In the investigation of Sixty-six African-American women participated in a 6-month weight loss
program that included weekly group meetings and supervised exercise
sessions. Mean baseline body mass index was 39 kg/m2, and mean baseline weight
was 107 kg. Cultural adaptations, defined as program adjustments, made
in response to women's preferences as expressed in focus group
interviews included changes in intervention format, the content of the
group meetings, and the location and format of the exercise sessions,
found that Seventy-six percent of the participants attended at least 50%
of the 26
weekly sessions, and 56% attended at least 75% of the sessions. Average
hours of exercise per week approximately doubled during the program in
comparison to baseline levels. Mean weight loss at 26 weeks was 3.7 kg, categorizing those who were lost to follow-up as having zero weight loss.
Participants who attended at least 75% of the group meetings lost a
mean of 6.2 kg at six months. Those who attended fewer meetings lost a
mean of 0.9 kg.(1)
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(1) "Steps to soulful living (steps): a weight loss program for African-American women" by
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