The relationship of social support with treatment adherence and weight loss in Latinos with type 2 diabetes
Becky Marquez, Department of Family Medicine & Public Health, University of California San Diego, La Jolla, California, USA.
Andrea Anderson, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Rena R. Wing, Weight Control and Diabetes Research Center, The Miriam Hospital and Brown University, Providence, Rhode Island, USA.
Delia S. West, Department of Exercise Science, University of South Carolina, Columbia, South Carolina, USA.
Robert L. Newton, Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana, USA.
Maria Meacham, Southwestern American Indian Center, Phoenix, Arizona and Shiprock, New Mexico, USA.
Helen P. Hazuda, Division of Nephrology, Department of Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Anne Peters, Department of Surgery, University of Tennessee Health Science Center, Knoxville, TN 37920, United States.
Tim E. Sparer, Department of Microbiology, University of Tennessee, Knoxville, TN 37996, United States.
David H. Burk, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, United States.
Shawn R. Campagna, Department of Chemistry, University of Tennessee, Knoxville, TN 37996, United States.
Robert C. Noland, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, United States.
Paul L. Soto, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, United States; Department of Psychology, Louisiana State University, Baton Rouge, LA 70803, United States.
J Jason Collier, Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, United States; Department of Biological Sciences, Louisiana State University, Baton Rouge, LA 70803, United States. Electronic address: Jason.collier@pbrc.edu.
Abstract
OBJECTIVE: Little is known about the effects of social support on weight loss in Latinos. This study determined whether sex moderated and treatment adherence mediated the association between social support and weight loss. METHODS: Data from 278 Latino males and females with type 2 diabetes in the Intensive Lifestyle Intervention of the Look AHEAD trial were analyzed. Multivariable modeling tested for moderation and parallel multiple mediator modeling simultaneously tested the mediating effects of adherence to physical activity, diet, and session attendance on the relationship between baseline social support and percent weight loss at 1 year. RESULTS: Social support for physical activity (having family and friends join in physical activity) was related to weight loss. Adherence to physical activity was related to both social support for physical activity and weight loss. Sex did not moderate these relationships. Adherence to physical activity completely mediated the relationship between social support for physical activity and weight loss. CONCLUSIONS: Increasing companionship for physical activity may be an effective intervention strategy to promote behaviors important for weight loss among Latinos.
