1
|
Yao J, Steinberg D, Turner EL, Cai GY, Cameron JR, Hybels CF, Eagle DE, Milstein G, Rash JA, Proeschold-Bell RJ. When Shepherds Shed: Trajectories of Weight-Related Behaviors in a Holistic Health Intervention Tailored for US Christian Clergy. J Relig Health 2024; 63:1849-1866. [PMID: 37709979 PMCID: PMC11061022 DOI: 10.1007/s10943-023-01910-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/25/2023] [Indexed: 09/16/2023]
Abstract
Maintaining healthy behaviors is challenging. Based upon previous reports that in North Carolina (NC), USA, overweight/obese clergy lost weight during a two-year religiously tailored health intervention, we described trajectories of diet, physical activity, and sleep. We investigated whether behavior changes were associated with weight and use of health-promoting theological messages. Improvements were observed in sleep, calorie-dense food intake, and physical activity, with the latter two associated with weight loss. While theological messages were well-retained, their relationship with behaviors depended on the specific message, behavior, and timing. Findings offer insights into weight loss mechanisms, including the role of theological messages in religiously tailored health interventions.
Collapse
Affiliation(s)
- Jia Yao
- Global Health Institute and Center for Health Policy & Inequalities Research, Duke University, Durham, NC, USA.
| | - Dori Steinberg
- School of Nursing and Global Health Institute, Duke University, Durham, NC, USA
| | - Elizabeth L Turner
- Department of Biostatistics and Bioinformatics and Global Health Institute, Duke University, Durham, NC, USA
| | - Grace Y Cai
- Trinity College of Arts and Sciences, Duke University, Durham, NC, USA
| | - Jacqueline R Cameron
- Department of Internal Medicine, Section of Palliative Medicine, Department of Preventive Medicine, Department of Religion, Health and Human Values, Rush University, Chicago, IL, USA
| | - Celia F Hybels
- Department of Psychiatry and Behavioral Sciences, Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC, USA
| | - David E Eagle
- Global Health Institute and Center for Health Policy & Inequalities Research, Duke University, Durham, NC, USA
| | - Glen Milstein
- Department of Psychology, The City College of New York, New York, NY, USA
| | - Joshua A Rash
- Department of Psychology, Memorial University of Newfoundland, St. John's, NL, Canada
| | - Rae Jean Proeschold-Bell
- Global Health Institute and Center for Health Policy & Inequalities Research, Duke University, Durham, NC, USA
| |
Collapse
|
2
|
Eagle D, Holleman A, Olvera BB, Blackwood E. Prevalence of obesity in religious clergy in the United States: A systematic review and meta-analysis. Obes Rev 2024:e13741. [PMID: 38572610 DOI: 10.1111/obr.13741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Revised: 02/05/2024] [Accepted: 02/28/2024] [Indexed: 04/05/2024]
Abstract
OBJECTIVE This systematic review aims to summarize the current body of evidence concerning the prevalence of obesity among clergy (i.e., the officially designated leaders of a religious group) in the United States. METHOD From November 2022 to February 2023, five databases, one data repository, and gray matter were searched for articles and data sources. The search was restricted to articles published or raw data collected from 2001 to 2021. Study quality was assessed with a template, and heterogeneity was assessed using theI 2 $$ {I}^2 $$ statistic. The protocol for this review was registered with PROSPERO (CRD42022376592). RESULTS Forty-seven studies of clergy obesity involving 35,064 individuals were eligible. The pooled prevalence estimate of obesity across studies was 34.8% (95% confidence interval [CI]: 32.5-37.2). Obesity prevalence was found to be increasing over time and to vary considerably between clergy from different religious traditions. Compared to national estimates, from 2005 onwards, obesity prevalence was higher than in the US adult population.
