A Group Randomized Trial to Reduce Obesity among Appalachian Church Members: The Walk by Faith Study.

Autor:	Paskett ED; The Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio. electra.paskett@osumc.edu.; The Ohio State University College of Public Health, The Ohio State University, Columbus, Ohio., Baltic RD; The Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio., Young GS; Center for Biostatistics, The Ohio State University, Columbus, Ohio., Katz ML; The Ohio State University College of Public Health, The Ohio State University, Columbus, Ohio., Lesko SM; Northeast Regional Cancer Institute, Scranton, Pennsylvania., Webber KH; Department of Dietetics and Human Nutrition, University of Kentucky, Lexington, Kentucky., Roberto KA; Institute for Society, Culture and Environment and Center for Gerontology, Virginia Tech, Blacksburg, Virginia., Lengerich EJ; Penn State Cancer Institute and Public Health Sciences, The Pennsylvania State University, Hershey, Pennsylvania., Schoenberg NE; Department of Behavioral Science, University of Kentucky, Lexington, Kentucky., Kennedy SK; Mary Babb Randolph Cancer Center at West Virginia University, Morgantown, West Virginia., Mama S; Penn State College of Health and Human Development, The Pennsylvania State University, Hershey, Pennsylvania., Midkiff CC; Meigs County Health Department, Meigs County Cancer Initiative, Inc., Pomeroy, Ohio., Dignan MB; Markey Cancer Center, University of Kentucky, Lexington, Kentucky.
Jazyk:	angličtina
Zdroj:	Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology [Cancer Epidemiol Biomarkers Prev] 2018 Nov; Vol. 27 (11), pp. 1289-1297. Date of Electronic Publication: 2018 Oct 18.
DOI:	10.1158/1055-9965.EPI-17-1085
Abstrakt:	Background: Appalachia is a rural, socioeconomically disadvantaged region with high rates of cancer and obesity. Using community-based participatory research principles, the Appalachia Community Cancer Network tested an initiative to reduce weight among overweight and obese participants by partnering with churches, an important community-based institution in Appalachia. Methods: A group randomized trial was conducted with counties or groups of counties in five Appalachian states. These groups were randomly assigned to receive either monthly diet and exercise education sessions ("Walk by Faith"; WbF) or an educational program focused on cancer screening and education ("Ribbons of Faith"; RoF) to examine effects on weight change. Participants completed questionnaires and biometric measurements at baseline and 12 months. The primary outcome of the study was weight change from baseline to 12 months. Results: The relative difference in weight loss from baseline to 12 months for WbF compared with RoF was 1.4% but was not statistically significant ( P = 0.13). However, results varied by sex and marital status. WbF men experienced a significant 2.8% decrease in body weight, married WbF women a 1.5% decrease, and unmarried WbF women a 1.5% increase compared with their respective RoF subgroups (interaction P = 0.016). Among WbF participants, greater participation in monthly educational sessions was associated with greater weight loss ( P = 0.002). Conclusions: WbF facilitated weight loss mainly in male participants. Level of participation in WbF activities correlated with weight loss. Impact: Findings suggest that additional research is needed to better understand factors associated with participation in health promotion programs for underserved rural communities. Cancer Epidemiol Biomarkers Prev; 27(11); 1289-97. ©2018 AACR. (©2018 American Association for Cancer Research.)
Databáze:	MEDLINE
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