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Cited by 235Blood Pressure and Hypertension StudiesSodium Intake and HealthObesity, Physical Activity, Diet

Lose weight and win: A church-based weight loss program for blood pressure control among black women

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Kumanyika, Shiriki K., Charleston, Jeanne B.·1992·Patient Education and Counseling
DOI 10.1016/0738-3991(92)90099-5
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Abstract

The Baltimore Church High Blood Pressure Program (CHBPP) offers a behaviorally oriented weight control program consisting of eight weekly 2-h diet counseling/exercise sessions. Pre- and post-program weight and blood pressure measurements were analyzed for 184 black and 3 white women aged 18-81 years (mean 51) who participated in the program in 1984-1986: 88 were taking antihypertensive medication (Rx) and 99 were not (no Rx). Mean weight loss was 6 lb in both groups: -18 to +7 lb in the Rx group and -31 to +3 lb in the no Rx group. The mean systolic/diastolic blood pressure (SBP/DBP) decrease was 10/6 mmHg in the Rx group and 5/3 mmHg in the no Rx group (P < 0.001 for all pre/post comparisons). Final SBP was < 140 mmHg for 74% of participants, versus 52% initially. Final DBP was < 90 mmHg in 92% versus 65% initially. Supporting the inference that BP decreases among weight control program participants reflect program effects, percent changes in SBP and DBP (week 2 to week 8) were significantly correlated with percent change in weight (rs = 0.23-0.36; P < 0.05). Comparison data for 25 women from the CHBPP population showed a mean SBP/DBP increase of 8/2 mmHg over an 8-week interval. Based on follow up measurements 6 months after the end of the 8-week program for 74 of the 187 women, weight lost during the 8-week program was maintained or exceeded by 65%. Net weight change at 8 months from baseline for women in the follow up subsample ranged from -28 to +4 lb; mean (SD) -6 (7) lb. Weight loss and related dietary or behavioral changes resulting from participation in a weight control program can enhance blood pressure control among black women.

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  • Among the 25 highest-quality weight studies, 11 (44%) reported greater weight among the more R/S and five (20%) found lower weight or less underweight.

    “Among the 25 studies with the highest quality ratings, 11 (44%) reported greater weight among the more R/S [82, 317–322] and five (20%) found lower weight (or less underweight [323]).”

    From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [322]

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Authors
Kumanyika, S. K., & Charleston, J. B.
Affiliations
  • Pennsylvania State University (US)
  • Johns Hopkins University (US)
Corresponding author
Kumanyika, Shiriki K.
ORCID
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
1992-02
Volume
19
Issue
1
Pages
19-32
ISSN
0738-3991 (ISSN-L)
DOI
10.1016/0738-3991(92)90099-5
OpenAlex
W1976937853
Cited by
235
References
26
Citations by year
2025: 1 · 2024: 1 · 2023: 42 · 2022: 1 · 2021: 1 · 2019: 1 · 2018: 5 · 2017: 3 · 2016: 6 · 2015: 3 · 2014: 5 · 2013: 4 · 2012: 8
FWCI
2.56
Type
journal article
Language
en
Open access
Licence
Locations
  • Patient Education and Counseling (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
Johns Hopkins University
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
weight loss, blood pressure control, Black women, church-based intervention, nutrition counseling, physical activity, antihypertensive drugs, weight maintenance, hypertension
MeSH terms
Adult, Black or African American, Blood Pressure, Christianity, Fees and Charges, Female, Health Education, Humans, Hypertension, Obesity, Baltimore, Weight Loss, Exercise, Nutritional Sciences

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