Collapse
Affiliation(s)
- David Eagle
- Duke University Global Health Institute and Department of Sociology, Duke University, Durham, NC, USA
| | - Anna Holleman
- Duke University Global Health Institute and Department of Sociology, Duke University, Durham, NC, USA
| | - Brianda Barrera Olvera
- Duke University Global Health Institute and Department of Sociology, Duke University, Durham, NC, USA
| | | |
Collapse
|
3
|
West NT, Harmon BE, Case T, Huey M, Webb BL, Nelson J, Webster KH, Webster TA, Leach CH. A Scoping Review of Self-Care Within the Context of Obesity-Related Outcomes Among Faith Leaders. Am J Health Promot 2024; 38:112-123. [PMID: 37828763 DOI: 10.1177/08901171231204669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2023]
Abstract
OBJECTIVE Faith leaders often serve as health-related role models yet many struggle with obesity and self-care engagement. The purpose of this scoping review was to examine how the faith leader literature has defined self-care and examined obesity and obesity-related chronic disease. DATA SOURCE Studies were identified through database (eg, PubMed, CINAHL, PsycINFO), backward, and grey literature (eg, dissertations) searches. INCLUSION/EXCLUSION CRITERIA Studies published in English with participants who were 18 years or older and examined leaders across all faiths. Studies also included an examination of self-care behaviors among faith leaders within the context of obesity or obesity-related chronic diseases. DATA EXTRACTION/SYNTHESIS Data synthesis was qualitative and informed by the six-step framework developed by Arksey and O'Malley (2005) as well as updated recommendations by Daudt et al (2013). Of the 418 studies identified and screened, 20 met the eligibility criteria. RESULTS Studies were primarily cross-sectional and participants Christian faith-leaders in the US. Most studies did not define self-care or incorporate theory, but focused on vegetarian diets and physical activity engagement. Other self-care related behaviors (eg, sleep, days off), some unique to faith leaders (eg, sabbatical), were included but not systematically. CONCLUSIONS Research with more diverse faith leaders and that uses theory is needed to guide development of strategies for engaging this population in self-care to reduce obesity and related chronic diseases.
Collapse
Affiliation(s)
- Nathan T West
- Institute of Social and Economic Research, University of Alaska Anchorage, Anchorage, AK, USA
| | - Brook E Harmon
- Associate Professor, Department of Nutrition and Health Management, Appalachian State University, Boone, NC, USA
| | - Talsi Case
- Department of Nutrition and Health Management, Appalachian State University, Boone, NC, USA
| | - Madelyn Huey
- Department of Nutrition and Health Management, Appalachian State University, Boone, NC, USA
| | - Benjamin L Webb
- Associate Professor, Department of Applied Health, Southern Illinois University Edwardsville, Edwardsville, IL, USA
| | - John Nelson
- President & CEO, Healthcare Environment, New Brighton, MN, USA
| | - Karen H Webster
- Co-Founder/Executive Director, Healthy Seminarians - Healthy Church, Murrysville, PA, USA
| | - Travis A Webster
- Co-Founder/Secretary, Healthy Seminarians - Healthy Church, Murrysville, PA, USA
| | - Charolette H Leach
- Community Health Coordinator, FaithHealth Division, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA
| |
Collapse
|
4
|
Upenieks L, Hill TD, Ford-Robertson J. Religion and Pandemic Weight Gain: A Refuge from the Storm? J Psychol Theol 2023; 51:392-411. [PMID: 38602957 PMCID: PMC10183346 DOI: 10.1177/00916471231167225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/13/2024]
Abstract
The COVID-19 pandemic was an inherently stressful global crisis that was associated with weight gain for over 40% of the American public. Building on previous research, we draw on recently collected national survey data from the United States to examine the effects of religious attendance (both in-person and virtual), the sense of divine control, and religious/spiritual (R/S) struggles on pandemic weight gain. A series of logistic regression models were conducted. Our findings suggest that divine control and monthly in-person religious attendance were associated with a lower risk of pandemic weight gain, while R/S struggles were associated with a higher risk of weight gain. Our results reveal the complex role that religiosity can play with respect to pandemic weight gain.
