Abstract:
ACKNOWLEGMENT:This study was supported by Clinical Research Grant (7-08-CR-27) from the American Diabetes Association and by a contract (58-1950-7-707) with the Jean Mayer U.S. Department of Agriculture Human Nutrition Research Center on Aging at Tufts University. This article does not necessarily reflect the views or policies of the U.S. Department of Agriculture, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. government. PURPOSE:This analysis was undertaken to describe healthcare seeking, weight loss efforts and predictors of weight loss among African Americans recently identified with prediabetes or early diabetes METHODS:A secondary analysis was conducted on data collected from 89 participants who completed a previously published 12-week randomized placebo-controlled trial testing the benefit of vitamin D supplementation on blood measures predictive of diabetes risk. Information about care seeking, weight loss strategies and weight loss effort was collected by questionnaire at three data collection visits. Weight was measured by trained staff at each visit. RESULTS:More than half of the participants saw a healthcare provider during the study, but few recalled receiving advice about diet, physical activity or other strategies for weight loss. Thirty-seven % of participants maintained their weight within 1 kg of their baseline weight. Of the remaining participants, half gained >1 kg and half lost >1 kg during the study period. Age-adjusted independent predictors of weight loss included a visit to a healthcare provider for preventive care, dietary restrictions, and consistent weight loss effort. Vitamin D supplementation had no effect on weight change. CONCLUSIONS:This study reinforces the importance of preventive healthcare and sustainable changes in diet and physical activity. It also suggests that physicians need better tools for motivating and supporting their patients to adopt behaviors that can reduce diabetes risk. For the millions of Americans who are trying to lose weight to reduce their risk for chronic disease, this study reinforces the importance of sustained effort.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Harris SS,Chew Adoi
10.1016/S0027-9684(15)30065-1subject
Has Abstractpub_date
2014-07-01 00:00:00pages
8-14issue
1eissn
0027-9684issn
1943-4693pii
S0027-9684(15)30065-1journal_volume
106pub_type
杂志文章abstract::Quit-rates for cigarette smokers in a lifestyle intervention program aimed at reducing coronary risk were 24 percent for all participants and 34 percent for non-dropouts. Recidivism remained very low during participation in the program. Half of the smokers who quit did so after being in the program more than two years...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1982-04-01 00:00:00
abstract:OBJECTIVES:To assess the prevalence of vitamin D deficiency among patients in an inner-city practice with a large African American population, and to evaluate the efficacy of vitamin D replacement as part of routine care. METHODS:A chart review was undertaken to identify patients aged 18 years and more with at least o...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30337-0
更新日期:2011-05-01 00:00:00
abstract:PURPOSES:To assess patterns of dementia/Alzheimer's disease (AD) management and to investigate predictive factors of cholinesterase inhibitor prescriptions. METHODOLOGY:A cross-sectional study was conducted using a national survey among the elderly aged >60 from 2000 to 2002. Visit characteristics and cholinesterase i...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2006-03-01 00:00:00
abstract::Perhaps the most significant link in achieving the nation's immunization objectives is the extent of parental knowledge. Admittedly, this is a weak link. The 1990 federal objectives calling for an official format using common guidelines for completion of immunizations, though well-conceived, has not been used exclusiv...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract:BACKGROUND:Many Native American tribes use acanthosis nigricans to screen for type 2 diabetes risk. We hypothesized that acanthosis nigricans misses many children at risk for type 2 diabetes. METHODS:We evaluated 5- to 18-year-old Native American children and youth to assess the sensitivity and specificity of acanthos...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:10.1016/s0027-9684(15)30714-8
更新日期:2010-10-01 00:00:00
abstract::The author presents a four-year follow-up of a male patient with cancer of the breast. The lesion was large, fungating, and ulcerating. It was treated effectively with cobalt without mastectomy. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1987-08-01 00:00:00
abstract::It is now well documented that substantial disparities exist in the quality and quantity of medical care received by minority Americans, especially those of African, Asian and Hispanic heritage. In addition, the special needs and responses to pharmaceutical treatment of these groups have been undervalued or ignored. T...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2002-10-01 00:00:00
abstract::The occurrence of multifocal rhabdomyoma is exceedingly rare with less than half a dozen cases collected in the literature. We present a case of multifocal rhabdomyoma of the head and neck that involves extension of the tumor to the vallecula, the glossoepiglottic fold, and the aeriepiglottic fold. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract::Patients with myasthenia gravis (MG) are too often misdiagnosed as having another disorder. Three patients are presented who were thought to have amyotrophic lateral sclerosis, velopharyngeal incompetence, and no diagnosis of MG, but actually each had myasthenia gravis. Their histories illustrate how the diagnosis of ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1987-04-01 00:00:00
abstract::Numerous studies have documented the presence of racial disparities among Americans in health outcomes with respect to cardiovascular disease, infant mortality, cancer, and kidney disease. With regard to kidney diseases, these disparities are more dramatic. African, Hispanic, and Native Americans have the highest risk...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Cholelithiasis and cholecystitis were thought to be rare in Africans. It is now seen more frequently than previously thought. The essence of this study is to determine the prevalence of cholelithiasis and cholecystitis in a Nigerian population, changing pattern and outcome. DESIGN:Descriptive...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2005-11-01 00:00:00
abstract::The Masterson curette was used to sample the endometrial cavity of 25 women prior to scheduled hysterectomy for benign or malignant pathology. Adequate amount of tissue was obtained in 20 (87%) of 23 patients who did not have endometrial atrophy. The Masterson curettage detected all seven cases of endometrial hyperpla...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1995-12-01 00:00:00
abstract::Angiotensin II is a prothrombotic vasoconstrictor. This study proves that many hypertensives are hypercoagulable and at risk for myocardial infarction. The modified recalcification time (MRT) test, used to assess hypercoagulability, incorporates the role of tissue factor in coagulation by activating the monocyte with ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract::Invasive techniques continue to be used in monitoring and treating the critically ill patient in spite of preference for, and increasing use of, non-invasive or minimally invasive techniques. With or without simultaneous determination of left ventricular filling pressure, the central venous pressure (CVP) catheter is ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1977-05-01 00:00:00
abstract::A convenience sample of all medical journals found in a medical clinic was reviewed for pharmaceutical advertisements. Ads were present in 25 (96%) of the 26 journals. Ad space varied from 0-34% (mean 12) in research, and 9-48% (mean: 36) in nonresearch journals. In 23 (88%) journals, individual ads consisted of more ...
