EFFECTIVENESS OF INTERVENTIONS TO REDUCE WEIGHT AMONG THE WOMEN WITH OBESITY obesity

Main Article Content

Dr B Sumathy
Dr. V. Selvanayaki

Keywords

BMI – Body Mass Index, WC – Waist Circumference, CVI – Content Validity Index, NCD – Non Communicable Diseases, WHR – World Health Report, WCI – Weight Control Information

Abstract

A Quasi- experimental study (before-and- after with control group design) was conducted to assess the effectiveness of Interventions to reduce weight among women with obesity using Quantitative Evaluative approach. The study setting adopted was two stage random sampling technique with lottery method. Using Non probability purposive sampling technique, Each 100 women with obesity aged 20- 39 years were selected for experiment and control group. Established Reliability and Pilot study.


In pretest, both groups’ baseline data obtained through Structured Interview Schedule, obesity parameters (BMI, WC) assessed to identify the level and health risk status. Implementation of Interventional Module on Interventions to reduce weight was administered to experiment group subjects for 12 weeks. Posttest conducted for both groups. The collected data were analyzed using descriptive and inferential statistics.


The findings revealed highest percentages of women with obesity in control and experiment group were aged 35-39 years with primary/middle school education. Mostly Hindus, married, non-vegetarian, sedentary workers, nuclear family, monthly income Rs.10,001–15,000, having regular menstrual cycle and children, fat distributed above waist line, sleep pattern >6 hours/day, no family history of obesity and social habits.


The comparison and distribution of mean posttest values of BMI (32.56 ± 3.46 and 28.44 ± 2.89), WC (40.75 ± 4.25 and 36.11 ± 3.96) among women with obesity between control and experiment group shows high mean difference of 4.12, 4.64 respectively. The unpaired ‘t’ test values of BMI (9.12), WC (5.28) found to be > the table value (3.291) at p<0.001.


The paired ‘t’ test analyzed the significant difference in mean pre and posttest values of BMI (32.09 ± 3.26 and 28.44 ± 2.89), WC (40.44 ± 4.25 and 36.11 ± 3.96) among women with obesity in experiment group shows high mean difference 3.65, 4.33. The ‘t’ values of BMI (40.78), WC (31.05)  found to be > the table value (3.291) at p<0.001. The mean posttest values of BMI and WC showed significant difference in experimental group.


Chi square analysis between posttest values of BMI, WC found associated only with the duration of sleep at night (p<0.05) and social habits (p<0.001) with BMI, age in years and educational status (p<0.001) with WC. The implementation of Interventional Module on Interventions to reduce weight found to be effective in reducing weight among the subjects in experimental group.

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References

1. Abdul Rahim HF, et al. Obesity in an urban Palestinian population. International Journal of Obesity Research. 2013; 7(1): Pp. 140-6.
2. Deborah Olsen, Gyan. Importance of women in society. Important India; 2015. Available from http://www.importantindia.com>node
3. Desigamani Kanniyappan, Priya Kalidhas, Rita Mary Aruna. Age, Gender Related Prevalence of Cardiovascular Risk Factors in Overweight and Obese South Indian Adults. International Journal of Biological & Medical Research. 2011; 2(2): Pp. 513-522.
4. Gardner CD. Comparison of the low calorie diets for change in weight and related risk factors among overweight women. JAMA. 2013; 297(9), Pp. 969-977.
5. Healthy Eating and Physical Activity Across Your Lifespan: Better Health and You (Tips for Adults). 2008, March. http://www.win.niddk.nih.gov/ publications/better_health.htm.
6. Jakicic, Amy D, Rickman Pittsburgh PA. Obesity. Winston: The 30th Annual Scientific Meeting of the Obesity Society; 2012.
7. Malik VS. Willett WC. Global Obesity: Trends, Risk Factors and Policy Implications. Nature Reviews Endocrinology. 2013; 9(1): Pp. 13-15.
8. Man Mohan Gupta, et al. Prevalence of obesity and hypertension. Journal of Clinical and Diagnostic Research, Journal of Clinical & Diagnostic Research. 2011; June, 5(3): Pp. 586-588.
9. Michael D. Jensen. Overweight and Obesity in adults. Journal of the American college of cardiology. 2014; 63(25): Available from http://www.americanheart.org
10. National Heart, Lung, and Blood Institute of Health Information Center, Overweight and obesity. Bethesda: NHLB Institute of Health; 2015. Available from https://www.nhlbi. nih.gov>health-to…
11. National Institute of Diabetic Mellitus, Digestive and Kidney Diseases. Obesity active at any size in women. Weight-control Information Network (WIN) publications; 2010. February; Available at http://www.win.niddk.nih.gov/ publications/active.htm.
12. National Institute of Health. Choosing a Safe and Successful Weight-loss Program. 2008, April. Available at http://www.win.niddk.nih.gov/publications /choosing.htm
13. National Obesity Observatory. Obesity- Evaluation and Treatment. 2012. Available from https://en.m.wikipedia.org>wiki>Na...
14. Parimallavalli R, Vijayalakshmi A, Radhai Sri S. Anthropometric Profile and Nutrient Intake of Overweight/Obese Women. Journal of clinical & Diagnostic Research. 2009; (5), Pp. 957-960.
15. Weight Control Information Network. Information on Health Risks, Treatment Options and Binge Eating. WIN publications; 2010. Available from http://www.win.niddk. nih. gov/publica tions/ active.htm.