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Randomized Controlled Trial
. 2012 Aug;39(4):386-95.
doi: 10.1177/1090198110394174. Epub 2011 May 6.

A family and community focused lifestyle program prevents weight regain in Pacific Islanders: a pilot randomized controlled trial

Joseph Keawe'aimoku Kaholokula  1 , Marjorie K Mau, Jimmy T Efird, Anne Leake, Margaret West, Donna-Marie Palakiko, Sheryl R Yoshimura, B Puni Kekauoha, Charles Rose, Henry Gomes
Affiliations
Randomized Controlled Trial

A family and community focused lifestyle program prevents weight regain in Pacific Islanders: a pilot randomized controlled trial

Joseph Keawe'aimoku Kaholokula et al. Health Educ Behav. 2012 Aug.

Abstract

Preventing weight regain after the loss of excess weight is challenging for people, especially for ethnic minorities in the United States. A 6-month weight loss maintenance intervention designed for Pacific Islanders, called the PILI Lifestyle Program (PLP), was compared with a 6-month standard behavioral weight loss maintenance program (SBP) in a pilot randomized controlled trial using a community-based participatory research approach. Adult Pacific Islanders (N = 144) were randomly assigned to either PLP (n = 72) or SBP (n = 72) after completing a 3-month weight loss program. Successful weight maintenance was defined as participants' postintervention weight change remaining ≤ 3% of their preintervention mean weight. Both PLP and SBP participants achieved significant weight loss maintenance (p ≤ .05). Among participants who completed at least half of the prescribed sessions, PLP participants were 5.1-fold (95% confidence interval = 1.06, 24; p = .02) more likely to have maintained their initial weight loss than SBP participants. The pilot PLP shows promise as a lifestyle intervention to address the obesity disparities of Pacific Islanders and thus warrants further investigation.

Trial registration: ClinicalTrials.gov NCT01042886.

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Figures

Figure 1
Figure 1
Consort diagram showing the flow of participants in the randomized trial
See this image and copyright information in PMC

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