Fitzgibbon Marian L, Stolley Melinda R, Ganschow Pamela, Schiffer Linda, Wells Anita, Simon Nolanna, Dyer Alan
Department of Medicine, School of Public Health, University of Illinois, Chicago, USA.
J Natl Med Assoc. 2005 Oct;97(10):1393-402.
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.
肥胖是多种慢性疾病的风险因素。尽管体重减轻可能会降低这些风险,但为黑人女性设计的减肥计划却产生了喜忧参半的结果。研究表明,宗教/灵性是黑人文化的一个突出组成部分。鉴于此,将宗教/灵性纳入减肥计划的积极组成部分可能会增强该计划的益处。然而,宗教/灵性的作用尚未作为一种促进减肥过程的机制进行专门测试。本文介绍了“行动中的信仰”的研究结果,这是一项针对黑人女性的基于信仰的减肥计划的随机试点研究。该研究的目的是评估为期12周的根据文化定制的、基于信仰的减肥干预措施对体重减轻、膳食脂肪摄入和身体活动的影响。将根据文化定制的、基于信仰的减肥干预措施与没有积极信仰成分的根据文化定制的减肥干预措施进行比较。59名超重/肥胖的黑人女性被随机分配到两种干预措施中的一种。尽管结果没有统计学意义,但效应大小表明加入信仰成分改善了结果。这些有前景的初步结果需要在一项有足够效力的试验中进行检验。