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

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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

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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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Self-citation

Authors: Kumanyika, S. K., & Charleston, J. B.
Affiliations: Pennsylvania State University (US)
Johns Hopkins University (US)
Corresponding author: Kumanyika, Shiriki K.
ORCID: Kumanyika, Shiriki K.
Charleston, Jeanne B.
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: hybrid
doi.org
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
creativecommons.org/licenses/by-nc-nd/4.0/ (vor, 4796 d)
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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Lose weight and win: A church-based weight loss program for blood pressure control among black women

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