A Family and Community Focused Lifestyle Program Prevents Weight Regain in Pacific Islanders: A Pilot Randomized Controlled Trial
Open accessAbstract
Preventing weight regain after the loss of excess weight is challenging for people, especially for ethnic minorities in the United States. A 6-month weight loss maintenance intervention designed for Pacific Islanders, called the PILI Lifestyle Program (PLP), was compared with a 6-month standard behavioral weight loss maintenance program (SBP) in a pilot randomized controlled trial using a community-based participatory research approach. Adult Pacific Islanders ( N = 144) were randomly assigned to either PLP ( n = 72) or SBP ( n = 72) after completing a 3-month weight loss program. Successful weight maintenance was defined as participants’ postintervention weight change remaining ≤3% of their preintervention mean weight. Both PLP and SBP participants achieved significant weight loss maintenance ( p ≤ .05). Among participants who completed at least half of the prescribed sessions, PLP participants were 5.1-fold (95% confidence interval = 1.06, 24; p = .02) more likely to have maintained their initial weight loss than SBP participants. The pilot PLP shows promise as a lifestyle intervention to address the obesity disparities of Pacific Islanders and thus warrants further investigation.
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Fourteen articles were not included in the meta-analysis because they provided insufficient data for analyses or because they reported outcomes from a trial already included in the analysis but with data from other follow-up times.
“Fourteen articles were not included in the meta-analysis because they provided insufficient data for analyses (i.e., did not report SEs for outcomes and authors did not respond to requests for these data) (23–27) or because these articles reported outcomes from a trial already included in the analysis but with data from other follow-up times (28–36).”
From Global diabetes prevention interventions: A systematic review and network meta-analysis of the real-world impact on incidence, weight, and glucose (2018) · cites this paper as [29]
The Methods (Statistical Analysis) and Results (Weight Loss Maintenance) describe this pilot trial’s outcomes, but do not say whether a later meta-analysis excluded it. Our copy does not address the claimed lack of usable standard errors, unanswered data requests, or exclusion because of another follow-up report (searched: standard errors, insufficient data, meta-analysis, follow-up times). (LLM, conf=0.72)
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- Authors
- Kaholokula, J. K., Mau, M. K., Efird, J. T., Leake, A., West, M., Palakiko, D.-M., Yoshimura, S. R., Kekauoha, B. P., Rose, C., & Gomes, H.
- Affiliations
- University of Hawaiʻi at Mānoa (US)
- Brody School of Medicine/CHDR, Greenville, NC, USA
- Ke Ola Mamo, Native Hawaiian Health Care System, O‘ahu, HI, USA
- Kōkua Kalihi Valley (US)
- Kula no nā Po‘e Hawai‘i, Pāpākolea, HI, USA
- Hawai‘i Maoli, Association of Hawaiian Civic Clubs, Kapolei, HI, USA
- ORCID
- Venue
- Health Education & Behavior
- Publisher
- SAGE Publications
- Published
- 2011-05-06
- Volume
- 39
- Issue
- 4
- Pages
- 386-395
- ISSN
- 1090-1981 (ISSN-L)
- 1552-6127
- PMC
- PMC3154977
- OpenAlex
- W2117937159
- Cited by
- 55
- References
- 6
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 5 · 2022: 11 · 2021: 7 · 2020: 1 · 2019: 4 · 2018: 7 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 6 · 2012: 2
- FWCI
- 3.15
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Health Education & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r24md001660-11)
- National Center on Minority Health and Health Disparities
- National Institute on Minority Health and Health Disparities (U54MD007584, R24 MD-001660)
- 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 › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- weight regain prevention, weight loss maintenance, lifestyle intervention, Pacific Islanders, obesity disparities, ethnic minorities, family and community support, behavioral weight loss program, community-based participatory research
- MeSH terms
- Adult, Body Weight, Diet, Family, Female, Health Education, Humans, Life Style, Male, Middle Aged, Pilot Projects, Health Behavior, Exercise, Native Hawaiian or Pacific Islander, Native Hawaiian or Other Pacific Islander, Overweight, Secondary Prevention, Community-Based Participatory Research, Weight Reduction Programs
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