Skip to main content
Log in

Attitudes Regarding Overweight, Exercise, and Health among Blacks (United States)

  • Original Paper
  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Abstract

Objective To investigate Blacks’views regarding the connections among overweight, exercise, and health.

Methods A national randomized telephone survey of 986 US Blacks, conducted between 6 July 2004 and 15 July 2004.

Results The majority (65%) of respondents reported their weight as average or underweight. Most participants also reported being regularly physically active in the last month (84.5%). The majority of participants reported believing that it is possible to be overweight and healthy. Most acknowledged the connection between exercise and health, and just over half of respondents identified the association between overweight and cancer risk. There was little sociodemographic variation in responses, although findings differed by self-reported overweight and physical activity.

Conclusions Some Blacks may underestimate the extent of their overweight, perhaps resulting from the high prevalence of the condition in the population. Gaps exist in Blacks’ recognition of the connection between weight and health, although the importance of exercise for health promotion was widely acknowledged. These data may highlight an important target for intervention attention.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. HBF Vainio (2002) IARC Handbooks of Cancer Prevention. Weight Control and Physical Activity NumberInSeriesVol 6. IARC Press Lyon, France

    Google Scholar 

  2. AA Hedley CL Ogden CL Johnson et al. (2004) ArticleTitlePrevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002 JAMA 291 IssueID23 2847–2850 Occurrence Handle1:CAS:528:DC%2BD2cXkvFKnsbw%3D Occurrence Handle15199035 Occurrence Handle10.1001/jama.291.23.2847

    Article  CAS  PubMed  Google Scholar 

  3. KM Flegal MD Carroll CL Ogden et al. (2002) ArticleTitlePrevalence and trends in obesity among US adults, 1999–2000 JAMA 288 IssueID14 1723–1727 Occurrence Handle12365955 Occurrence Handle10.1001/jama.288.14.1723

    Article  PubMed  Google Scholar 

  4. S Shankar JP Nanda G Bonney V Kofie (2000) ArticleTitleObesity differences between African-American men and women J Natl Med Assoc 92 IssueID1 22–28 Occurrence Handle1:STN:280:DC%2BD3c3mtVSktQ%3D%3D Occurrence Handle10800283

    CAS  PubMed  Google Scholar 

  5. JM Clark LR Bone R Stallings et al. (2001) ArticleTitleObesity and approaches to weight in an urban African-American community Ethn Dis 11 IssueID4 676–686 Occurrence Handle1:STN:280:DC%2BD38%2FjsFOisw%3D%3D Occurrence Handle11763292

    CAS  PubMed  Google Scholar 

  6. PP Basiotis A Carlson SA Gerrior et al. (2004) ArticleTitleThe Healthy Eating Index, 1999–2000: charting dietary patterns of Americans Family Econom Nutrit Rev 16 IssueID1 39–48

    Google Scholar 

  7. Variyam JN, Blaylock J, Smallwood D, et al. (1998) USDA’s Healthy Eating Index and Nutrition Information. U.S. Department of Agriculture.

  8. InstitutionalAuthorNameU.S. Department of Health and Human Services (1996) Physical activity and health: a report of the Surgeon General Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Atlanta, GA

    Google Scholar 

  9. RA Washburn G Kline DT Lackland FC Wheeler (1992) ArticleTitleLeisure time physical activity: are there black/white differences? Prev Med 21 IssueID1 127–135 Occurrence Handle1:STN:280:By2C2M%2FjvF0%3D Occurrence Handle1738764 Occurrence Handle10.1016/0091-7435(92)90012-7

    Article  CAS  PubMed  Google Scholar 

  10. CJ Caspersen RK Merritt (1995) ArticleTitlePhysical activity trends among 26 states, 1986–1990 Med Sci Sports Exerc 27 IssueID5 713–720 Occurrence Handle1:STN:280:ByqH3critFQ%3D Occurrence Handle7674876

    CAS  PubMed  Google Scholar 

  11. Centers for Disease Control and Prevention (CDC) (2003) Behavioral Risk Factor Surveillance System Survey Data. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

