Lose weight and win: A church-based weight loss program for blood pressure control among black women

Shiriki K. Kumanyika; Jeanne B. Charleston

doi:10.1016/0738-3991(92)90099-5

Lose weight and win: A church-based weight loss program for blood pressure control among black women

Shiriki K. Kumanyika, Jeanne B. Charleston

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

178 Scopus citations

Abstract

The Baltimore Church High Blood Pressure Program (CHBPP) offers a behaviorally oriented weight control program consisting of eight weekly 2-h diet counseling/exercise sessions. Pre- and post program weight and blood pressure measurements were analyzed for 184 black and 3 white women aged 18-81 years (mean 51) who participated in the program in 1984-1986: 88 were taking antihypertensive medication ( R_x ) and 99 were not (no R_x). Mean weight loss was 6 lb in both groups: -18 to +7 lb in the R_x group and -31 to +3 lb in the no R_x group. The mean systolic/diastolic blood pressure (SBP/DBP) decrease was 10/6 mmHg in the R_x group and 5/3 mmHg in the no R_x group (P < 0.001 for all pre/post comparisons). Final SBP was < 140 mmHg for 74% of participants, versus 52% initially. Final DBP was < 90 mmHg in 92% versus 65% initially. Supporting the inference that BP decreases among weight control program participants reflect program effects, percent changes in SBP and DBP (week 2 to week 8) were significantly correlated with percent change in weight (r_s = 0.23-0.36; P < 0.05). Comparison data for 25 women from the CHBPP population showed a mean SBP/DBP increase of 8/2 mmHg over an 8-week interval. Based on follow up measurements 6 months after the end of the 8-week program for 74 of the 187 women, weight lost during the 8-week program was maintained or exceeded by 65%. Net weight change at 8 months from baseline for women in the follow up subsample ranged from -28 to +4 lb; mean (SD) -6 (7) lb. Weight loss and related dietary or behavioral changes resulting from participation in a weight control program can enhance blood pressure control among black women.

Original language	English (US)
Pages (from-to)	19-32
Number of pages	14
Journal	Patient Education and Counseling
Volume	19
Issue number	1
DOIs	https://doi.org/10.1016/0738-3991(92)90099-5
State	Published - Feb 1992

Keywords

Blacks
Hypertension
Weight control
Women

ASJC Scopus subject areas

General Medicine

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10.1016/0738-3991(92)90099-5

Cite this

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title = "Lose weight and win: A church-based weight loss program for blood pressure control among black women",

abstract = "The Baltimore Church High Blood Pressure Program (CHBPP) offers a behaviorally oriented weight control program consisting of eight weekly 2-h diet counseling/exercise sessions. Pre- and post program weight and blood pressure measurements were analyzed for 184 black and 3 white women aged 18-81 years (mean 51) who participated in the program in 1984-1986: 88 were taking antihypertensive medication ( Rx ) and 99 were not (no Rx). Mean weight loss was 6 lb in both groups: -18 to +7 lb in the Rx group and -31 to +3 lb in the no Rx group. The mean systolic/diastolic blood pressure (SBP/DBP) decrease was 10/6 mmHg in the Rx group and 5/3 mmHg in the no Rx group (P < 0.001 for all pre/post comparisons). Final SBP was < 140 mmHg for 74% of participants, versus 52% initially. Final DBP was < 90 mmHg in 92% versus 65% initially. Supporting the inference that BP decreases among weight control program participants reflect program effects, percent changes in SBP and DBP (week 2 to week 8) were significantly correlated with percent change in weight (rs = 0.23-0.36; P < 0.05). Comparison data for 25 women from the CHBPP population showed a mean SBP/DBP increase of 8/2 mmHg over an 8-week interval. Based on follow up measurements 6 months after the end of the 8-week program for 74 of the 187 women, weight lost during the 8-week program was maintained or exceeded by 65%. Net weight change at 8 months from baseline for women in the follow up subsample ranged from -28 to +4 lb; mean (SD) -6 (7) lb. Weight loss and related dietary or behavioral changes resulting from participation in a weight control program can enhance blood pressure control among black women.",

keywords = "Blacks, Hypertension, Weight control, Women",

author = "Kumanyika, {Shiriki K.} and Charleston, {Jeanne B.}",

note = "Funding Information: The Baltimore Church High Blood Pressure Program (CHBPP) was established in 1979 to organize black churches as high blood pressure control centers by teaching lay volunteers how to offer blood pressure screening, refer- ral, follow-up and monitoring services. The CHBPP program is funded by a grant from the Maryland State Department of Health and Mental Hygiene. It is offered to all of the over 400 churches in the Baltimore black community and maintains an active enrollment of at least 25 churches. The average church membership size is 250, with a range of 75-600. The weight control program was developed by one of the authors (JBC) in 1984. The core program was offered six times between Fall 1984 and Spring 1986 and is currently ongoing. The current program also offers screening, education, and referral for diabetes and high cholesterol and includes services for both children and adults.",

year = "1992",

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doi = "10.1016/0738-3991(92)90099-5",

language = "English (US)",

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journal = "Patient Education and Counseling",

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AU - Charleston, Jeanne B.

