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Weight-loss outcomes from a pilot study of African dance in older African Americans
Stillman CM, Donahue PT, Williams MF, Callas M, Lwanga C, Brown C, Wollam ME, Jedrziewski MK, Kang C, Erickson KI
Obesity 2018 Dec;26(12):1893-1897
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: Obesity is a risk factor for both cognitive and physical impairment in late adulthood. Though the rates of obesity are high in many groups, older African Americans are disproportionately affected. A randomized pilot intervention of African Dance was conducted with 28 African American older adults with obesity (mean age 68.4 +/- 5.1 years; mean BMI 33.4 +/- 6.2). The goal of the study was to evaluate the physiological outcomes of a culturally sensitive exercise intervention and specifically changes in weight. METHODS: Participants were randomly assigned to an African Dance (experimental) or Culture Education (control) group. They attended their assigned class for 1 hour per session, 3 days per week, for 6 months. RESULTS: There was a significant group x time interaction on weight (p = 0.005) such that the African Dance group lost weight (mean 4.0 +/- 6.0 lb) while the Culture Education group gained weight (mean 2.6 +/- 3.9 lb). CONCLUSIONS: These results suggest that a culturally sensitive form of physical activity, African Dance, may be effective for promoting weight loss in a population at increased risk for obesity and cognitive decline.

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