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A Weight-Loss Intervention Program Designed for Mexican–American Women: Cultural Adaptations and Results

Abstract  

This study assessed the feasibility of a culturally-appropriate weight-loss intervention targeting obese Spanish-speaking
Mexican women. This 12-month weight-loss program was based on behavioral interventions previously used successfully with English-speaking
participants. Cultural adaptations included: female interventionists, minimal written materials, emphasis on group activities,
focus on Mexican traditions and beliefs, and skill-building approach to food measurement. All sessions were conducted in Spanish.
The study had few exclusionary criteria, which allowed participation of women with a wide range of literacy levels. Recruitment
exceeded expectations, with 47 participants enrolling in the program. Not counting participants who became pregnant during
the study, attendance at 6 and 12 months was 62 and 50 % respectively. Mean weight loss at 6 and 12 months was 5.3 and 7.2 kg,
respectively, with a mean reduction in BMI of 4.0 and 5.5 kg/m2 from baseline to 6 and 12 months, respectively. This pilot study shows that it is feasible to develop and implement culturally-appropriate
behavioral lifestyle interventions for obesity treatment in Mexican–American women.

  • Content Type Journal Article
  • Category Original Paper
  • Pages 1-10
  • DOI 10.1007/s10903-012-9616-4
  • Authors
    • Nangel M. Lindberg, Kaiser Permanente, Center for Health Research, 3800 N. Interstate Ave., Portland, OR 97227-1110, USA
    • Victor J. Stevens, Kaiser Permanente, Center for Health Research, 3800 N. Interstate Ave., Portland, OR 97227-1110, USA
    • Sonia Vega-López, School of Nutrition and Health Promotion, Arizona State University, Tempe, AZ, USA
    • Tia L. Kauffman, Kaiser Permanente, Center for Health Research, 3800 N. Interstate Ave., Portland, OR 97227-1110, USA
    • Mariana Rosales Calderón, Kaiser Permanente, Center for Health Research, 3800 N. Interstate Ave., Portland, OR 97227-1110, USA
    • María Antonieta Cervantes, Escuela Nacional de Antropología e Historia, Instituto Nacional de Antropología e Historia, México, DF, Mexico
    • Journal Journal of Immigrant and Minority Health
    • Online ISSN 1557-1920
    • Print ISSN 1557-1912
Posted in: Journal Article Abstracts on 04/03/2012 | Link to this post on IFP |
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