Adherence
A 12-month weight gain prevention intervention (Shape Program) significantly reduces depressive symptoms in socioeconomically disadvantaged, overweight/obese Black women compared to usual care, independent of weight change.
If you are a Black woman struggling with depression and weight concerns, consider a 'maintain, don't gain' approach. Focus on small, sustainable habits like daily walking and healthy eating without the pressure to lose weight. Regular check-ins with a health coach can provide social support and structure, which may significantly improve your mood independently of weight change.
We found that a 12-month weight gain prevention intervention produced large reductions in depression among socioeconomically disadvantaged, obese Black women, relative to usual care... Weight change did not explain the impact of the intervention on depression outcomes among Shape participants.
Why this rating
Randomized Controlled Trial with 18-month follow-up, though limited by self-reported medication data and lack of mechanistic biomarkers.
Source
The Effect of a “Maintain, Don’t Gain” Approach to Weight Management on Depression Among Black Women: Results From a Randomized Controlled Trial
Dori Steinberg et al. · American Journal of Public Health · 2014
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