Abstract 18468: The Healthy Weights Initiative

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Mark Lemstra

Few community-based obesity reduction programs have been evaluated. After 153 community consultations, the city of Moose Jaw, Saskatchewan, Canada decided to initiate a free comprehensive program. The initiative included 71 letters of support from the Mayor, every family physician, cardiologist and internist in the city and every relevant community group including the Heart and Stroke Foundation, the Canadian Cancer Society and the Public Health Agency of Canada. The objective was to promote strong adherence while positively influencing a wide range of physical and mental health variables measured through objective assessment or validated surveys. The only inclusion criteria was that the individuals must be obese adults (BMI >30). Participants were requested to sign-up with a “buddy” who was also obese and identify three family members or friends to sign a social support contract. During the initial 12 weeks, each individual received 60 group exercise sessions, 12 group cognitive behaviour therapy sessions and 12 group dietary sessions with licensed professionals. During the second 12 week period, maintenance therapy included 12 group exercise sessions. To date, 243 people have been referred with 229 starting. Among those who started, 183 completed the program (79.9%) while 15 quit for medical reasons and 31 quit for personal reasons. Mean objective reductions included 31.0 pounds of body fat, 3.9 percent body fat, 2.9 inches from the waist, 2.3 inches from the hip, blood cholesterol by 0.5 mmol/L, systolic blood pressure by 5.9 mmHg and diastolic blood pressure by 3.2 mmHg (all p<.000). There were no changes in blood sugar levels. There was also statistically significant differences in aerobic fitness, self-report health, quality of life measured by SF-36 and depressed mood measured by CES-D (all p<.000). An independent risk factor for not completing the program was not having a family member or friend sign a social support contract (OR 2.91; 95% CI 1.01-8.34, p=.047). Education level was a confounder. Comprehensive obesity reduction programs can be effective when there is extensive consultation at the community level and social support at the individual level.

2016 ◽  
Vol 119 (suppl_1) ◽  
Author(s):  
Mark Lemstra

Background: The Healthy Weights Initiative is a community-based, multi-disciplinary obesity reduction program that was developed after 153 community consultations and is delivered for free to obese adults. Social support was an important component and strongly promoted in the program. Each participant was asked to attend with “buddy” and to complete a social support contract. Methods: The initial 12 weeks of the program offered 60 group exercise sessions, 12 group cognitive therapy sessions, and 12 group dietary sessions with licensed professionals. During the second 12 week period, maintenance therapy includes 12 group exercise sessions. Results: Altogether, 234 people have completed the program (79.1%). Mean objective reductions included 12.6 lbs of body fat, 3.1 inches form the waist, 2.6 inches from the hips, blood cholesterol by 0.3 mmol/L, systolic blood pressure by 5.2 mmHg and diastolic by 2.5 mmHg. Depressed mood prevalence decreased from 45.7% to 11.7%; 84.5% of those who completed the program had improvements in health-related quality of life (HRQL), and significant increases in mean scores on eight dimensions of health were also observed (such as physical functioning, which increased by 15.5%). Using binary logistic regression, independent risk factors for not completing the program (no social support contract and lower education); not improving depressed mood after completion of the program (low general health); and not improving HRQL after completion of the program (smoking and no buddy in program) were determined. Conclusion: Comprehensive obesity reduction programs can be effective when there is extensive consultation at the community level and social support at the individual level. Successful obesity reduction programs can have important cardiovascular health implications by reducing blood pressure, blood cholesterol, and improving cardiovascular fitness.


2016 ◽  
Vol 50 (1) ◽  
pp. 50-58 ◽  
Author(s):  
Stael Silvana Bagno Eleutério da Silva ◽  
Sofia de Fátima da Silva Barbosa de Oliveira ◽  
Angela Maria Geraldo Pierin

Abstract OBJECTIVE To compare men and women who have hypertension with reference to the following: high blood pressure, biosocial variables, habits and life styles, mental disorders, and social support networks. METHOD 290 hypertensive patients (women, 62.1%) were evaluated. The assessments involved the following: measuring blood pressure with an automatic measuring device, evaluating social status through the Social Support Scale, and the use of a Self-Report Questionnaire (SRQ-20) to identify common mental disorders. A value of p<0.05 was considered statistically significant. RESULTS Women were found to be different to men (p<0.05) in the following areas having: better control of their blood pressure (64.4% vs 52.7%), less salary incomes, less diabetes, higher total cholesterol, higher body mass index and wider abdominal circumferences. They also had lower systolic blood pressure, lower levels of alcohol consumption and a greater prevalence for mental disorders. The social support assessment revealed that hypertensive women received less help with preparing meals but had more company from people which allowed them to engage in enjoyable activities. CONCLUSION Women had more control over their blood pressure than men, despite the presence of negative biopsychosocial factors that may have influenced their adherence to the treatments.


1991 ◽  
Vol 21 (3) ◽  
pp. 775-784 ◽  
Author(s):  
David I. Ben-Tovim ◽  
M. Kay Walker

SYNOPSISA measure has been developed which assesses a broad range of attitudes which women hold towards their bodies. The Ben-Tovim Walker Body Attitudes Questionnaire (BAQ) is a 44-item self-report questionnaire whose subscales encompass six distinct aspects of body experience (feelings of overall fatness, self-disparagement, strength, salience of weight, feelings of attractiveness and consciousness of lower body fat). The development of the BAQ involved administering increasingly refined versions to a wide range of female respondents. The final version appears to have satisfactory psychometric properties. When the BAQ scores of 29 patients with anorexia nervosa were compared with those of a large community sample, a more complex pattern of deviant attitudes appeared than would previously have been suspected. The BAQ appears to have potential as a research instrument in this and other fields in which the measurement of attitudes towards the body is important.


