"Pflegen, nicht gewinnen" funktionieren am besten für übergewichtige schwarze Frauen

By Alan Mozes
HealthDay reporter

Monday, Aug. 26 HealthDay News)-encouraging retention of weight, but as weight loss, which can be most effective way of combating obesity among black women, new research suggests.

The finding comes from work with nearly 200 of slightly overweight young and middle age black residents of North Carolina, of which half of a new year-round food advice and exercise program of continue to each patient current body shape, but participated as a shed pounds.

Conclusion: Although most women standard weight-loss advice continue to weight gain were given advice in the following 18 months, maintaining much more likely to stabilize their weight.

"Black American women have the highest rates of obesity in the world", said study author Gary Bennett, Director of the program of prevention of obesity for Duke University in Durham, n.c. "80 percent overweight, which means that the overweight have become the norm frankly,."

"National guidelines recommend that our doctors all obese patients to lose weight," Bennett said. "But black women would may not necessarily take off, perhaps because they are less likely to appreciate slimming as cultural norm and less social constraints have to do. "Clearly is that we consistently see that black women don't do well if we are attempting to provide weight loss treatments."

He said "Our focus is on weight was stability". "And we don't make the connection between health and weight." Aim was more weight gain, which will lead to all sorts of health complications along the way year after year, which help to avoid these women, who are already obese."

Bennett discussed his team results in the Aug. 26 issue of the journal JAMA internal medicine.

Study participants were hired by six different North Carolina community health centers as of 2009. All were aged between 25 and 44 years old, were all as "class 1" (mild) obese and most were on the lower rungs of the socioeconomic ladder.

In the course of 12 months, about half were randomly assigned to get the usual weight-loss advice. The other half were enrolled in an extremely individual and flexible weight stability advice program called form.

All shape patients received a YMCA membership. You were also encouraged to low food intake (no sugary drinks, more fruits and vegetables) adjustments, which would result in a 200-calorie dip in daily consumption.

Meanwhile form was not told patients that the point of the program was to lose weight, but it was rather a total feel better, while maintaining their current physique.

The result: the 1-year mark more than 62 percent of the women of who shape were either retained by their original weight (body mass index, a measure of body fat, on the basis of size and weight) or even shed some pounds, compared with about 45 percent of those, the weight-loss advice.

In addition, weight found stability among the shape participants by continue to the 18-month mark, six months after the program ended.

"What is important to know is that if black women are slightly overweight or obese, they have actually not as many health risks as other groups", Bennett said. "We don't really know why, but they seem to have some kind of health benefit in this regard." "At the same time, we also know that this advantage in the course of time disappears like it year after year, weight gain, still so if we do not, that prevent [long-term] profit, she will certainly face to face with all sorts of heart-circulatory problems, high blood pressure and diabetes are."

"This preventive approach is very important," he added. "And it can certainly use have about black women alone." There are many people who are not interested in weight loss or were unsuccessful attempts. We now have a message that may work for you: just can't win. "

The U.S. Surgeon Dr. Regina Benjamin supported former General himself, the shape program published in an editorial with the Duke study.

"As a Surgeon General, was my whole focus on prevention," said Benjamin. "This innovative approach fits right in, because it, that shows even if not"healthy"called, a doctor can give a healthy living recipe, that I can actually incorporate life with and in my daily life, my family, my church life."

"It is also a positive new way of thinking about health, which goes to people tell it not that you do not and that I can't," Benjamin said. "It does not focus on your dress size or tell the scale. It focused on that to feel better and people say the pleasant aspects of healthy living, which [are] a better overall result will have. You and your family will feel better and be happier. That is the reward."

Copyright © 2013 HealthDay. All rights reserved. Source: Gary Bennett, Ph.d., Director, Duke obesity prevention program, and associate professor, Department of psychology and neuroscience, Duke University, Durham, N.C..; Regina Benjamin, m.d., former US Surgeon General, U.S. Department of health and human services, Washington, DC; 26 August 2013, JAMA internal medicine