OJN  Vol.4 No.4 , April 2014
Obesity in African-American Early to Middle-Aged Females: Prevention and Treatment through Education
Abstract: The objective of this study was to develop an educational program for African-American females on diet and exercise in the treatment and prevention of obesity. African-American female participants aged 30-50 with a Body Mass Index (BMI) over 25 were recruited for inclusion in the study. A qualitative assessment was completed which observed the attitudes, personal beliefs, dietary and physical risk factors regarding weight loss before and after an educational intervention which focused specifically on the targeted population. Pre- and post-assessment questionnaires were utilized in this study. This design intended to measure whether the educational intervention affected real change among the participant’s lifestyle choices. Results revealed that most participants initially did not consider themselves to be overweight or obese and that after the education intervention, realized that they were overweight or obese. Many participants felt that their support systems were adequate. Initially, participants consumed fried foods and high calorie drinks. After the educational intervention, many preferred baked foods and decreased the intake of high calorie drinks. Emotions were also identified as a cause of overeating. Many participants found the educational sessions beneficial to their weight loss and fitness efforts. Challenges such as lack of adequate social support and emotions controlling eating patterns still exist in this population and need to be addressed. The creation of standardized protocols to directly address emotional needs at every medical visit would assist in identification of problems which could negatively affect lifestyle choices.
Cite this paper: Millender, D. ,  , D. and  , W. (2014) Obesity in African-American Early to Middle-Aged Females: Prevention and Treatment through Education. Open Journal of Nursing, 4, 231-236. doi: 10.4236/ojn.2014.44027.

[1]   Healthy People 2010 (2002) Healthy People 2010: Overweight and Obesity.

[2]   Fields, S. (2001) Health Belief Systems of African-Americans: Essential Information for Today’s Practicing Nurses. Journal of Multicultural Nursing and Health.

[3]   World Health Organization (2009) Obesity and Overweight.

[4]   American Association of Colleges of Nursing (2006) The Essentials of Doctoral Education for Advanced Practice Nurses.

[5]   Buchholz, S. and Artinian, N. (2009) Dimensions of Physical Activity in African-American Women. Health Care for Women International, 30, 308-323.

[6]   Burton, L. (2009) On a Scale of 1-50, We’re Only a Fat #14.

[7]   Harris County Public Health & Environmental Services (2008) Harris County 2008 Annual Report.

[8]   James, S., Fowler-Brown, A., Raghunathan, T. and Hoewyk, J. (2006) Life Course Socioeconomic Position and Obesity in African-American Women: The Pitt County Study. American Journal of Public Health, 96, 554-560.

[9]   Houston Department of Health and Human Services (2007) The State of Health: Houston/Harris County Texas.

[10]   Houston Department of Health and Human Services (2007) Death, Injury, and Chronic Disease Statistics for Harris County and Texas.

[11]   Setse, R., Grogan, R., Cooper, L., Strobino, D., Powe, N. and Nicholson, W. (2008) Weight Loss Programs for Urban Based, Postpartum African-American Women: Perceived Barriers and Preferred Components. Maternal Child Health Journal, 12, 119-127.

[12]   The Office of Minority Health (2009) Obesity and African-Americans.

[13]   The Office of Minority Health (2009) Obesity/Data Statistics.

[14]   Thomas, J., Daley, C., Mercurio, A. and Ahluwalia, J. (2009) Support Needs of Overweight African-American Women for Weight Loss. American Journal of Health Behaviors, 33, 339-352.

[15]   Wilson, F., Dobal, M., Nordstrom, C., Schram, C., DeGroot, C. and Smith, D. (2008) Literacy, Knowledge, Self-Efficacy, and Health Beliefs about Exercise and Obesity in Urban Low Income African-American Women. JOCEPS: The Journal of Chi Eta Phi Sorority, 53, 7-13.