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The main goal of this study was to determine whether the LEAN Program, which emphasizes healthy lifestyle changes, was associated with significant weight loss for African-American and European-American female active-duty service members and to determine whether it was equally effective for both ethnic groups.
Despite evidence that African-American females usually perform significantly less favorably in weight-loss programs, have lower metabolic rates,and that their REE (resting energy expenditure) decreases more rapidly when dieting than European-American females, the findings from this study identified no statistically significant difference between African-American and European-American females who presented for six-month follow-up.
Many of the participants did not provide six-month data because of deployment, pregnancy, military duty service reassignment, and because their military commitment was fulfilled and they relocated off the island of Oahu and communication was lost. Perhaps incorporating topic lectures that address this specific area in Phase I of the LEAN program curriculum may reduce attrition rates, particularly among African-American females. The primary limitation of this study is the absence of a control group, which prevents robust causal inference. Despite the limitations of the study, the LEAN Program was shown to be effective for weight loss among European-American and African-American active-duty female service members who completed the program. Professional and peer health coaches provide ongoing support, accountability and information to promote behavior change. Researchers from the University of Chicago (Illinois, USA) report that social isolation may be detrimental to both mental and physical health. Separately, Rush University Medical Center (Illinois, USA) researchers studied 906 older men and women, testing their motor functions (including grip, pinch strength, balance, and walking) and surveying their social activity, for a period of 5 years. This site complies with the HONcode standard for trustworthy health information: verify here. After many years of clinical experience, Michelle has devised a weight management program that is a as unique as you, Fresh Results.
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If you are not able to meet with Michelle personally you are now able to purchase the Fresh Results Program via eBook (coming soon). Subscribe to the Food Therapy newsletter for all the latest hints and tips to help you with your nutrition and lifestyle. The results of the study show that participation in the LEAN Program was associated with statistically significant weight loss for both African-American and European-American active-duty females.

Although it would be assumed that the attrition rates between the two groups would be the same, this was not the case. It also appears that some individuals who enrolled in the LEAN program reduced the necessary amount of weight to be within military standards and discontinued LEAN program participation. Also, since factors that would contribute to attrition vary from individual to individual and from cohort to cohort, the group facilitator may explore possible reasons why group members may terminate the program prematurely and discuss strategies to address these issues.
Although the LEAN Program will likely be just as effective in the civilian population, the fact that the study was conducted in a military facility, with active-duty participants whose careers were in jeopardy from being overweight raises questions of generalizability. These guidelines include making the program geographically accessible to the participants, integrating familiar resources, providing a supportive environment, avoiding the use of negative stereotypes, and promoting active involvement among the participants.
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The mean weight loss for par­ticipants from both ethnic groups was 12.12 lbs, which falls within the 5-10% weight reduction range that is suggested by literature to assist individuals with lowering some health risks, including some types of cancers, cardiovascular diseases, and premature weight-related death.
There were significantly less African-American females that did not have six-month follow-up data than European-American females.
It should be noted that a number of individuals without six-month data, at the time of the data collection and analysis, returned and resumed LEAN program participation. The selection process that is inherent in military recruiting also means that participants in this study were at one time more physically fit than the average civilian.
The benefits of the TAMC LEAN program were enhanced by the weekly follow-up visits that were positively correlated with weight loss. These guidelines would also likely benefit females within the general public who are attempting weight loss. Leahey, from The Miriam Hospital at Brown University (Rhode Island, USA), and colleagues enrolled 44 participants in a group behavioral weight loss program that met for 12 times over the course of 24 weeks – half the amount of sessions of a traditional treatment plan.
Our natural dog chews with added vitamins and minerals come in a TEENIE Size for overweight or less active dogs 5 to 15 pounds. For this study, those without six-month data, when the data was collected and analyzed, were considered drops-outs. Because it is not clear why African-American females had significantly less six-month data than European-American females, it is particularly important that future LEIAN Program studies explore ways to reduce attrition rates, particularly among African-American females.

It also bears mentioning that although the program was associated with significant weight loss at six months, it is not uncommon for initially successful individuals to experience weight gain six months after the end of a weight-loss regimen. More frequent attendees may have gleaned more guidance, social support from their peers, and more reinforcement from the group leader, leading to increased treatment motivation and more favorable weight loss results. Lastly, it appears that LEAN Program’s staff, which is an ethnic- and gender-diverse group of providers, are respectful of others cultural foods choices and activity preferences. Groups met weekly for the first six weeks, biweekly for the following six weeks and monthly thereafter. These healthy dog dental treats are Constituted of natural ingredients which are secure to digest and taste great. Although the exact reasons why many of the participants did not have six-month data was unknown, the program LEAN staff was not informed of their absence, and the staff was not able to make contact with the participant. Such attributes have been shown to be essential in the treatment of obesity but especially with diverse populations like the U.S. The researchers randomly assigned individuals to work with one of three different types of health coaches: a professional (behavioral weight loss interventionist), peer (a fellow group member) or mentor (a successful weight loser).
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During the weeks where there were no group meetings, participants emailed their weekly weight, calorie and physical activity information to their coach and received feedback.
While all three groups yielded clinically significant weight losses, participants guided by professional and peer coaches had the most success, losing more than 9% of their body weight on average, compared to just under 6% in the mentor group.
At least half of the participants in the professional and peer coaching groups achieved a 10% weight loss, which research has shown can reduce the risk of a wide range of illnesses linked to obesity, including heart disease and diabetes.

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