Diet and Exercise for Underserved Women
- Conditions
- Obesity
- Interventions
- Behavioral: Behavioral and support interventionBehavioral: Wait-listed control group
- Registration Number
- NCT01172340
- Lead Sponsor
- University of South Carolina
- Brief Summary
The purpose is to determine if a culturally tailored diet and exercise intervention of 16 weekly sessions with 8 weeks of followup phone support is effective in reducing waist circumference, weight, and related diet and exercise behaviors among women from underserved communities.
- Detailed Description
Overweight and obesity disproportionately impact economically disadvantaged and minority women. Overweight and obese women ages 25 to 50 are recruited from Census tracts with 25% or more residents living below poverty-level income. A skills-based intervention was designed with input from women in these communities gathered via focus groups and from a community advisory board. The intervention activities and strategies take into consideration the social and economic challenges of women with limited income, competing demands on their time and cultural beliefs about food preferences and body image.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 180
- 25-50 years of age
- live in Census tracts with 25% or more below poverty in Columbia, SC
- waist circumference >88 cm
- insulin-dependent
- pregnant
- moderate exercise contraindicated
- not in control of food choices [institutional setting or restricted diet]
- uncontrolled hypertension
- weight >430 pounds
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Behavioral and support intervention Behavioral and support intervention one individual counseling session with diet and exercise recommendations plus 16 weeks of group sessions, plus 8 weeks of phone followup wait-listed control group Wait-listed control group Controls receive individual counseling session and recommendations, mailed health information, and after post-test measures are offered an abbreviated group-based intervention
- Primary Outcome Measures
Name Time Method body weight one year body weight in pounds is measured at baseline,16-weeks post-intervention, 24 weeks post-intervention, and at one year.
waist circumference one year waist circumference in centimeters is measured at baseline,16-weeks post-intervention, 24 weeks post-intervention, and at one year.
- Secondary Outcome Measures
Name Time Method dietary fat intake one year total dietary fat intake in grams and % of energy intake is assessed via 3-day dietary recall interviews at baseline,16-weeks post-intervention, 24 weeks post-intervention, and at one year.
saturated dietary fat intake one year Saturated fat intake in grams and % of energy intake is measured via 3-day dietary recall interviews at baseline,16-weeks post-intervention, 24 weeks post-intervention, and at one year.
fruit and vegetable intake one year Average daily servings of fruit and vegetables is measured via 3-day dietary recall interviews at baseline,16-weeks post-intervention, 24 weeks post-intervention, and at one year.
dietary fiber intake one year Average daily intake of dietary fiber in grams is measured via 3-day dietary recall interviews at baseline,16-weeks post-intervention, 24 weeks post-intervention, and at one year.
total energy intake one year Total energy intake in kcals is measured via 3-day dietary recall interviews at baseline,16-weeks post-intervention, 24 weeks post-intervention, and at one year.
physical activity level one year Time spent in light, moderate and vigorous physical activity is estimated from 7 days of accelerometer wear at baseline,16-weeks post-intervention, 24 weeks post-intervention, and at one year.
social support one year Social support for healthy eating and exercise is measure via interview at baseline,16-weeks post-intervention, 24 weeks post-intervention, and at one year.
healthy eating behaviors one year Healthy eating behaviors are measured with a validated scaled via interviews at baseline,16-weeks post-intervention, 24 weeks post-intervention, and at one year.
exercise self-efficacy one year Exercise self-efficacy is measured via a validated scale by interview at baseline,16-weeks post-intervention, 24 weeks post-intervention, and at one year.
Trial Locations
- Locations (1)
Prevention Research Center, University of South Carolina
🇺🇸Columbia, South Carolina, United States