Evidence map›Paper›PMID 21749020›Full record

Trial reportEthnicity & disease2011

Differential response of African American and Caucasian women to extended-care programs for obesity management.

Katie A Rickel, Vanessa A Milsom, Kathryn M Ross, Valerie J Hoover, Ninoska D Peterson, Michael G Perri

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Ethnicity & disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Understanding the impact of rural weight loss interventions: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019
    Pooled it
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  10. Review
  11. Article
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  15. Predictors of long-term success after laparoscopic Roux-en-Y gastric bypass in African-American women.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2016
    Article
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  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Katie A RickelDepartment of Clinical & Health Psychology, University of Florida, Gainesville 32610-0185, USA.
Vanessa A Milsom
Kathryn M Ross
Valerie J Hoover
Ninoska D Peterson
Michael G Perri

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8M
Rural Lifestyle Intervention Treatment Effectiveness Trial (Rural LITE)R01HL087800 · NHLBI · UNIVERSITY OF FLORIDA · PI PERRI, MICHAEL G · 2010 to 2012
$2.2M
TREATMENT OF OBESITY IN UNDERSERVED RURAL SETTINGS-TOURSR01HL073326 · NHLBI · UNIVERSITY OF FLORIDA · PI PERRI, MICHAEL G · 2004 to 2006
$2.0M
NHLBI NIH HHS R01 HL073326NHLBI NIH HHS R01 HL087800NHLBI NIH HHS R01HL087800NHLBI NIH HHS R01HL73326NIA NIH HHS P30 AG028740
6 · The paper itself

Abstract

objectiveThe current study examined ethnic differences in patterns of weight loss and regain in response to an initial behavioral weight loss intervention followed by an extended-care maintenance program.

methodsWe analyzed data from 224 women (African American n = 43, Caucasian n = 181) from rural communities who participated in an initial 6-month lifestyle intervention for obesity and were then randomized to a face-to-face, telephone, or educational/control extended-care condition.

resultsAfrican American participants lost less weight during the initial phase of treatment than Caucasian participants (mean +/- SE = -6.8 +/-.80 vs -10.7 +/- .38 kg, respectively, P = .003). Investigating weight change during month 6 to month 18, we found a significant interaction between ethnicity and the provision of an extended-care program. Caucasian participants randomized to either of two extended-care programs regained less weight than those assigned to the control condition (1.2 +/- .58 and 4.2 +/- .79 kg, respectively, P=.003), but the provision of extended care did not influence weight regain among African American participants (1.9 +/- 1.12 and 1.34 +/- 2.04 kg, respectively, P = .815).

conclusionCollectively, these findings suggest that although African American participants lost less weight during the initial phase of treatment, they exhibited better long-term weight-loss maintenance than Caucasian participants. Further, while the provision of extended care successfully enhanced weight maintenance among Caucasian participants, African American participants maintained their initial weight losses regardless of extended care.

Indexed as

Black or African AmericanWhite PeopleCohort StudiesFemaleHealth BehaviorHumansLife StyleLong-Term CareMiddle AgedObesitySocioeconomic FactorsTreatment OutcomeWeight Loss

Identifiers

PMID21749020
PMCPMC3772655

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.