Adherence
Intensive lifestyle interventions produce significantly attenuated weight loss in Black women compared to White and Hispanic men and women, as well as Black men.
If you are a Black woman participating in a lifestyle weight loss program, expect your weight loss to be slower and smaller than your White or Hispanic peers, even with full adherence. This is likely due to external sociocultural and environmental barriers, not a lack of effort. Seek programs that offer cultural tailoring and flexible delivery methods to overcome these specific challenges.
Within lifestyle treatment, all race–gender groups lost comparable amounts of weight with the exception of black women who exhibited significantly smaller weight losses (P < 0.01)... black women (−4.5%) were similar and significantly higher than black women (−4.5%).
Why this rating
Large randomized controlled trial (DPP) with rigorous statistical modeling, though secondary analysis.
Source
Weight Loss of Black, White, and Hispanic Men and Women in the Diabetes Prevention Program
Delia Smith West et al. · Obesity · 2008
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →