Review of existing data on potential contributors to the development of obesity in at-risk populations has provided insights for the development of community-based interventions in the African-American community. Black women in the United States are disproportionately affected by obesity, with almost two-thirds considered obese based on body mass index. Obesity has been directly linked to cardiovascular morbidity and mortality in black women. Therefore, understanding contributors to the genesis of obesity in black women is imperative. While biologic differences likely result in varying obesity prevalence across racial/ethnic groups, behaviors such as post-partum weight retention and limited leisure-time physical activity, may especially contribute to obesity in black women. Black women also appear to be particularly susceptible to cultural, psychosocial, and environmental factors that can promote weight gain. Therapeutic interventions are being tailored to specifically address these social determinants of health and to foster lifestyle modification. However, more work is needed to evaluate specific interventional tools that can counteract barriers to behavior change for black women. The current literature suggests that successful community-based interventions focused on obesity in black women should engage faith-based organizations, community organizations advocating for black women's health issues, and community advisory boards to design interventions promoting social support and environmental changes for lifestyle modification.

Project Start
Project End
Budget Start
Budget End
Support Year
1
Fiscal Year
2013
Total Cost
$992,787
Indirect Cost
Name
National Heart, Lung, and Blood Institute
Department
Type
DUNS #
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Zip Code
Ahuja, Chaarushi; Ayers, Colby; Hartz, Jacob et al. (2018) Examining relationships between perceptions and objective assessments of neighborhood environment and sedentary time: Data from the Washington, D.C. Cardiovascular Health and Needs Assessment. Prev Med Rep 9:42-48
Rivers, Joshua P; Powell-Wiley, Tiffany M; Dey, Amit K et al. (2018) Visceral Adiposity in Psoriasis is Associated With Vascular Inflammation by 18F-Fluorodeoxyglucose Positron-Emission Tomography/Computed Tomography Beyond Cardiometabolic Disease Risk Factors in an Observational Cohort Study. JACC Cardiovasc Imaging 11:349-357
Adu-Brimpong, Joel; Coffey, Nathan; Ayers, Colby et al. (2017) Optimizing Scoring and Sampling Methods for Assessing Built Neighborhood Environment Quality in Residential Areas. Int J Environ Res Public Health 14:
Wallen, Gwenyth R; Saygbe, Johnetta N; Brooks, Alyssa Todaro et al. (2017) Engaging Community Leaders in the Development of a Cardiovascular Health Behavior Survey Using Focus Group-Based Cognitive Interviewing. Health Serv Insights 10:1178632917701123
Yingling, Leah R; Mitchell, Valerie; Ayers, Colby R et al. (2017) Adherence with physical activity monitoring wearable devices in a community-based population: observations from the Washington, D.C., Cardiovascular Health and Needs Assessment. Transl Behav Med 7:719-730
Powell-Wiley, Tiffany M; Wong, Michelle S; Adu-Brimpong, Joel et al. (2017) Simulating the Impact of Crime on African American Women's Physical Activity and Obesity. Obesity (Silver Spring) 25:2149-2155
Thomas, S; Yingling, L; Adu-Brimpong, J et al. (2016) Mobile Health Technology Can Objectively Capture Physical Activity (PA) Targets Among African-American Women Within Resource-Limited Communities-the Washington, D.C. Cardiovascular Health and Needs Assessment. J Racial Ethn Health Disparities :
Yingling, Leah R; Brooks, Alyssa T; Wallen, Gwenyth R et al. (2016) Community Engagement to Optimize the Use of Web-Based and Wearable Technology in a Cardiovascular Health and Needs Assessment Study: A Mixed Methods Approach. JMIR Mhealth Uhealth 4:e38
Rao, Goutham; Powell-Wiley, Tiffany M; Ancheta, Irma et al. (2015) Identification of Obesity and Cardiovascular Risk in Ethnically and Racially Diverse Populations: A Scientific Statement From the American Heart Association. Circulation 132:457-72
McClurkin, Michael A; Yingling, Leah Rae; Ayers, Colby et al. (2015) Health Insurance Status as a Barrier to Ideal Cardiovascular Health for U.S. Adults: Data from the National Health and Nutrition Examination Survey (NHANES). PLoS One 10:e0141534

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