The effect of a "maintain, don't gain" approach to weight management on depression among black women: results from a randomized controlled trial.

Abstract:

OBJECTIVES:We evaluated the effect of a weight gain prevention intervention (Shape Program) on depression among socioeconomically disadvantaged overweight and obese Black women. METHODS:Between 2009 and 2012, we conducted a randomized trial comparing a 12-month electronic health-based weight gain prevention intervention to usual primary care at 5 central North Carolina community health centers. We assessed depression with the Patient Health Questionnaire (PHQ-8). We analyzed change in depression score from baseline to 12- and 18-month follow-up across groups with mixed models. We used generalized estimating equation models to analyze group differences in the proportion above the clinical threshold for depression (PHQ-8 score ≥ 10). RESULTS:At baseline, 20% of participants reported depression. Twelve-month change in depression scores was larger for intervention participants (mean difference = -1.85; 95% confidence interval = -3.08, -0.61; P = .004). There was a significant reduction in the proportion of intervention participants with depression at 12 months with no change in the usual-care group (11% vs 19%; P = .035). All effects persisted after we controlled for weight change and medication use. We saw similar findings at 18 months. CONCLUSIONS:The Shape Program, which includes no mention of mood, improved depression among socioeconomically disadvantaged Black women.

journal_name

Am J Public Health

authors

Steinberg DM,Askew S,Lanpher MG,Foley PB,Levine EL,Bennett GG

doi

10.2105/AJPH.2014.302004

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

1766-73

issue

9

eissn

0090-0036

issn

1541-0048

journal_volume

104

pub_type

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