  12. S Kumanyika JF Wilson M Guilford-Davenport (1993) ArticleTitleWeight-related attitudes and behaviors of black women J Am Diet Assoc 93 IssueID4 416–422 Occurrence Handle1:STN:280:ByyB3czlt10%3D Occurrence Handle8454809 Occurrence Handle10.1016/0002-8223(93)92287-8

    Article  CAS  PubMed  Google Scholar 

  13. RH Striegel-Moore DE Wilfley MB Caldwell et al. (1996) ArticleTitleWeight-related attitudes and behaviors of women who diet to lose weight: a comparison of black dieters and white dieters Obes Res 4 IssueID2 109–116 Occurrence Handle1:STN:280:BymB2cjos1M%3D Occurrence Handle8681043

    CAS  PubMed  Google Scholar 

  14. J Stevens SK Kumanyika JE Keil (1994) ArticleTitleAttitudes toward body size and dieting: differences between elderly black and white women Am J Public Health 84 IssueID8 1322–1325 Occurrence Handle1:STN:280:ByuA3sjptVA%3D Occurrence Handle8059896

    CAS  PubMed  Google Scholar 

  15. DE Smith JK Thompson JM Raczynski et al. (1999) ArticleTitleBody image among men and women in a biracial cohort: the CARDIA Study Int J Eat Disord 25 IssueID1 71–82 Occurrence Handle1:CAS:528:DC%2BD3cXkt1Cqsro%3D Occurrence Handle9924655 Occurrence Handle10.1002/(SICI)1098-108X(199901)25:1<71::AID-EAT9>3.0.CO;2-3

    Article  CAS  PubMed  Google Scholar 

  16. AD Powell AS Kahn (1995) ArticleTitleRacial differences in women’s desires to be thin Int J Eat Disord 17 IssueID2 191–195 Occurrence Handle1:STN:280:ByqB2snns1A%3D Occurrence Handle7757101

    CAS  PubMed  Google Scholar 

  17. M Altabe (1998) ArticleTitleEthnicity and body image: quantitative and qualitative analysis Int J Eat Disord 23 IssueID2 153–159 Occurrence Handle1:STN:280:DyaK1c7mtl2ksw%3D%3D Occurrence Handle9503240 Occurrence Handle10.1002/(SICI)1098-108X(199803)23:2<153::AID-EAT5>3.0.CO;2-J

    Article  CAS  PubMed  Google Scholar 

  18. ML Katz P Gordon-Larsen ME Bentley et al. (2004) ArticleTitle“Does skinny mean healthy?” Perceived ideal, current, and healthy body sizes among African-American girls and their female caregivers Ethn Dis 14 IssueID4 533–541 Occurrence Handle15724773

    PubMed  Google Scholar 

  19. EM Kennen TC Davis J Huang et al. (2005) ArticleTitleTipping the scales: the effect of literacy on obese patients’ knowledge and readiness to lose weight South Med J 98 IssueID1 15–18 Occurrence Handle15678634

    PubMed  Google Scholar 

  20. L Kish (1965) Survey Sampling John Wiley New York

    Google Scholar 

  21. NHS Health Scotland (2003) Health Education Population Survey. Date Accessed: June 2004.

  22. CM Burns MA Tijhuis JC Seidell (2001) ArticleTitleThe relationship between quality of life and perceived body weight and dieting history in Dutch men and women Int J Obes Relat Metab Disord 25 IssueID9 1386–1392 Occurrence Handle1:STN:280:DC%2BD3Mrit12ntg%3D%3D Occurrence Handle11571604 Occurrence Handle10.1038/sj.ijo.0801714

    Article  CAS  PubMed  Google Scholar 

  23. Anonymous (2004) Prevalence of no leisure-time physical activity – 35 States and the District of Columbia, 1988–2002. MMWR Morb Mortal Wkly Rep 53(4):82–86.

