scholarly journals Stage of Change and Motivation to a Healthier Lifestyle before and after an Intensive Lifestyle Intervention

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Buratta Livia ◽  
Reginato Elisa ◽  
Ranucci Claudia ◽  
Pippi Roberto ◽  
Aiello Cristina ◽  
...  

Objective.Lifestyle modification programs are different but typically include both nutritional aspects and physical activity as main domains with different behavioral and/or psychological strategies designed to affect change. A fundamental role in modifying unhealthy habits is played by personal motivation for change. The present study sought to investigate, in a group of 100 overweight/obese outpatients with and/or without TMD2, treatment seeking, the effect of an intensive lifestyle program on medical measures and motivational profile for physical activity (PA) and healthy nutrition (NUTR).Method.Subjects participated in an intensive multidisciplinary lifestyle intervention at C.U.R.I.A.MO. Before and after the intervention, patients received a comprehensive evaluation of their clinical, anthropometric, and metabolic states and motivation to lifestyle changes.Results.Data showed differences before and after intervention in both medical and motivational measures. Before the intervention patients reported to be ready, open, and determined to change and gave importance to healthy habits. After the intervention patients continued to be determined but increased the actions toward the change showing a higher degree of maintenance and of acquisition of habits especially in the physical domain of the new lifestyle.Conclusion.Data support the notion that the motivation should be followed during all the lifestyle interventions to support the change on both domains of the lifestyle program.

Author(s):  
Arivoli Kaliyan ◽  
Venkatesh Singa Kumaran ◽  
Sudhakar Prasanna ◽  
Narayanan Ethirajan ◽  
Reji Manjunath ◽  
...  

Introduction: Childhood obesity is a multifactorial pathology that increases the risk of diabetes, hypertension and coronary artery disease in adolescent period. Initiation of lifestyle modification at younger age plays a major role in preventing morbidity and mortality at a younger age. Aim: To examine the effect of a multidisciplinary lifestyle intervention program executed with the support of parents and teachers to treat overweight/obese in school going adolescents. Materials and Methods: A longitudinal study was carried out for a period of 12 months on a population of 193 children of age group between 10-17 years. Initially adolescents were classified into overweight/obese based on Body Mass Index (BMI). Individual adolescents were counseled regarding diet, lifestyle changes, physical activity and school based activity; while they were suggested to maintain a diary. Once in two months, they were assessed by reviewing their diaries. Once in four months parents along with students was assessed regarding diet, life style changes, physical activity and school based activity. BMI of the adolescents was measured before and after intervention. Paired t-test was used to analyse the significance of the outcome based on BMI of the children measured before and after the intervention. Results: Mean age of the population was 13.7±4.3 years. Males were predominant 109 (56.5%) compared to females 84 (43.5%). In females, BMI reduced from 26.104 to 25.235 (p=0.0001) while in males BMI reduced from 25.677 to 24.904 (p=0.0002). BMI in the whole population marginally reduced from 25.863±3.644 to 25.048±3.50 after intervention. The overall reduction of BMI in males (0.77) and females (0.87) was statistically significant (p=0.0004) with greater difference in females. Conclusion: Multidisciplinary intervention approach with family members and school teachers is effective to manage weight reduction by maintaining a healthy nutritional status with beneficial physical activity in obese and overweight school going adolescents.


2016 ◽  
pp. 143-148
Author(s):  
Pavlo Kolesnik ◽  
Timea Korol ◽  
Ivanna Shushman ◽  
Aita Prohorova

The article deals with the question of the prevalence of overweight and obesity among the cohort of mental profession. It determines the level of their motivation for lifestyle changes, as well as possibility to enhance their motivation while using of the guar gum Guarem drug (Orion Corporation, Finland). 161 persons where skinned for diet habits, physical activity, the presence of risk factors as well as dislipidemiya. Motivation for lifestyle changes was evaluated. It was found that the prevalence of overweight and obesity in population with predominantly mental and light physical labor, is extremely high at 68% women and 73% men and incidence increased with age. While dynamic monitoring of the patients, who underwent motivational counseling while taking the drug guar gum Guarem, noted strengthening of motivation to comply with the recommendations, compared with patients who received only verbal motivation.


Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 804 ◽  
Author(s):  
Osama E. Amer ◽  
Shaun Sabico ◽  
Hanan A. Alfawaz ◽  
Naji Aljohani ◽  
Syed Danish Hussain ◽  
...  