Collapse
|
5
|
Savila F, Leakehe P, Bagg W, Harwood M, Letele D, Bamber A, Swinburn B, Goodyear-Smith F. Understanding engagement with Brown Buttabean Motivation, an Auckland grassroots, Pacific-led holistic health programme: a qualitative study. BMJ Open 2022; 12:e059854. [PMID: 35393331 PMCID: PMC8990259 DOI: 10.1136/bmjopen-2021-059854] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVES The aim was to understand how participants engage with Brown Buttabean Motivation (BBM) a grassroots, Pacific-led holistic health programme and the meaning it has in their lives. The objectives were to explore the impact BBM had on all aspects of their health and well-being, what attracted them, why they stayed, identify possible enablers and barriers to engagement, and understand impact of COVID-19 restrictions. DESIGN Qualitative study with thematic analysis of semi-structured interviews of BBM participants, followed by theoretical deductive analysis of coded data guided by Pacific Fonofale and Māori Te Whare Tapa Whā health models. In this meeting-house metaphor, floor is family, roof is culture, house-posts represent physical, mental, spiritual and sociodemographic health and well-being, with surroundings of environment, time and context. SETTING Interviews of BBM members conducted in South Auckland, New Zealand, 2020. PARTICIPANTS 22 interviewees (50% female) aged 24-60 years of mixed Pacific and Māori ethnicities with a mixture of regular members, attendees of the programme for those morbidly obese and trainers. RESULTS Two researchers independently coded data with adjudication and kappa=0.61 between coders. Participants identified the interactive holistic nature of health and well-being. As well as physical, mental and spiritual benefits, BBM helped many reconnect with both their family and their culture. CONCLUSIONS BBM's primary aim is weight-loss motivation. Many weight loss studies provide programmes to improve physical exercise and nutrition, but seldom address sustainability and other core factors such as mental health. Programmes are often designed by researchers or authorities. BBM is a community-embedded intervention, with no reliance external authorities for its ongoing implementation. It addresses many factors impacting participants' lives and social determinants of health as well as its core business of exercise and diet change. Our results indicate that BBM's holistic approach and responsiveness to perceived community needs may contribute to its sustained success.
Collapse
Affiliation(s)
| | - Paea Leakehe
- Pacific Health, The University of Auckland, Auckland, New Zealand
| | - Warwick Bagg
- School of Medicine, University of Auckland, Auckland, New Zealand
| | - Matire Harwood
- General Practice & Primary Health Care, University of Auckland, Auckland, New Zealand
| | | | | | - Boyd Swinburn
- Epidemiology & Biostatistics, The University of Auckland, Auckland, New Zealand
| | | |
Collapse
|
6
|
Mandracchia F, Llauradó E, Tarro L, Del Bas JM, Valls RM, Pedret A, Radeva P, Arola L, Solà R, Boqué N. Potential Use of Mobile Phone Applications for Self-Monitoring and Increasing Daily Fruit and Vegetable Consumption: A Systematized Review. Nutrients 2019; 11:E686. [PMID: 30909484 DOI: 10.3390/nu11030686] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2019] [Revised: 03/15/2019] [Accepted: 03/20/2019] [Indexed: 12/22/2022] Open
Abstract
A wide range of chronic diseases could be prevented through healthy lifestyle choices, such as consuming five portions of fruits and vegetables daily, although the majority of the adult population does not meet this recommendation. The use of mobile phone applications for health purposes has greatly increased; these applications guide users in real time through various phases of behavioural change. This review aimed to assess the potential of self-monitoring mobile phone health (mHealth) applications to increase fruit and vegetable intake. PubMed and Web of Science were used to conduct this systematized review, and the inclusion criteria were: randomized controlled trials evaluating mobile phone applications focused on increasing fruit and/or vegetable intake as a primary or secondary outcome performed from 2008 to 2018. Eight studies were included in the final assessment. The interventions described in six of these studies were effective in increasing fruit and/or vegetable intake. Targeting stratified populations and using long-lasting interventions were identified as key aspects that could influence the effectiveness of these interventions. In conclusion, evidence shows the effectiveness of mHealth application interventions to increase fruit and vegetable consumption. Further research is needed to design effective interventions and to determine their efficacy over the long term.
Collapse
|