  24. EV Villanueva (2001) ArticleTitleThe validity of self-reported weight in US adults: a population based cross-sectional study BMC Public Health 1 IssueID1 11 Occurrence Handle1:STN:280:DC%2BD38nnslGmsw%3D%3D Occurrence Handle11716792 Occurrence Handle10.1186/1471-2458-1-11

    Article  CAS  PubMed  Google Scholar 

  25. ML Rowland (1990) ArticleTitleSelf-reported weight and height Am J Clin Nutr 52 IssueID6 1125–1133 Occurrence Handle1:STN:280:By6D2M7jsVE%3D Occurrence Handle2239790

    CAS  PubMed  Google Scholar 

  26. F Kuchler JN Variyam (2003) ArticleTitleMistakes were made: misperception as a barrier to reducing overweight Int J Obes Relat Metab Disord 27 IssueID7 856–861 Occurrence Handle1:STN:280:DC%2BD3s3psVWqtA%3D%3D Occurrence Handle12821973 Occurrence Handle10.1038/sj.ijo.0802293

    Article  CAS  PubMed  Google Scholar 

  27. S Paeratakul MA White DA Williamson et al. (2002) ArticleTitleSex, race/ethnicity, socioeconomic status, and BMI in relation to self- perception of overweight Obes Res 10 IssueID5 345–350 Occurrence Handle12006633

    PubMed  Google Scholar 

  28. A Jain SN Sherman LA Chamberlin et al. (2001) ArticleTitleWhy don’t low-income mothers worry about their preschoolers being overweight? Pediatrics 107 IssueID5 1138–1146 Occurrence Handle1:STN:280:DC%2BD3M3ptVCnsA%3D%3D Occurrence Handle11331699 Occurrence Handle10.1542/peds.107.5.1138

    Article  CAS  PubMed  Google Scholar 

  29. EE Calle MJ Thun JM Petrelli et al. (1999) ArticleTitleBody–mass index and mortality in a prospective cohort of US adults N Engl J Med 341 IssueID15 1097–1105 Occurrence Handle1:STN:280:DyaK1Mvis1GrsQ%3D%3D Occurrence Handle10511607 Occurrence Handle10.1056/NEJM199910073411501

    Article  CAS  PubMed  Google Scholar 

  30. KR Fontaine DT Redden C Wang et al. (2003) ArticleTitleYears of life lost due to obesity JAMA 289 IssueID2 187–193 Occurrence Handle12517229 Occurrence Handle10.1001/jama.289.2.187

    Article  PubMed  Google Scholar 

  31. J Stevens (2000) ArticleTitleObesity and mortality in Africans-Americans Nutr Rev 58 IssueID11 346–353 Occurrence Handle1:STN:280:DC%2BD3M7ptVyrtA%3D%3D Occurrence Handle11140906

    CAS  PubMed  Google Scholar 

  32. S Wilcox DL Richter KA Henderson et al. (2002) ArticleTitlePerceptions of physical activity and personal barriers and enablers in African-American women Ethn Dis 12 IssueID3 353–362 Occurrence Handle12148706

    PubMed  Google Scholar 

  33. B Belza J Walwick S Shiu-Thornton et al. (2004) ArticleTitleOlder adult perspectives on physical activity and exercise: voices from multiple cultures Prev Chronic Dis 1 IssueID4 A09 Occurrence Handle15670441

    PubMed  Google Scholar 

  34. KA Henderson BE Ainsworth (2003) ArticleTitleA synthesis of perceptions about physical activity among older African-American and American Indian women Am J Public Health 93 IssueID2 313–317 Occurrence Handle12554592

    PubMed  Google Scholar 

  35. DR Young J Gittelsohn J Charleston et al. (2001) ArticleTitleMotivations for exercise and weight loss among African-American women: focus group results and their contribution towards program development Ethn Health 6 IssueID3–4 227–245 Occurrence Handle1:STN:280:DC%2BD3MnksFCksQ%3D%3D Occurrence Handle11696933

    CAS  PubMed  Google Scholar 

  36. A Ghafoor A Jemal V Cokkinides et al. (2002) ArticleTitleCancer statistics for African-Americans CA Cancer J Clin 52 IssueID6 326–341 Occurrence Handle12469762

    PubMed  Google Scholar 

  37. E Ward A Jemal V Cokkinides et al. (2004) ArticleTitleCancer disparities by race/ethnicity and socioeconomic status CA Cancer J Clin 54 IssueID2 78–93 Occurrence Handle15061598

    PubMed  Google Scholar 

  38. M Schootman D Jeffe E Kinman et al. (2005) ArticleTitleEvaluating the utility and accuracy of a reverse telephone directory to identify the location of survey respondents Ann Epidemiol 15 IssueID2 160–166 Occurrence Handle15652722 Occurrence Handle10.1016/j.annepidem.2004.06.005

