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Biomedical subjects

K Anglin

Publications and source records attributed to K Anglin.

3 recordsLinked to original sources

Reducing postpartum weight retention through a correspondence intervention.

OBJECTIVE: Since post-pregnancy weight retention may contribute to the development of obesity, we sought to determine whether a behavioral weight loss intervention was effective in returning women to their pre-pregnancy weight. METHOD: Ninety women who had given birth in the past 3-12 months and whose weight exceeded their pre-pregnancy weight by at least 6.8 kg were randomly assigned to either: a) a six-month behavioral weight loss intervention, delivered via correspondence or b) a no-treatment control group. Assessments of body weight, physical activity and eating patterns were conducted at pre-treatment and six months (post-treatment). RESULTS: During the six month treatment, subjects in the correspondence condition lost significantly more weight than control subjects (7.8 kg vs 4.9 kg, P = 0.03) and lost a greater percentage of their excess postpartum weight (79% vs 44%, P = 0.01). Furthermore, a significantly greater percentage of correspondence subjects than controls returned to their pre-pregnancy weight (33% vs 11.5%, P < 0.05). Weight loss in the correspondence group was correlated with completion of self-monitoring records (r = 0.50, P < 0.005). CONCLUSIONS: A behavioral weight loss intervention, delivered via correspondence, appears to be effective in reducing women's postpartum weight retention. Future studies should examine the acceptability and the long-term impact of a correspondence postpartum weight loss intervention.

Adolescent↗

Effectiveness of a behavioral weight control program for blacks and whites with NIDDM.

OBJECTIVE: To compare the weight losses of black and white patients with NIDDM treated in a year-long behavioral weight loss program. RESEARCH DESIGN AND METHODS: Subjects were randomly assigned to a behavioral program that either used a low-calorie diet throughout or included two 12-week periods of a very-low calorie diet (VLCD). Weight, dietary intake, and exercise were measured at 0, 6, and 12 months of treatment, and attendance and self-monitoring records were assessed weekly throughout the year. RESULTS: Blacks had smaller weight losses than whites regardless of treatment condition. Overall weight losses (baseline to 1 year) were 7.1 kg in blacks vs 13.9 kg in whites. The differences in overall outcome resulted primarily from greater weight regain in blacks during months 6-12 than in whites. There was a trend for blacks to have poorer attendance than whites during the latter half of the program and for blacks to report smaller changes in calorie intake from baseline to 6 months. CONCLUSIONS: The results confirm prior studies with nondiabetic patients showing smaller weight losses in blacks than in whites and suggest that these differences may result primarily from faster weight regain in blacks. Further research is needed to more carefully examine the variables that may explain this difference and to develop more effective programs for blacks with NIDDM.

Adult↗

The competency of responses given by maritally violent versus nonviolent men to problematic marital situations.

The present study was designed to examine the social skills of maritally violent men by comparing the responses offered by violent and nonviolent men to potential marital conflicts. Problematic marital situation vignettes were presented to three subject groups: 22 maritally violent husbands, 17 nonviolent and maritally distressed husbands, and 17 nonviolent and nondistressed husbands. Subjects were asked what they would do or say in each of the situations; their responses were coded for level of competency. Violent men offered responses which were less competent than those offered by nonviolent comparison subjects in certain types of marital situations (i.e., situations involving rejection from the wife, jealousy, and challenges from the wife); the responses offered by violent and nonviolent men did not differ significantly in other types of situations (i.e., situations involving the wife's wanting something from the husband or the wife's teasing the husband). Subjects were also asked what would be the best thing to do in response to a subset of the problematic marital situations; responses were coded for level of competency. In response to this question, violent men offered less competent responses than those offered by either comparison group, suggesting that violent men have difficulty generating competent responses. The theoretical implications of these data are discussed.

Adult↗