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The effect of a "maintain, don't gain" approach to weight management on depression among black women: results from a randomized controlled trial.

Publication ,  Journal Article
Steinberg, DM; Askew, S; Lanpher, MG; Foley, PB; Levine, EL; Bennett, GG
Published in: American journal of public health
September 2014

We evaluated the effect of a weight gain prevention intervention (Shape Program) on depression among socioeconomically disadvantaged overweight and obese Black women.Between 2009 and 2012, we conducted a randomized trial comparing a 12-month electronic health-based weight gain prevention intervention to usual primary care at 5 central North Carolina community health centers. We assessed depression with the Patient Health Questionnaire (PHQ-8). We analyzed change in depression score from baseline to 12- and 18-month follow-up across groups with mixed models. We used generalized estimating equation models to analyze group differences in the proportion above the clinical threshold for depression (PHQ-8 score ≥ 10).At baseline, 20% of participants reported depression. Twelve-month change in depression scores was larger for intervention participants (mean difference = -1.85; 95% confidence interval = -3.08, -0.61; P = .004). There was a significant reduction in the proportion of intervention participants with depression at 12 months with no change in the usual-care group (11% vs 19%; P = .035). All effects persisted after we controlled for weight change and medication use. We saw similar findings at 18 months.The Shape Program, which includes no mention of mood, improved depression among socioeconomically disadvantaged Black women.

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Published In

American journal of public health

DOI

EISSN

1541-0048

ISSN

0090-0036

Publication Date

September 2014

Volume

104

Issue

9

Start / End Page

1766 / 1773

Related Subject Headings

  • Weight Gain
  • Socioeconomic Factors
  • Public Health
  • Poverty
  • Overweight
  • North Carolina
  • Humans
  • Health Promotion
  • Health Behavior
  • Goals
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Steinberg, D. M., Askew, S., Lanpher, M. G., Foley, P. B., Levine, E. L., & Bennett, G. G. (2014). The effect of a "maintain, don't gain" approach to weight management on depression among black women: results from a randomized controlled trial. American Journal of Public Health, 104(9), 1766–1773. https://doi.org/10.2105/ajph.2014.302004
Steinberg, Dori M., Sandy Askew, Michele G. Lanpher, Perry B. Foley, Erica L. Levine, and Gary G. Bennett. “The effect of a "maintain, don't gain" approach to weight management on depression among black women: results from a randomized controlled trial.American Journal of Public Health 104, no. 9 (September 2014): 1766–73. https://doi.org/10.2105/ajph.2014.302004.
Steinberg DM, Askew S, Lanpher MG, Foley PB, Levine EL, Bennett GG. The effect of a "maintain, don't gain" approach to weight management on depression among black women: results from a randomized controlled trial. American journal of public health. 2014 Sep;104(9):1766–73.
Steinberg, Dori M., et al. “The effect of a "maintain, don't gain" approach to weight management on depression among black women: results from a randomized controlled trial.American Journal of Public Health, vol. 104, no. 9, Sept. 2014, pp. 1766–73. Epmc, doi:10.2105/ajph.2014.302004.
Steinberg DM, Askew S, Lanpher MG, Foley PB, Levine EL, Bennett GG. The effect of a "maintain, don't gain" approach to weight management on depression among black women: results from a randomized controlled trial. American journal of public health. 2014 Sep;104(9):1766–1773.

Published In

American journal of public health

DOI

EISSN

1541-0048

ISSN

0090-0036

Publication Date

September 2014

Volume

104

Issue

9

Start / End Page

1766 / 1773

Related Subject Headings

  • Weight Gain
  • Socioeconomic Factors
  • Public Health
  • Poverty
  • Overweight
  • North Carolina
  • Humans
  • Health Promotion
  • Health Behavior
  • Goals