Center for Research on Men's Health, Vanderbilt University, Nashville, TN, United States; Center for Medicine, Health and Society, Vanderbilt University, Nashville, TN, United States.
Center for Research on Men's Health, Vanderbilt University, Nashville, TN, United States.
Adv Cancer Res. 2020;146:189-217. doi: 10.1016/bs.acr.2020.01.010. Epub 2020 Feb 24.
According to the American Cancer Society's guidelines on nutrition and physical activity for cancer prevention, weight control, eating practices and physical activity are second only to tobacco use as modifiable determinants of cancer risk. However, no evidence-based interventions have been targeted to African American men or tailored to individual African American men's preferences, needs or identities. The goal of this chapter is to describe the rationale for the components, aims and setting of Mighty Men: A Faith-Based Weight Loss Intervention for African American Men. We begin by discussing the rationale for focusing on weight loss in the context of cancer prevention, and argue that obesity and obesogenic behaviors are important yet modifiable determinants of cancer risk. Next, we briefly review the scarce literature on interventions to promote healthy eating, physical activity and weight loss in our population of interest, and then discuss the rationale for conducting the intervention in faith- based organizations rather than other common settings for recruiting African American men. We conclude with a discussion of the conceptual foundations and components of Mighty Men, and discuss our focus and goals in the context of the larger literature in this area.
根据美国癌症协会关于营养和身体活动预防癌症、体重控制、饮食行为和身体活动的指南，体重控制、饮食行为和身体活动仅次于烟草使用，是可改变的癌症风险决定因素。然而，还没有针对非裔美国男性的基于证据的干预措施，也没有针对个体非裔美国男性的偏好、需求或身份进行调整。本章的目标是描述 Mighty Men：基于信仰的非裔美国男性减肥干预措施的组成部分、目的和背景。我们首先讨论在癌症预防的背景下关注减肥的理由，并认为肥胖和致肥胖行为是癌症风险的重要但可改变的决定因素。接下来，我们简要回顾了针对我们感兴趣的人群促进健康饮食、身体活动和减肥的干预措施的稀缺文献，然后讨论了在信仰组织而不是其他常见的招募非裔美国男性的场所进行干预的理由。最后，我们讨论了 Mighty Men 的概念基础和组成部分，并在这一领域的更广泛文献背景下讨论了我们的重点和目标。
