The Latino Health Project: pilot testing a culturally adapted behavioral weight loss intervention in obese and overweight Latino adults.
Date
2012-01
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Abstract
Objective
To pilot test a culturally adapted behavioral weight loss intervention in obese and overweight Latino adults.Design
Pilot study.Setting
Latino community organization in Durham, North Carolina.Participants
Overweight and obese, self-identified Latinos > or =18 years old.Intervention
Intervention consisted of 20 weekly group sessions (90-120 minutes each) incorporating motivational interviewing techniques. The intervention goal was weight loss by adopting the Dietary Approach to Stop Hypertension (DASH) dietary pattern, increasing physical activity, and reducing caloric intake. The cultural adaptation included foods and physical activities commonly used in the Latino culture, using a Spanish-speaking interventionist, and conducting the intervention at a local Latino community organization.Main outcome measures
Weight, body mass index (BMI), blood pressure, dietary pattern, and physical activity were measured at baseline and at 20 weeks.Results
A total of 56 participants are included in the final analysis. The average weight loss was 5.1 lbs (95% CI -8.7 to -1.5; P = .006); and there was a reduction in BMI of 1.3 kg/m2 (95% CI -2.2 to -0.5; P =.002) at 20 weeks. Systolic blood pressure decreased by 2.6 mm Hg (95% CI -4.7 to -0.6; P = .013).Conclusion
A culturally adapted behavioral intervention for the treatment of overweight and obesity is potentially effective in a diverse group of Latino adults.Type
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Scholars@Duke
Leonor Corsino
Dr. Leonor Corsino is a Board-Certified Adult Endocrinologist, physician-scientist, and nationally recognized leader in organizational and health professional education. With a distinguished career spanning clinical care, research, and workforce development, she brings a unique and integrative perspective to advancing and improving patient care and medical education. Her leadership encompasses basic science, clinical, and community-engaged research, curriculum innovation, and the implementation of transformative clinical programs.
Dr. Corsino’s research centers on diabetes, obesity, and their associated complications. She is also deeply committed to medical education and mentoring, having guided numerous trainees and junior faculty through successful academic and clinical careers. Her work has been instrumental in shaping inclusive and impactful learning environments.
She has led and collaborated on a wide range of initiatives at the local, national, and international levels, including NIH-funded studies, cross-institutional partnerships, and global health efforts. Among her many contributions are the development of the Duke Master of Biomedical Sciences (MBS) selective curriculum, the CTSI/CERI Population Health Improvement Award, consultations, e-library, community consultations studio, educational programs, innovative platforms for population health mapping, and MD program courses such as the medical Spanish course and others. These initiatives have significantly enhanced patient care, improved population health strategies, and strengthened the training and support systems for health profession learners and faculty.
Dr. Corsino is widely respected for her ability to bridge clinical excellence with visionary leadership in education and research.
Bryan Courtney Batch
Type 2 Diabetes, Obesity/Overweight, Behavior change, Non-pharmacologic intervention, Health disparities
David Isaias Ortiz-Melo
I enjoy practicing nephrology and taking care of patient with kidney disorders. As a clinician-educator in the Division of Nephrology, my clinical practice mainly focuses on the management of uncontrolled high blood pressure, chronic kidney disease, acute kidney injury and fluid and electrolyte disorders. I have particular interest in the evaluation and management of kidney disease affecting patients with cancer (onco-nephrology). In the inpatient setting, my clinical activities are focused on consultative nephrology and maintenance dialysis. In the outpatient setting, I see patients two days weekly through the Private Diagnostic Clinic. In addition, I am a rounding nephrologist at three outpatient dialysis units.
Laura Pat Svetkey
Laura P. Svetkey, MD MHS is Professor of Medicine/Nephrology, Vice Chair for Faculty Development and Diversity in the Department of Medicine. She is also the Director of Duke’s CTSA-sponsored internal career development award program (KL2) and the Associate Director of Duke’s REACH Equity Disparities Research Center, in which she also leads the Investigator Development Core.
Dr. Svetkey has over 30 years of experience in the investigation of hypertension, obesity, and related areas, conducting NIH-sponsored clinical research ranging from behavioral intervention trials to metabolomics and genetics, with a consistent focus on prevention, non-pharmacologic intervention, health disparities and minority health. Her research has affected national guidelines, having served on the 2013 national Hypertension Guideline Panel (JNC) and the Lifestyle Guideline Working Group. She is an American Society of Hypertension certified hypertension specialist, and a member of the Association of American Physicians (AAP). She is the Associate Director, Core Director and Project PI of Duke’s NIH-sponsored REACH Equity Disparities Research Center (PI: Kimberly Johnson).
As Department of Medicine Vice Chair for Faculty Development and Diversity, she implements a wide range of programs to enhance the experience and advancement of faculty and trainees, with particular emphasis on those from racial and ethnic groups under-represented in medicine, and women.
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