N1 - Funding Information: The Baltimore Church High Blood Pressure Program (CHBPP) was established in 1979 to organize black churches as high blood pressure control centers by teaching lay volunteers how to offer blood pressure screening, refer- ral, follow-up and monitoring services. The CHBPP program is funded by a grant from the Maryland State Department of Health and Mental Hygiene. It is offered to all of the over 400 churches in the Baltimore black community and maintains an active enrollment of at least 25 churches. The average church membership size is 250, with a range of 75-600. The weight control program was developed by one of the authors (JBC) in 1984. The core program was offered six times between Fall 1984 and Spring 1986 and is currently ongoing. The current program also offers screening, education, and referral for diabetes and high cholesterol and includes services for both children and adults.

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N2 - The Baltimore Church High Blood Pressure Program (CHBPP) offers a behaviorally oriented weight control program consisting of eight weekly 2-h diet counseling/exercise sessions. Pre- and post program weight and blood pressure measurements were analyzed for 184 black and 3 white women aged 18-81 years (mean 51) who participated in the program in 1984-1986: 88 were taking antihypertensive medication ( Rx ) and 99 were not (no Rx). Mean weight loss was 6 lb in both groups: -18 to +7 lb in the Rx group and -31 to +3 lb in the no Rx group. The mean systolic/diastolic blood pressure (SBP/DBP) decrease was 10/6 mmHg in the Rx group and 5/3 mmHg in the no Rx group (P < 0.001 for all pre/post comparisons). Final SBP was < 140 mmHg for 74% of participants, versus 52% initially. Final DBP was < 90 mmHg in 92% versus 65% initially. Supporting the inference that BP decreases among weight control program participants reflect program effects, percent changes in SBP and DBP (week 2 to week 8) were significantly correlated with percent change in weight (rs = 0.23-0.36; P < 0.05). Comparison data for 25 women from the CHBPP population showed a mean SBP/DBP increase of 8/2 mmHg over an 8-week interval. Based on follow up measurements 6 months after the end of the 8-week program for 74 of the 187 women, weight lost during the 8-week program was maintained or exceeded by 65%. Net weight change at 8 months from baseline for women in the follow up subsample ranged from -28 to +4 lb; mean (SD) -6 (7) lb. Weight loss and related dietary or behavioral changes resulting from participation in a weight control program can enhance blood pressure control among black women.

AB - The Baltimore Church High Blood Pressure Program (CHBPP) offers a behaviorally oriented weight control program consisting of eight weekly 2-h diet counseling/exercise sessions. Pre- and post program weight and blood pressure measurements were analyzed for 184 black and 3 white women aged 18-81 years (mean 51) who participated in the program in 1984-1986: 88 were taking antihypertensive medication ( Rx ) and 99 were not (no Rx). Mean weight loss was 6 lb in both groups: -18 to +7 lb in the Rx group and -31 to +3 lb in the no Rx group. The mean systolic/diastolic blood pressure (SBP/DBP) decrease was 10/6 mmHg in the Rx group and 5/3 mmHg in the no Rx group (P < 0.001 for all pre/post comparisons). Final SBP was < 140 mmHg for 74% of participants, versus 52% initially. Final DBP was < 90 mmHg in 92% versus 65% initially. Supporting the inference that BP decreases among weight control program participants reflect program effects, percent changes in SBP and DBP (week 2 to week 8) were significantly correlated with percent change in weight (rs = 0.23-0.36; P < 0.05). Comparison data for 25 women from the CHBPP population showed a mean SBP/DBP increase of 8/2 mmHg over an 8-week interval. Based on follow up measurements 6 months after the end of the 8-week program for 74 of the 187 women, weight lost during the 8-week program was maintained or exceeded by 65%. Net weight change at 8 months from baseline for women in the follow up subsample ranged from -28 to +4 lb; mean (SD) -6 (7) lb. Weight loss and related dietary or behavioral changes resulting from participation in a weight control program can enhance blood pressure control among black women.

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Lose weight and win: A church-based weight loss program for blood pressure control among black women

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