    Article  PubMed  Google Scholar 

  39. PA Brill HW Kohl T Rogers et al. (1991) ArticleTitleThe relationship between sociodemographic characteristics and recruitment, retention, and health improvements in a worksite health promotion program Am J Health Promot 5 IssueID3 215–221 Occurrence Handle1:STN:280:ByyK3cvms1c%3D Occurrence Handle10148671

    CAS  PubMed  Google Scholar 

  40. SK Kumanyika E Obarzanek VJ Stevens et al. (1991) ArticleTitleWeight-loss experience of black and white participants in NHLBI-sponsored clinical trials Am J Clin Nutr 53 IssueID6 Suppl 1631S–1638S Occurrence Handle1:STN:280:By6B3szptlM%3D Occurrence Handle2031498

    CAS  PubMed  Google Scholar 

  41. SK Kumanyika CK Ewart (1990) ArticleTitleTheoretical and baseline considerations for diet and weight control of diabetes among blacks Diabetes Care 13 IssueID11 1154–1162 Occurrence Handle1:STN:280:By6D1crjsVY%3D Occurrence Handle2261836

    CAS  PubMed  Google Scholar 

  42. GD Foster TA Wadden RM Swain et al. (1999) ArticleTitleChanges in resting energy expenditure after weight loss in obese African American and white women Am J Clin Nutr 69 IssueID1 13–17 Occurrence Handle1:CAS:528:DyaK1MXjvFSntQ%3D%3D Occurrence Handle9925117

    CAS  PubMed  Google Scholar 

  43. RR Wing K Anglin (1996) ArticleTitleEffectiveness of a behavioral weight control program for blacks and whites with NIDDM Diabetes Care 19 IssueID5 409–413 Occurrence Handle1:STN:280:BymA3M7gvVY%3D Occurrence Handle8732700

    CAS  PubMed  Google Scholar 

  44. W McNabb M Quinn J Kerver et al. (1997) ArticleTitleThe PATHWAYS church-based weight loss program for urban African-American women at risk for diabetes Diabetes Care 20 IssueID10 1518–1523 Occurrence Handle1:STN:280:ByiH28%2FitVY%3D Occurrence Handle9314627

    CAS  PubMed  Google Scholar 

  45. BS Kanders P Ullmann-Joy JP Foreyt et al. (1994) ArticleTitleThe black American lifestyle intervention (BALI): the design of a weight loss program for working-class African-American women J Am Diet Assoc 94 IssueID3 310–312 Occurrence Handle1:STN:280:ByuC28rjs1M%3D Occurrence Handle8120297 Occurrence Handle10.1016/0002-8223(94)90374-3

    Article  CAS  PubMed  Google Scholar 

  46. TD Agurs-Collins SK Kumanyika TR Ten Have et al. (1997) ArticleTitleA randomized controlled trial of weight reduction and exercise for diabetes management in older African-American subjects Diabetes Care 20 IssueID10 1503–1511 Occurrence Handle1:STN:280:ByiH28%2FitVQ%3D Occurrence Handle9314625

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

We gratefully acknowledge the efforts of Sandy Askew and Jodi Anna Saia-Witte for their assistance with the preparation of this manuscript. This research was supported by Grant #5 P01 CA75308 from the National Institutes of Health and support to the Dana-Farber Cancer Institute by Liberty Mutual, National Grid, and the Patterson Fellowship Fund. G.G. Bennett is also supported by an award from the Dana-Farber/Harvard Cancer Center. K.Y. Wolin was supported, in part, by a National Cancer Institute training grant (5 T32 CA09001-28).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gary G. Bennett.

Additional information

(At the time of the study, Dr. Wolin was with the Harvard School of Public Health and Dana–Farber Cancer Institute)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bennett, G.G., Wolin, K.Y., Goodman, M. et al. Attitudes Regarding Overweight, Exercise, and Health among Blacks (United States). Cancer Causes Control 17, 95–101 (2006). https://doi.org/10.1007/s10552-005-0412-5

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10552-005-0412-5

Keywords

Navigation