Weight Loss Disparities Among Hispanic and Underserved Participants, Colorado, 2015–2018

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Clennin, Morgan N. ; Maytag, Allison ; Ellis, Jennifer ; Wagner, Andrea ; DiOrio, Becky ; Kelly, Cheryl
• Description:
  Introduction
  
  The National Diabetes Prevention Program (DPP) is an evidence-based strategy to prevent the development of type 2 diabetes in adults at high risk through education and behavior modifications that promote weight loss. This evaluation aimed to determine if National DPP participants’ weight-related outcomes varied across demographic subgroups, including sex, age, race/ethnicity, and insurance status, after controlling for program attendance and physical activity.
  
  Methods
  
  Our cross-site evaluation used participant-level data from 11 organizations during July 2015 through June 2018. A modified Poisson regression model was used to examine the relationship between demographic subgroups, controlling for physical activity (minutes per week) and program attendance.
  
  Results
  
  A total of 1,007 National DPP participants were included in the analyzed sample. Participants lost an average of 4% of their initial body weight, approximately 8 pounds. About one-third of participants achieved greater than 5% weight loss. In the unadjusted estimates, participants who were Hispanic, non-Hispanic Black, young, and uninsured were significantly less likely to achieve 5% or greater weight loss. Demographic differences in achieving 5% or greater weight loss, however, were not significant after adjusting for program attendance and physical activity level.
  
  Conclusions
  
  Disparities in National DPP weight-related outcomes were not observed across demographic groups after adjusting for program attendance and physical activity levels. However, non-Hispanic Black participants had lower attendance and Hispanic participants reported less physical activity than participants of other races/ethnicities. Strategies to improve National DPP participation and increase physical activity, therefore, should be prioritized among Hispanic and non-Hispanic Black participants.
  
  
• Subjects:
  Original Research
• Source:
  Prev Chronic Dis. 2020; 17
• ISSN:
  1545-1151
• Pubmed ID:
  33357308
• Pubmed Central ID:
  PMC7785321
• Document Type:
  Journal Article
• Volume:
  17
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:d1a2775488473849ca0b4c0b9bedfec57368fe91deaf33ec46eb2024c5c2ea22e00c37ebdfe456c7125dd114f6d910ddc5aa41a8ad540e65c268515b92e2def9
• Download URL:
  https://stacks.cdc.gov/view/cdc/101897/cdc_101897_DS1.pdf
• File Type:
  [PDF - 595.07 KB ]