Taylor Salima F, Chung Mei, Williams-Forson Psyche, Hennessy Erin, Roberts Susan B
Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, USA.
Department of Anthropology, University of Maryland, College Park, MD, USA.
J Racial Ethn Health Disparities. 2025 Aug 6. doi: 10.1007/s40615-025-02545-z.
Rates of obesity are high in Black Americans. This scoping review identified and reviewed research on eating behaviors that may influence weight status in community-dwelling Black American adults, specifically commensality, meal patterns, dietary disinhibition, dietary restraint, satiety, hunger, and cravings, and their relation to weight status. The study followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement and scoping review extension. Literature in English was searched electronically to identify articles published between 1946 and October 20th, 2024 in Ovid MEDLINE, CINAHL, AnthropologyPlus, PsycINFO, and Race Relations. Observational and clinical studies of any duration were eligible. Thirty-one observational articles were identified. Studies included Black participants only (n = 8), and multiple racial groups with and without subgroup analysis (n = 9; 14, respectively). Most studies (n = 22) included all body mass index (BMI) weight categories, and most participants were women. The most frequent topics were dietary restraint and disinhibition (n = 18, n = 16, respectively). Dietary disinhibition had the strongest association of any eating behavior construct with weight status in mixed-race and all-Black samples, and there was no evidence for a differential relationship of disinhibition with BMI in Black versus White women. There was consistent evidence that Black women with low or normal BMI have lower levels of dietary restraint but similar levels of restraint at higher BMIs. There were insufficient data on meal patterns, commensality, satiety, hunger, and cravings in Black Americans to determine racial differences or associations with weight status. Additional research is needed to identify effective intervention points to address the obesity epidemic in Black Americans.
美国黑人的肥胖率很高。本综述确定并回顾了关于可能影响美国黑人成年社区居民体重状况的饮食行为的研究，具体包括共餐、用餐模式、饮食去抑制、饮食克制、饱腹感、饥饿感和渴望，以及它们与体重状况的关系。该研究遵循系统评价和Meta分析的首选报告项目（PRISMA）声明和综述扩展。通过电子方式检索英文文献，以识别1946年至2024年10月20日期间发表在Ovid MEDLINE、CINAHL、AnthropologyPlus、PsycINFO和种族关系数据库中的文章。任何时长的观察性和临床研究均符合条件。共识别出31篇观察性文章。研究仅包括黑人参与者（n = 8），以及有或没有亚组分析的多个种族群体（分别为n = 9；14）。大多数研究（n = 22）包括所有体重指数（BMI）体重类别，且大多数参与者为女性。最常见的主题是饮食克制和去抑制（分别为n = 18，n = 16）。在混血和全黑人样本中，饮食去抑制与体重状况的关联在所有饮食行为因素中最强，且没有证据表明黑人女性与白人女性在饮食去抑制与BMI的关系上存在差异。有一致的证据表明，BMI低或正常的黑人女性饮食克制水平较低，但BMI较高时克制水平相似。关于美国黑人的用餐模式、共餐、饱腹感、饥饿感和渴望的数据不足，无法确定种族差异或与体重状况的关联。需要更多研究来确定有效的干预点，以应对美国黑人中的肥胖流行问题。
