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Family functioning and weight loss in a sample of african americans and whites.

Publication ,  Journal Article
Samuel-Hodge, CD; Gizlice, Z; Cai, J; Brantley, PJ; Ard, JD; Svetkey, LP
Published in: Ann Behav Med
December 2010

BACKGROUND: Traditionally, weight management behavioral research has focused on individual-level influences, with little attention given to interpersonal factors that relate to the family behavioral context. PURPOSE: This research examines the association between baseline family functioning scores and weight loss success in a sample of African Americans and Whites enrolled in a 20-week weight loss program with a weight loss goal of ≥ 4 kg. METHODS: Baseline surveys measuring six family functioning constructs were completed by 291 participants in a trial of weight loss maintenance. Analysis was limited to 217 participants in households with at least one other family member, and providing final weight measurements. We evaluated associations of family functioning, family composition, and demographic variables with weight loss success defined as losing ≥ 5% of initial body weight. Baseline predictors of weight loss success were determined using logistic regression analysis. RESULTS: Participants were on average 61 years of age with BMI of 34 kg/m(2); 57% were female and 75% self-identified as African American. Sixty-two percent lost at least 5% of initial body weight. In bivariate analysis, weight loss success was associated with higher income and education (p < 0.01 and p = 0.05, respectively), ethnicity (p < 0.01), and the presence of a spouse (p = 0.01). After adjusting for socio-demographic covariates in a multivariable model, the odds of weight loss success were independently influenced by a significant interaction between ethnicity and family cohesion (p < 0.01). CONCLUSIONS: These findings suggest that family context factors influence weight loss behaviors.

Duke Scholars

Published In

Ann Behav Med

DOI

EISSN

1532-4796

Publication Date

December 2010

Volume

40

Issue

3

Start / End Page

294 / 301

Location

England

Related Subject Headings

  • White People
  • Weight Loss
  • United States
  • Public Health
  • Obesity
  • Middle Aged
  • Male
  • Logistic Models
  • Humans
  • Health Surveys
 

Citation

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Samuel-Hodge, C. D., Gizlice, Z., Cai, J., Brantley, P. J., Ard, J. D., & Svetkey, L. P. (2010). Family functioning and weight loss in a sample of african americans and whites. Ann Behav Med, 40(3), 294–301. https://doi.org/10.1007/s12160-010-9219-z
Samuel-Hodge, Carmen D., Ziya Gizlice, Jianwen Cai, Phillip J. Brantley, Jamy D. Ard, and Laura P. Svetkey. “Family functioning and weight loss in a sample of african americans and whites.Ann Behav Med 40, no. 3 (December 2010): 294–301. https://doi.org/10.1007/s12160-010-9219-z.
Samuel-Hodge CD, Gizlice Z, Cai J, Brantley PJ, Ard JD, Svetkey LP. Family functioning and weight loss in a sample of african americans and whites. Ann Behav Med. 2010 Dec;40(3):294–301.
Samuel-Hodge, Carmen D., et al. “Family functioning and weight loss in a sample of african americans and whites.Ann Behav Med, vol. 40, no. 3, Dec. 2010, pp. 294–301. Pubmed, doi:10.1007/s12160-010-9219-z.
Samuel-Hodge CD, Gizlice Z, Cai J, Brantley PJ, Ard JD, Svetkey LP. Family functioning and weight loss in a sample of african americans and whites. Ann Behav Med. 2010 Dec;40(3):294–301.
Journal cover image

Published In

Ann Behav Med

DOI

EISSN

1532-4796

Publication Date

December 2010

Volume

40

Issue

3

Start / End Page

294 / 301

Location

England

Related Subject Headings

  • White People
  • Weight Loss
  • United States
  • Public Health
  • Obesity
  • Middle Aged
  • Male
  • Logistic Models
  • Humans
  • Health Surveys