journal_title:Journal of the National Medical Association
pub_type: 社论
doi:
更新日期:2005-05-01 00:00:00
abstract::More than 250 cases of Cornelia de Lange syndrome have been reported in the medical literature, but not have described the use of hip reconstruction to correct the congenital dysplasia that may be associated with this condition. This article reports the application of a bipolar hemiarthroplasty and acetabular allograf...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1997-08-01 00:00:00
abstract::Victims of domestic violence appeal to the health care system through emergency room visits for injuries related to violent episodes or for proxy care for other complaints. Screening for persons who are at high risk for violence or who are victims of violence has not been performed in emergency rooms when patients pre...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
abstract::Surgery is the modality of choice in curative treatment for cancer of the colon and rectum. Since a majority of the patients present advanced disease where the surgical outlook is poor, adjuvant therapy may be warranted. Clinical and experimental data demonstrate the benefits from preoperative radiation therapy and so...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1978-11-01 00:00:00
abstract::Magnetic resonance spectroscopy (MRS) provides a means to assess functional (metabolic activity) of the brain. It is now possible to perform MRS in a clinical setting with the use of an inexpensive software package called Proton Brain Exam/Single Voxel (PROBE/SV) developed by General Electric Medical System for use on...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,评审
doi:
更新日期:1996-10-01 00:00:00
abstract:OBJECTIVE:Minority populations have an increased risk for trauma, but little is known about injury rates for minority children. This study compares the causes, rates and outcomes of traumatic injuries between minority and white children in a statewide population sample. METHODS:A cohort study of 5,973 children (age <1...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2005-03-01 00:00:00
abstract::Many studies now demonstrate high overall response rates with concurrent chemotherapy and radiation (CCR) for locoregionally advanced or inoperable non-small cell lung carcinoma (NSCLC) but often with severe toxicity and only modest improvement in survival beyond 3 years. We report a simple CCR protocol for NSCLC that...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract::Adynamic ileus due to invasion of the myenteric plexus of the small and large intestine was a significant symptom in a patient with a peritoneal mesothelioma. A record of this unusual complication was not found in the medical literature surveyed. ...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1987-07-01 00:00:00
abstract::Pneumococcal and mycoplasma infection of the lung or pleura, infarction of lung or pleura, local abscess below the diaphragm, and heart, kidney, or pancreas involvement are among the many causes of pleural effusion. Several of these have an increased likelihood of occurrence in sickle cell disease as a direct conseque...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1977-08-01 00:00:00
abstract:OBJECTIVE:A pilot study to determine whether prenatal and neonatal sickle cell tests conform to the guidelines established by the American Congress of Obstetricians and Gynecologists and the American Academy of Pediatrics. METHODS:The project was initially structured as a pair of in-person interviews of postpartum wom...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章,多中心研究
doi:10.1016/s0027-9684(15)30089-4
更新日期:2013-04-01 00:00:00
abstract::A questionnaire was developed to assess religiously based moral beliefs about acquired immunodeficiency syndrome. The questionnaire was administered to a group of primarily black physicians, a selection of freshman medical students, two groups of clergy representing contrasting philosophical orientations, a group of y...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract::The achievements of 19th century medical education, practice, literature, and science and their affect on 20th century medicine are reviewed. The contributions made by 19th century physicians to change medical education are described, as well as the social processes that influenced medicine and science in both centuri...
journal_title:Journal of the National Medical Association
pub_type: 历史文章,杂志文章
doi:
更新日期:1988-02-01 00:00:00
abstract::Group B streptococci (GBS) have been infrequently recognized as a cause of pharyngitis. We report three cases of GBS pharyngitis in patients with underlying diseases, two of whom were treated with and responded incompletely to oral beta-lactam antibiotics. The susceptibility of 20 clinical isolates of GBS was tested b...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1981-10-01 00:00:00
abstract:BACKGROUND:A number of techniques have been described for treatment of patients with sacrococcygeal pilonidal sinus disease. The author reports his experience in the surgical management of pilonidal sinus using radiofrequency sinus excision technique. The results are compared with those obtained after excision and mars...
journal_title:Journal of the National Medical Association
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2005-07-01 00:00:00
abstract::Psychiatry is in ferment. In the present sluggish economy nonphysician psychotherapists, often charging lower fees, are competing with psychiatrists for patients. At the same time theories and therapies that can be characterized as psychodynamic appear to be on the defensive, increasingly challenged by those with beha...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1984-07-01 00:00:00
abstract::Stenosing tenosynovitis of the first dorsal compartment of the wrist (de Quervain's disease) is a common cause of radial wrist and hand pain and disability. Nonoperative management of the disease has been thought to provide only temporary relief of pain and swelling, while surgical intervention has been viewed as a mo...
journal_title:Journal of the National Medical Association
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00