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Cited by 204Obesity, Physical Activity, DietObesity and Health PracticesBariatric Surgery and Outcomes

Racial Disparities in Obesity Treatment

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Byrd, Angel S., Toth, Alexander T., Stanford, Fatima Cody·2018·Current Obesity Reports
DOI 10.1007/s13679-018-0301-3PMC PMC6066592
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Abstract

Purpose of review Obesity rates in the USA have reached pandemic levels with one third of the population with obesity in 2015-2016 (39.8% of adults and 18.5% of youth). It is a major public health concern, and it is prudent to understand the factors which contribute. Racial and ethnic disparities are pronounced in both the prevalence and treatment of obesity and must be addressed in the efforts to combat obesity. Recent findings Disparities in prevalence of obesity in racial/ethnic minorities are apparent as early as the preschool years and factors including genetics, diet, physical activity, psychological factors, stress, income, and discrimination, among others, must be taken into consideration. A multidisciplinary team optimizes lifestyle and behavioral interventions, pharmacologic therapy, and access to bariatric surgery to develop the most beneficial and equitable treatment plans. The reviewed studies outline disparities that exist and the impact that race/ethnicity have on disease prevalence and treatment response. Higher prevalence and reduced treatment response to lifestyle, behavior, pharmacotherapy, and surgery, are observed in racial and ethnic minorities. Increased research, diagnosis, and access to treatment in the pediatric and adult populations of racial and ethnic minorities are proposed to combat the burgeoning obesity epidemic and to prevent increasing disparity.

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Authors
Byrd, A. S., Toth, A. T., & Stanford, F. C.
Affiliations
  • Johns Hopkins University (US)
  • Massachusetts General Hospital (US)
  • Harvard University (US)
Corresponding author
Stanford, Fatima Cody
ORCID
Venue
Current Obesity Reports
Publisher
Springer Science and Business Media LLC
Published
2018-04-03
Volume
7
Issue
2
Pages
130-138
ISSN
2162-4968 (ISSN-L)
DOI
10.1007/s13679-018-0301-3
PMC
PMC6066592
OpenAlex
W2796184714
Cited by
204
References
94
Citations by year
2026: 9 · 2025: 23 · 2024: 26 · 2023: 39 · 2022: 45 · 2021: 32 · 2020: 19 · 2019: 8 · 2018: 2 · 2017: 1
FWCI
2.77
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Current Obesity Reports (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Diabetes and Digestive and Kidney Diseases (R01DK103946)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Keywords
obesity, racial disparities, ethnic minorities, obesity treatment, obesity prevalence, treatment response, lifestyle intervention, behavioral interventions, pharmacotherapy, bariatric surgery, health care access, discrimination, socioeconomic factors, childhood obesity, health equity
MeSH terms
Healthy Lifestyle, Diet, Healthy, Obesity Management, Adolescent, Adult, Child, Child Nutritional Physiological Phenomena, Humans, Obesity, Risk, United States, Exercise, Adolescent Nutritional Physiological Phenomena, Genetic Predisposition to Disease, Minority Health, Healthcare Disparities, Racism, Pediatric Obesity

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