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Socioeconomic Status and Adherence to a Weight-Loss Program

The disproportionately high levels of obesity in low income populations may be the result of several factors related to access to resources and education as well as cost and time constraints. Exploration of factors related to successful or unsuccessful weight loss in this population offers new opportunities for creative application of personalized, tailored feedback strategies for improving dietary adherence. The objective is to explore the relationship between socioeconomic status and weight loss success.

This is a prospective cohort study examining correlations between household income, personal occupation and personal education with ultimate weight loss and self-reported adherence to a diet and exercise plan in 50 obese subjects with metabolic syndrome. Subjects will be followed through a 12-week standardized prescribed and monitored diet and exercise plan. Adherence to the prescribed plan will be self-reported throughout the 12 weeks and analyzed for change. Obstacles to adherence will be obtained through individual patient interview. Sociodemographic data will be collected by self report at the time of enrollment.

This study will assess feasibility and effectiveness of diet and exercise directed weight loss interventions in low income populations. It will also elucidate obstacles to adherence, which will allow clinicians and public health educators to target their efforts more effectively for this population.