To better understand obesity and overweight among urban African American women, the authors examined sociodemographic, behavioral, and psychological factors within body mass index (BMI) categories. A total of 496 women were recruited for cardiovascular risk factor screening from 20 urban African American churches. Study participants had a mean age of 52.8 years, 13.5 years of education, and an average BMI of 32 kg/m2. Bivariate analyses showed increased overall energy intake and decreased physical performance on a walk test, and general well-being declined as the BMI class increased; obese women had the lowest physical performance and well-being levels and the highest energy intake levels. There was no difference by BMI category, however, in social variables such as educational attainment, employment, marital status, or household income. This study suggests that although women with increasing BMI have some physical and well-being concerns, the major social variables are not differentially distributed by BMI in this sample of women.
1. Flegal KM, Carroll MD, Kuczmarski RJ, Johnson CL: Overweight and obesity in the United States: Prevalence and trends, 1960-1994. Int J Obes Relat Metab Disord22(1): 39-47, 1998.
2.
2. Expert Panel on the Identification Evaluation and Treatment of Overweight and Obesity in Adults: Clinical Guidelines for the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. National Heart, Lung, and Blood Institute. Bethesda, MD, National Institutes of Health, 1998. (NIH Pub. No. 98-4083.)
3.
3. Flegal KM, Carroll MD, Ogden CL, Johnson CL: Prevalence and trends in obesity among US adults, 1999-2000. JAMA288(14): 1723-1727, 2002.
4.
4. Zimmet P, Thomas CR: Genotype, obesity and cardiovascular disease—Has technical and social advancement outstripped evolution?J Intern Med254(2): 114-125, 2003.
5.
5. Goldsmith LT, Goldsmith SJ, Anger K, Leon AC: Psychiatric symptoms in clients presenting for commercial weight reduction treatment. Int J Eat Disord20(2): 191-197, 1996.
6.
6. Ross C: Overweight and depression. J Health Soc Behav35(1): 63-79, 1994.
7.
7. Siegel JM, Yancey AK, McCarthy WJ: Overweight and depressive symptoms among African-American women. Prev Med31(3): 232-240, 2000.
8.
8. Wadden TA, Foster GD, Stunkard AJ, Linowitz JR: Dissatisfaction with weight and figure in obese girls: Discontent but not depression. Int J Obes13(1): 89-97, 1989.
9.
9. Fine JT, Colditz GA, Coakley EH, Moseley G, Manson JE, Willet WC, et al: A prospective study of weight change and health-related quality of life in women. JAMA282(22): 2136-2142, 1999.
10.
10. Dawson DA: Ethnic differences in female overweight: Data from the 1985 National Health Interview Survey. Am J Public Health78(10): 1326-1329, 1988.
11.
11. Sundquist J, Winkleby MA, Pudaric S: Cardiovascular disease risk factors among older Black, Mexican-American, and White women and men: An analysis of NHANES III, 1988-1994. Third National Health and Nutrition Examination Survey. J Am Geriatr Soc49(2): 109-116, 2001.
12.
12. Harrell JS, Gore SV: Cardiovascular risk factors and socioeconomic status in African American and Caucasian women. Res Nurs Health21(4): 285-295, 1998.
13.
13. Appel SJ, Harrell JS, Deng S: Racial and socioeconomic differences in risk factors for cardio-vascular disease among Southern rural women. Nurs Res51(3): 140-147, 2002.
14.
14. Kumanyika SK, Morssink C, Agurs T: Models for dietary and weight change in African-American women: Identifying cultural components. Ethn Dis2(2): 166-175, 1992.
15.
15. Yanek LR, Becker DM, Moy TF, Gittelsohn J, Koffman DM: Project Joy: Faith based cardio-vascular health promotion for African American women. Public Health Rep116(suppl 1): 68-81, 2001.
16.
16. Kushner RF, Kunigk A, Alspaugh M, Andronis PT, Leitch CA, Schoeller DA: Validation of bioelectrical-impedance analysis as a measurement of change in body composition in obesity. Am J Clin Nutr52: 219-223, 1990.
17.
17. Block G, Hartman AM, Dresser CM, Carroll MD, Gannon J, Gardner L: A data-based approach to diet questionnaire design and testing. Am J Epidemiol124(3): 453-469, 1986.
18.
18. Block G, Coyle LM, Hartman AM, Scoppa SM: Revision of dietary analysis software for the Health Habits and History Questionnaire. Am J Epidemiol139(12): 1190-1196, 1994.
19.
19. Guyatt GH, Sullivan MJ, Thompson PJ, Fallen EL, Pugsley SO, Taylor DW, et al: The 6-minute walk: A new measure of exercise capacity in patients with chronic heart failure. Can Med Assoc J132(8): 919-923, 1985.
20.
20. Langenfeld H, Schneider B, Grimm W, Beer M, Knoche M, Riegger G, et al: The six minute walk test for pacemaker patients?Pacing Clin Electrophysiol13(12 Pt 2): 1761-1765, 1990.
21.
21. Demers C, McKelvie RS, Negassa A, Yusuf S: Reliability, validity, and responsiveness of the six-minute walk test in patients with heart failure. Am Heart J142(4): 698-703, 2001.
22.