Aim: This 18 month intervention study aims to determine the efficacy of a lifestyle modification program on prediabetes reversal among Saudi adults. Methods: An 18 month randomized, multicenter trial was conducted among Saudis with prediabetes aged 25–60 recruited from King Salman Hospital and primary care centers in Riyadh, Saudi Arabia. A total of 180 consenting individuals were randomized (1:1) to receive either intensive lifestyle intervention (ILIG) or guidance (control group, CG). ILIG was provided with a personalized lifestyle counseling by nutritionists every 3 months to improve diet and exercise behaviors. CG was given booklets containing information on prediabetes and its prevention. Data from lifestyle assessments and laboratory measurements were analyzed at baseline and every 6 months. The primary outcome was the reversal rate of prediabetes. Results: 158 participants were analyzed (CG:85, ILIG:73) at the 12 month follow-up and 28 participants (CG:11 and ILIG:17) completed the entire 18 month study. Post-intervention, the cumulative incidence of prediabetes reversal in the ILIG was 38 participants (52.1%) which was significantly higher than CG with 26 participants (30.6%) (p = 0.02). Conclusion: A tailored lifestyle intervention is effective in reversing prediabetes, at least for a year, among Arab adults with prediabetes. The challenge of sustaining interest in adopting lifestyle changes for a longer duration should be addressed in this population.


2020 ◽  
pp. 04-13
Author(s):  
Emma J Hennessey ◽  
Benjamin R Prance ◽  
Alya Jaffer ◽  
Angela M. Kolen

Background: Your NeXt Move: X Fans in Training Program is a healthy lifestyle program tailored for men who are overweight or obese and was based on another intervention implemented in an urban setting. The goal of ‘Your NeXt Move’ was to improve men’s health through exercise and health literacy-based lessons using humor and competition to facilitate positive lifestyle changes. This paper shares the efficacy of the 12-week program regarding weight, body mass index, waist circumference, blood pressure and physical activity in 35 to 65-year-old men who were overweight and obese living in a rural area. Methods: 25 men (49.4±8.3 yrs) provided data for this study. Results: Upon program completion, these men experienced, on average, a significant decrease in body weight (2.1 kg, p = 0.006), BMI (0.7 kg/m2, p=0.006), waist circumference, (3.6 cm, p=0.007), and systolic (7.7 mmHg, p=0.007) and diastolic (4.3 mmHg, p=0.036) blood pressure. They also, on average, increased their daily steps by about 2000, indicating improved levels of physical activity. Conclusion: These findings suggest ‘Your neXt Move’ was successful in improving the physiological health of the men who participated. Keywords: Physical activity; Exercise; waist circumference; Blood pressure; Comradery


2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e20558-e20558
Author(s):  
Allen Hodge ◽  
Alexis Williams ◽  
Anita D'Souza ◽  
Patricia M. Sheean ◽  
Parameswaran Hari ◽  
...  

e20558 Background: Multiple Myeloma (MM) is the second most common hematological malignancy in the U.S., with higher rates observed in older adults and African Americans (AA). Given treatment advances, most individuals survive at least 5-10 years, making symptom management important. Many survivors struggle with pain, fatigue and limited physical function, all of which may be improved through lifestyle changes. Due to concerns about safety and patient interest, few efforts have considered such interventions. We report the results of an exploratory study to inform a lifestyle program tailored to the needs of the diverse MM survivor community. Methods: MM survivors at least 100 days post-auto transplant with ECOG status of 0-1 completed validated questionnaires and a qualitative interview assessing quality of life, physical activity patterns, social support and interests for a lifestyle program. Results: We recruited 20 survivors, mean age 70 (7.0) years, 70% women, 40% African American, 75% married, 60% college educated. Eighty-three percent were overweight or obese, mean Godin score was 17.56 (18.1) representing insufficient physical activity and 78% did not engage in resistance training at least twice weekly. PROMIS-29 scores indicated that MM survivors had worse physical function, fatigue and pain interference than the general population. However, they reported less social isolation and more social support (informational, instrumental, emotional, companionship). Qualitative data highlighted barriers to healthy lifestyles including “not knowing what dietary changes to make,” fatigue, and safety concerns related to physical activity. Although 67% reported that their oncology team had discussed lifestyle changes with them, most related minimal guidance was given, leaving them confused and wanting more information. All participants acknowledged the potential benefits of healthy eating and exercise on function, fatigue, pain and mood. Particular interests for a lifestyle program included: 1) focused dietary counseling with recipes and cooking guidance; 2) health coach to motivate, and to model and monitor safe exercise; 3) healthcare provider engagement to address health concerns; and 4) preference for in-person with opportunity for web-based program if unable to attend. Many were interested in joining an advisory group to inform intervention development and survivor engagement. Conclusions: MM survivors emphasized their strong interest in having a program where they could meet other MM survivors, discuss their concerns, but also focus on positive behavior changes.


