TY  - JOUR
T1  - TRial of family and friend support for weight loss in african american adults
AU  - Kumanyika SK, Wadden TA, Shults J, et al
Y1  - 2009/10/26
N1  - 10.1001/archinternmed.2009.337
JO  - Archives of Internal Medicine
SP  - 1795
EP  - 1804
VL  - 169
IS  - 19
N2  - Background 
    Family and friend participation may provide culturally salient social support for weight loss in African American adults.Methods 
    SHARE (Supporting Healthy Activity and eating Right Everyday) was a 2-year trial of a culturally specific weight loss program. African American women and men who enrolled alone (individual stratum, 63 index participants) or together with 1 or 2 family members or friends (family stratum, 130 index participants) were randomized, within strata, to high or low social support treatments; 90% were female.Results 
    At 6 months, the family index participants lost approximately 5 to 6 kg; the individual index participants lost approximately 3 to 4 kg. The mean weight change was not different in high vs low social support in either stratum and generally not when high or low support treatments were compared across strata. The overall intention-to-treat mean weight change at 24 months was −2.4 kg (95% confidence interval, −3.3 kg to −1.5 kg). The family index participant weight loss was greater among the participants whose partners attended more personally tailored counseling sessions at 6 months in the high-support group and at 6, 12, and 24 months in the low-support group (all P < .05). Also, in the 6-month intention-to-treat analysis, the percentage of weight loss of the family index participants was greater if partners lost at least 5% vs less than 5% of their baseline weight (respectively, −6.1% vs −2.9% [P = .004], high support; and −6.1% vs −3.1% [P = .01], low support).Conclusions 
    Being assigned to participate with family members, friends, or other group members had no effect on weight change. Enrolling with others was associated with greater weight loss only when partners participated more and lost more weight.Trial Registration 
    clinicaltrials.gov Identifier: NCT00146081
SN  - 0003-9926
M3  - doi: 10.1001/archinternmed.2009.337
UR  - http://dx.doi.org/10.1001/archinternmed.2009.337
ER  -