22. Chetta A, Aiello M, Foresi A, Marangio E, D’Ippolito R, Castagnaro A, et al: Relationship between outcome measures of six-minute walk test and baseline lung function in patients with interstitial lung disease. Sarcoidosis Vasc Diffuse Lung Dis18(2): 170-175, 2001.
23.
23. Painter P, Carlson L, Carey S, Paul SM, Myll J: Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients. Am J Kidney Dis35(3): 482-492, 2000.
24.
24. King S, Wessel J, Bhambhani Y, Maikala R, Sholter D, Maksymowych W: Validity and reliability of the 6 minute walk in persons with fibromyalgia. J Rheumatol26(10): 2233-2237, 1999.
25.
25. Dupuy H: The Psychological Section of the Current Health and Nutrition Examination Survey. Washington, DC, National Center for Health Statistics, 1973. (DHEW Pub. No. 74-1214 [HRA].)
26.
26. Fazio AF: A Concurrent Validation Study of the NCHS General Well-Being Schedule. Hyattsville, MD, National Center for Health Statistics, 1977. (Vital and Health Statistics Series 2, No. 73. DHEW Pub. No. 78-1347 [HRA].)
27.
27. U.S. Census Bureau: Small Area Income and Poverty Estimates (SAIPE). Table C97-24. Estimated Median Household Income by County: Maryland 1997. http://www.census.gov/hhes/www/saipe/stcty/c97_24.htm.
28.
28. Kumanyika S: Obesity in Black women. Epidemiol Rev9: 31-50, 1987.
29.
29. Smith DE, Lewis CE, Caveny JL, Perkins LL, Burke GL, Bild DE: Longitudinal changes in adiposity associated with pregnancy. The CARDIA Study. Coronary Artery Risk Development in Young Adults Study. JAMA271(22): 1747-1751, 1994.
30.
30. Wing RR, Kuller LH, Bunker C, Matthews K, Caggiula A, Meihlan E, et al: Obesity, obesity-related behaviors and coronary heart disease risk factors in Black and White premenopausal women. Int J Obes13(4): 511-519, 1989.
31.
31. Burke GL, Savage PJ, Manolio TA, Sprafka JM, Wagenknecht LE, Sidney S, et al: Correlates of obesity in young Black and White women: The CARDIA Study. Am J Public Health82(12): 1621-1625, 1992.
32.
32. Paeratakul S, White MA, Williamson DA, Ryan DH, Bray GA: Sex, race/ethnicity, socioeconomic status, and BMI in relation to self-perception of overweight. Obes Res10(5): 345-350, 2002.
34. Gortmaker SL, Must A, Perrin JM, Sobol AM, Dietz WH: Social and economic consequences of overweight in adolescence and young adulthood. N Engl J Med329(14): 1008-1012, 1993.
35.
35. Kumanyika SK: Special issues regarding obesity in minority populations. Ann Intern Med119(7 Pt 2): 650-654, 1993.
36.
36. Enright PL, Sherrill DL: Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med158(5 Pt 1): 1384-1387, 1998.
37.
37. Bittner V, Weiner DH, Yusuf S, Rogers WJ, McIntyre KM, Bangdiwala SI, et al: Prediction of mortality and morbidity with a 6-minute walk test in patients with left ventricular dysfunction. SOLVD Investigators. JAMA270: 1702-1707, 1993.
38.
38. Bittner V: Determining prognosis in congestive heart failure: Role of the 6-minute walk test. Am Heart J138(4 Pt 1): 593-596, 1999.
39.
39. Blair SN, Brodney S: Effects of physical inactivity and obesity on morbidity and mortality: Current evidence and research issues. Med Sci Sports Exerc31(11 Suppl): S646-S662, 1999.
40.
40. DiPietro L: Physical activity, body weight, and adiposity: An epidemiologic perspective. Exerc Sport Sci Rev23: 275-303, 1995.
41.
41. Yanek LR, Moy TF, Becker DM: Comparison of food frequency and dietary recall methods in African American women. J Am Diet Assoc101(11): 1361-1364, 2001.
42.
42. Albu J, Shur M, Curi M, Murphy L, Heymsfield SB, Pi-Sunyer FX: Resting metabolic rate in obese, premenopausal Black women. Am J Clin Nutr66(3): 531-538, 1997.
43.
43. Foster GD, Wadden TA, Vogt RA: Resting energy expenditure in obese African American and Caucasian women. Obes Res5(1): 1-8, 1997.
44.
44. Nicklas BJ, Berman DM, Davis DC, Dobrovolny CL, Dennis KE: Racial differences in meta-bolic parameters of obesity in postmenopausal women. Obes Res7(5): 463-468, 1999.
45.
45. Schoeller DA, Bandini LG, Dietz WH: Inaccuracies in self-reported intake identified by comparison with the doubly labeled water method. Can J Physiol Pharmacol68(7): 941-949, 1990.
46.
46. Westerterp KR, Goris AH: Validity of the assessment of dietary intake: Problems of misreporting. Curr Opin Clin Nutr Metab Care5(5): 489-493, 2002.
47.
47. Lichtman SW, Pisarska K, Berman ER, Berman E, Pestone M, Dowling H, et al: Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. N Engl J Med327(27): 1893-1898, 1992.
48.
48. Tomoyasu NJ, Toth MJ, Poehlman ET: Misreporting of total energy intake in older African Americans. Int J Obes Relat Metab Disord24(1): 20-26, 2000.