2016 ◽  
Vol 26 (76) ◽  
pp. 71-78
Author(s):  
Izabela Pruska ◽  
Robert Szeklicki

The aim of the study was to determine the significance of relationships between physical activity, selected demographic factors (gender and place of living) and the frequency of cigarette smoking and alcohol drinking among youth before and after the first year of study. Material and methods. In the study participated youth beginning their education at the Adam Mickiewicz University in Poznan (Poland). The study was conducted twice: before and after the first year of study. Physical activity was determined by using the International Physical Activity Questionnaire (IPAQ - short version). Information about sex, place of living, frequency of smoking cigarettes and drinking alcohol were collected using a questionnaire. Results. After the first year of study the percentage of smokers and drinkers did not change significantly. In both study periods significantly greater (p<0.001) percentage of men than women declare regular smoking and drinking alcohol. Physical activity does not differentiated significantly cigarette smoking and drinking alcohol. Place of living only in case of women is significant (p<0.05): a greater percentage of women living in larger cities regularly smoke cigarettes and drink alcohol. Conclusions. The beginning of higher education and related lifestyle changes did not differentiate significantly habits of young people in cigarette smoking and drinking alcohol after the first year of studies. Physical activity does not differentiate significantly the frequency of smoking cigarettes and drinking alcohol by men and women. Men declared more frequently regular smoking cigarettes and drinking alcohol. A larger proportion of regular smokers and drinkers were found among women living in major cities


Circulation ◽  
2013 ◽  
Vol 127 (suppl_12) ◽  
Author(s):  
Erica J Ambeba ◽  
Mindi A Styn ◽  
Maria M Brooks ◽  
Rhobert W Evans ◽  
Lora E Burke

Introduction: Obesity is linked to the development of insulin resistance (IR) and type 2 diabetes. Weight loss achieved by lifestyle modification could improve insulin sensitivity (IS). However, weight loss is difficult to maintain, and individuals often weight cycle, potentially placing them at greater risk for adverse health outcomes. Objective: The purpose of this secondary analysis was to examine how long-term changes in weight are associated with changes in factors related to the development of diabetes (IR and IS) among obese adults enrolled in a 24-month behavioral weight loss trial. Methods: The sample (N=66) included non-diabetic adults who lost and regained at least 10 lbs during the 24-month trial. All participants received standard behavioral weight loss treatment during the first 18 months. Assessments were conducted at baseline, 6, 12, 18, and 24 months. IR was assessed using the homeostatic model assessment (HOMA), and IS was assessed using the quantitative insulin sensitivity check for insulin sensitivity (QUICKI). Linear mixed modeling was used to examine the association between % changes in weight and % changes in fasting insulin, HOMA, and QUICKI. All models were adjusted for time, age, gender, race, % change in energy intake, and % change in physical activity. Results: The sample was 80% female and 86% White. At baseline, the mean (±SD) values were: age, 48.4±7.4 years; BMI, 34.5±4.4 kg/m 2 ; energy intake, 2176.8±603.8 kcal/day; physical activity, 11.4±13.6 MET- hr/week; plasma insulin, 16.9±6.0 μU/mL; HOMA, 4.1±1.7; and QUICKI, 0.3±.02. On average, compared to baseline, participants experienced an 11% decrease in weight (p<.0001), a 9% decrease in insulin (p=.004), a 10% decrease in HOMA (p=.01), and a 2% increase in QUICKI (p=.0003) at 6 months. Following 6-month weight loss, an average of 8.4% weight was regained by 24 months (p<.0001), and the positive changes observed in the other measures were partially reversed, e.g., a 19% increase in insulin (p=.001), a 26% increase in HOMA (p=.001), and a 2% decrease in QUICKI (p=.0002). Overall, weight change was positively associated with changes in insulin [b(se)=0.5(0.1), p≤.0001] and HOMA [b(se)=0.8(0.2), p≤.0001], and negatively associated with a change in QUICKI [b(se)= -0.2(0.1), p≤.0001]. Conclusion: In this unique sample of participants who weight cycled during a 24-month trial, weight loss improved metabolic outcomes; however, this was partially attenuated when weight was regained. These results reveal the effects of changes in weight on metabolic outcomes and highlight the importance of sustaining healthy lifestyle changes that support weight loss maintenance and improved metabolic outcomes.


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