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Obesity Reduction Black Intervention Trial (ORBIT): design and baseline characteristics. J Womens Health (Larchmt) 2008 Sep;17(7):1099-110



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BACKGROUND: Obesity is associated with many chronic diseases, and weight loss can reduce the risk of developing these diseases. Obesity is highly prevalent among Black women, but weight loss treatment for black women has been understudied until recently. The Obesity Reduction black Intervention Trial (ORBIT) is a randomized controlled trial designed to assess the efficacy of a culturally proficient weight loss and weight loss maintenance program for black women. This paper describes the design of the trial, the intervention, and baseline characteristics of the participants.

METHODS: Two hundred thirteen obese black women aged 30-65 years were randomized to the intervention group or a general health control group. The intervention consists of a 6-month weight loss program followed by a 1-year maintenance program. Weight, dietary intake, and energy expenditure are measured at baseline, 6 months, and 18 months.

RESULTS: More than 40% of participants had a baseline body mass index (BMI) >40 kg/m(2) (class III obesity). Intake of fat and saturated fat was higher and consumption of fruit, vegetables, and fiber was lower than currently recommended guidelines. Self-reported moderate to vigorous physical activity was high (median 85 min/day). However, objectively measured physical activity among a subgroup of participants was lower (median 15 min/day).

CONCLUSIONS: Weight loss among obese black women has received inadequate attention in relation to the magnitude of the problem. Factors that contribute to successful weight loss and more importantly, weight loss maintenance need to be identified.

Author List

Fitzgibbon ML, Stolley M, Schiffer L, Sharp L, Singh V, Van Horn L, Dyer A


Melinda Stolley PhD Center Associate Director, Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

African Americans
Attitude to Health
Body Image
Body Mass Index
Dietary Fats
Feeding Behavior
Interviews as Topic
Middle Aged
Nutrition Policy
Research Design
Weight Loss
Women's Health
jenkins-FCD Prod-466 5b81815b8b3d1f46bfec16512ed5f574613f59c5