Women who gain weight throughout adulthood are at higher risk for developing breast cancer after menopause and women who lose weight may decrease their risk. Fifty percent of the Black female population is obese and overall breast cancer mortality is higher for Black women compared to White women. We propose the Obesity Reduction Black Intervention Trial (ORBIT), which builds on the findings of """"""""Breast Cancer Risk Reduction in African-American Women"""""""" which showed significant weight loss, reduced dietary fat, and increased physical activity in the intervention compared to the control group. The next critical step in our research is to assess the efficacy of an adequately powered, theoretically driven, weight loss and maintenance intervention Two-hundred obese 30-65 year old Black women will be randomized to a 24-week treatment intervention or a 24-week control intervention. Participants in the treatment intervention will then participate in a 1-year maintenance intervention and the control participants will participate in a 1-year control intervention.
Aims of the study include: 1) To estimate the effectiveness of a 24-week treatment intervention and 1-year maintenance intervention to produce and maintain weight loss; 2) To estimate the effectiveness 24-week treatment intervention and 1-year maintenance intervention to produce and maintain a reduction in total calories, total fat, and an increase in fiber and fruit and vegetable intake; 3) To estimate the effectiveness of a 24-week treatment intervention and 1-year maintenance intervention to produce and maintain an increase in physical activity; and 4) To estimate the effectiveness of a 24-week treatment intervention and 1-year maintenance intervention to produce and maintain changes in attitudes, self-efficacy, and social support related to diet, physical activity, and weight loss. The theoretical rationale for the aims, development of the interventions, and methodology are based on Social Cognitive Theory (SCT).

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA105051-04
Application #
7251943
Study Section
Community-Level Health Promotion Study Section (CLHP)
Program Officer
Yaroch, Amy L
Project Start
2004-07-01
Project End
2009-04-30
Budget Start
2007-05-01
Budget End
2008-04-30
Support Year
4
Fiscal Year
2007
Total Cost
$501,110
Indirect Cost
Name
University of Illinois at Chicago
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
098987217
City
Chicago
State
IL
Country
United States
Zip Code
60612
Buscemi, Joanna; Pugach, Oksana; Springfield, Sparkle et al. (2018) Associations between fiber intake and Body Mass Index (BMI) among African-American women participating in a randomized weight loss and maintenance trial. Eat Behav 29:48-53
Fitzgibbon, M L; Tussing-Humphreys, L M; Porter, J S et al. (2012) Weight loss and African-American women: a systematic review of the behavioural weight loss intervention literature. Obes Rev 13:193-213
Fitzgibbon, Marian L; Stolley, Melinda R; Schiffer, Linda et al. (2010) Obesity reduction black intervention trial (ORBIT): 18-month results. Obesity (Silver Spring) 18:2317-25
Gerber, Ben S; Stolley, Melinda R; Thompson, Allison L et al. (2009) Mobile phone text messaging to promote healthy behaviors and weight loss maintenance: a feasibility study. Health Informatics J 15:17-25
Stolley, Melinda R; Fitzgibbon, Marian L; Schiffer, Linda et al. (2009) Obesity reduction black intervention trial (ORBIT): six-month results. Obesity (Silver Spring) 17:100-6
Sharp, Lisa K; Fitzgibbon, Marian L; Schiffer, Linda (2008) Recruitment of obese black women into a physical activity and nutrition intervention trial. J Phys Act Health 5:870-81
Fitzgibbon, Marian L; Stolley, Melinda; Schiffer, Linda et al. (2008) Obesity Reduction Black Intervention Trial (ORBIT): design and baseline characteristics. J Womens Health (Larchmt) 17:1099-110