The Impact of Culture in Weight Loss Intervention Effectiveness Among Hispanic American Women with Overweight or Obesity: A Systematic Scoping Review

Hisp Health Care Int. 2025 Oct 17:15404153251383131. doi: 10.1177/15404153251383131. Online ahead of print.

Abstract

Introduction: U.S Hispanic women bear a disproportionate burden of overweight and obesity. This review aims to examine and appraise the effectiveness of culturally tailored lifestyle modification interventions in this population. Methods: A review was conducted using seven databases for published studies between 2004 and July 2024 using PRISMA-ScR guidelines. The quality of studies was evaluated using the Effective Public Health Practice Project (EPHPP) tool. Results: Fourteen articles met criteria for inclusion. Interventions were delivered in-person in group and community settings, but varied in length, sample size, reporting of outcomes, and tailoring methods. All interventions were found to produce weight loss. Seven studies reported significant reductions in weight, eight in body mass index (BMI), and three in waist circumference. Across studies, the mean weight loss was -8.73 pounds, mean reduction in BMI units -1.85, and mean reduction in waist circumference -3.89 inches. Effective interventions included a bilingual and bicultural delivery, cultural modification of materials, incorporation of traditional Hispanic foods, and encouraged peer participation. Conclusions: Evidence demonstrates that culturally tailored lifestyle interventions are feasible, acceptable, and effective in producing weight loss and promoting healthier lifestyle practices among Hispanic American women. The findings of this review should be used to develop culturally relevant community programs and initiatives for the prevention and management of obesity among the population, providing rationale for further research to build upon the examined intervention strategies.

Keywords: Hispanic women; cultural tailoring; intervention; obesity; overweight.

Publication types

  • Review