul 15;76(2):243–249. doi: 10.1002/1097-0142(19950715)76:2<243::aid-cncr2820760214>3.0.co;2-r. [DOI] [PubMed] [Google Scholar]
  25. Lasater T. M., Wells B. L., Carleton R. A., Elder J. P. The role of churches in disease prevention research studies. Public Health Rep. 1986 Mar-Apr;101(2):125–131. [PMC free article] [PubMed] [Google Scholar]
  26. Levin J. S., Chatters L. M. Religion, health, and psychological well-being in older adults: findings from three national surveys. J Aging Health. 1998 Nov;10(4):504–531. doi: 10.1177/089826439801000406. [DOI] [PubMed] [Google Scholar]
  27. Lewis C. E., Smith D. E., Wallace D. D., Williams O. D., Bild D. E., Jacobs D. R., 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. doi: 10.2105/ajph.87.4.635. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Magnusson C., Baron J., Persson I., Wolk A., Bergström R., Trichopoulos D., Adami H. O. 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. doi: 10.1002/(sici)1097-0215(19980330)76:1<29::aid-ijc6>3.0.co;2-#. [DOI] [PubMed] [Google Scholar]
  29. Marín G., Burhansstipanov L., Connell C. M., Gielen A. C., Helitzer-Allen D., Lorig K., Morisky D. E., Tenney M., Thomas S. A research agenda for health education among underserved populations. Health Educ Q. 1995 Aug;22(3):346–363. doi: 10.1177/109019819402200307. [DOI] [PubMed] [Google Scholar]
  30. Mayer-Davis E. J., 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. doi: 10.1097/00003727-200107000-00006. [DOI] [PubMed] [Google Scholar]
  31. 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. doi: 10.2337/diacare.20.10.1518. [DOI] [PubMed] [Google Scholar]
  32. Miller M. A. Culture, spirituality, and women's health. J Obstet Gynecol Neonatal Nurs. 1995 Mar-Apr;24(3):257–263. doi: 10.1111/j.1552-6909.1995.tb02471.x. [DOI] [PubMed] [Google Scholar]
  33. 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. doi: 10.2105/ajph.92.4.557. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. Pereira M. A., FitzerGerald S. J., Gregg E. W., Joswiak M. L., Ryan W. J., Suminski R. R., Utter A. C., Zmuda J. M. A collection of Physical Activity Questionnaires for health-related research. Med Sci Sports Exerc. 1997 Jun;29(6 Suppl):S1–205. [PubMed] [Google Scholar]
  35. Resnicow K., Baranowski T., Ahluwalia J. S., Braithwaite R. L. Cultural sensitivity in public health: defined and demystified. Ethn Dis. 1999 Winter;9(1):10–21. [PubMed] [Google Scholar]
  36. Smith E. D., Merritt S. L., Patel M. K. Church-based education: an outreach program for African Americans with hypertension. Ethn Health. 1997 Aug;2(3):243–253. doi: 10.1080/13557858.1997.9961832. [DOI] [PubMed] [Google Scholar]
  37. Solomon C. G., Manson J. E. Obesity and mortality: a review of the epidemiologic data. Am J Clin Nutr. 1997 Oct;66(4 Suppl):1044S–1050S. doi: 10.1093/ajcn/66.4.1044S. [DOI] [PubMed] [Google Scholar]
  38. 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] [Google Scholar]
  39. Strawbridge W. J., Shema S. J., Cohen R. D., Kaplan G. A. 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. doi: 10.1207/s15324796abm2301_10. [DOI] [PubMed] [Google Scholar]
  40. Trentham-Dietz A., Newcomb P. A., Egan K. M., Titus-Ernstoff L., Baron J. A., Storer B. E., Stampfer M., Willett W. C. Weight change and risk of postmenopausal breast cancer (United States). Cancer Causes Control. 2000 Jul;11(6):533–542. doi: 10.1023/a:1008961931534. [DOI] [PubMed] [Google Scholar]
  41. Trentham-Dietz A., Newcomb P. A., Storer B. E., Longnecker M. P., Baron J., Greenberg E. R., Willett W. C. Body size and risk of breast cancer. Am J Epidemiol. 1997 Jun 1;145(11):1011–1019. doi: 10.1093/oxfordjournals.aje.a009057. [DOI] [PubMed] [Google Scholar]
  42. 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. doi: 10.1038/bjc.1990.282. [DOI] [PMC free article] [PubMed] [Google Scholar]
  43. 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. doi: 10.1207/S15324796ABM2401_04. [DOI] [PubMed] [Google Scholar]
  44. 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] [Google Scholar]
  45. 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. doi: 10.1249/01.MSS.0000079081.08476.EA. [DOI] [PubMed] [Google Scholar]
  46. Williamson D. F., Kahn H. S., Remington P. L., Anda R. F. The 10-year incidence of overweight and major weight gain in US adults. Arch Intern Med. 1990 Mar;150(3):665–672. [PubMed] [Google Scholar]
  47. Wilson L. C. Implementation and evaluation of church-based health fairs. J Community Health Nurs. 2000 Spring;17(1):39–48. doi: 10.1207/S15327655JCHN1701_04. [DOI] [PubMed] [Google Scholar]
  48. Yanek L. R., Becker D. M., Moy T. F., Gittelsohn J., Koffman D. M. Project Joy: faith based cardiovascular health promotion for African American women. Public Health Rep. 2001;116 (Suppl 1):68–81. doi: 10.1093/phr/116.S1.68. [DOI] [PMC free article] [PubMed] [Google Scholar]
  49. Ziegler R. G., Hoover R. N., Nomura A. M., West D. W., Wu A. H., Pike M. C., Lake A. J., Horn-Ross P. L., Kolonel L. N., Siiteri P. K. Relative weight, weight change, height, and breast cancer risk in Asian-American women. J Natl Cancer Inst. 1996 May 15;88(10):650–660. doi: 10.1093/jnci/88.10.650. [DOI] [PubMed] [Google Scholar]
  50. van den Brandt P. A., Spiegelman D., Yaun S. S., Adami H. O., Beeson L., Folsom A. R., Fraser G., Goldbohm R. A., Graham S., Kushi L. Pooled analysis of prospective cohort studies on height, weight, and breast cancer risk. Am J Epidemiol. 2000 Sep 15;152(6):514–527. doi: 10.1093/aje/152.6.514. [DOI] [PubMed] [Google Scholar]

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