2021 ◽  
Vol 22 (16) ◽  
pp. 8570
Author(s):  
Il-Sup Kim ◽  
Woong-Suk Yang ◽  
Cheorl-Ho Kim

Peptides present in foods are involved in nutritional functions by supplying amino acids; sensory functions related to taste or solubility, emulsification, etc.; and bioregulatory functions in various physiological activities. In particular, peptides have a wide range of physiological functions, including as anticancer agents and in lowering blood pressure and serum cholesterol levels, enhancing immunity, and promoting calcium absorption. Soy protein can be partially hydrolyzed enzymatically to physiologically active soy (or soybean) peptides (SPs), which not only exert physiological functions but also help amino acid absorption in the body and reduce bitterness by hydrolyzing hydrophobic amino acids from the C- or N-terminus of soy proteins. They also possess significant gel-forming, emulsifying, and foaming abilities. SPs are expected to be able to prevent and treat atherosclerosis by inhibiting the reabsorption of bile acids in the digestive system, thereby reducing blood cholesterol, low-density lipoprotein, and fat levels. In addition, soy contains blood pressure-lowering peptides that inhibit angiotensin-I converting enzyme activity and antithrombotic peptides that inhibit platelet aggregation, as well as anticancer, antioxidative, antimicrobial, immunoregulatory, opiate-like, hypocholesterolemic, and antihypertensive activities. In animal models, neuroprotective and cognitive capacity as well as cardiovascular activity have been reported. SPs also inhibit chronic kidney disease and tumor cell growth by regulating the expression of genes associated with apoptosis, inflammation, cell cycle arrest, invasion, and metastasis. Recently, various functions of soybeans, including their physiologically active functions, have been applied to health-oriented foods, functional foods, pharmaceuticals, and cosmetics. This review introduces some current results on the role of bioactive peptides found in soybeans related to health functions.


2002 ◽  
Vol 55 (3) ◽  
pp. 233-269 ◽  
Author(s):  
Prem S. Fry ◽  
Dominique L. Debats

Sociodemographic variables, social support, and physical health have been used previously in a few predictor models of loneliness and psychological distress in late life. The present study, however, was designed to test the hypothesis that self-efficacy beliefs of elderly persons are significantly stronger predictors of loneliness and psychological distress than are demographics, social support, and physical health variables used in earlier predictor models. A sample of 141 women and 101 men, aged 65 to 86, reporting a wide range of health status from “poor” to “excellent” was drawn from the region of Southern Alberta. Standard self-report measures were used to assess perceived self-efficacy in eight different domains. Findings from a series of hierarchical regression analyses that were conducted separately for men, women, and the combined sample supported the hypothesis concerning the superiority of the self-efficacy variables as predictors of loneliness and psychological distress. Gender-specific variations revealed that women's stronger self-efficacy domains in the interpersonal, social, and emotional realms, and men's stronger self-efficacy beliefs in the instrumental, financial, and physical realms predicted less loneliness and psychological distress. Spiritual self-efficacy emerged as being the most potent predictor, accounting for the largest percentage of explained variance in loneliness and psychological distress in the women's and combined sample. Implications of the findings are discussed for geriatric practitioners and clinicians.


1999 ◽  
Vol 13 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Rudolf Stark ◽  
Alfons Hamm ◽  
Anne Schienle ◽  
Bertram Walter ◽  
Dieter Vaitl

Abstract The present study investigated the influence of contextual fear in comparison to relaxation on heart period variability (HPV), and analyzed differences in HPV between low and high anxious, nonclinical subjects. Fifty-three women participated in the study. Each subject underwent four experimental conditions (control, fear, relaxation, and a combined fear-relaxation condition), lasting 10 min each. Fear was provoked by an unpredictable aversive human scream. Relaxation should be induced with the aid of verbal instructions. To control for respiratory effects on HPV, breathing was paced at 0.2 Hz using an indirect light source. Besides physiological measures (HPV measures, ECG, respiration, forearm EMG, blood pressure), emotional states (pleasure, arousal, dominance, state anxiety) were assessed by subjects' self-reports. Since relaxation instructions did not have any effect neither on the subjective nor on the physiological variables, the present paper focuses on the comparison of the control and the fear condition. The scream reliably induced changes in both physiological and self-report measures. During the fear condition, subjects reported more arousal and state anxiety as well as less pleasure and dominance. Heart period decreased, while EMG and diastolic blood pressure showed a tendency to increase. HPV remained largely unaltered with the exception of the LF component, which slightly decreased under fear induction. Replicating previous findings, trait anxiety was negatively associated with HPV, but there were no treatment-specific differences between subjects with low and high trait anxiety.


2005 ◽  
Author(s):  
Clayton Hilmer ◽  
Christine Dunkel Schetter ◽  
Laura Glynn ◽  
Calvin Hobel ◽  
Curt Sandman

Author(s):  
Kathryn A. Sloan

Popular culture has long conflated Mexico with the macabre. Some persuasive intellectuals argue that Mexicans have a special relationship with death, formed in the crucible of their hybrid Aztec-European heritage. Death is their intimate friend; death is mocked and accepted with irony and fatalistic abandon. The commonplace nature of death desensitizes Mexicans to suffering. Death, simply put, defines Mexico. There must have been historical actors who looked away from human misery, but to essentialize a diverse group of people as possessing a unique death cult delights those who want to see the exotic in Mexico or distinguish that society from its peers. Examining tragic and untimely death—namely self-annihilation—reveals a counter narrative. What could be more chilling than suicide, especially the violent death of the young? What desperation or madness pushed the victim to raise the gun to the temple or slip the noose around the neck? A close examination of a wide range of twentieth-century historical documents proves that Mexicans did not accept death with a cavalier chuckle nor develop a unique death cult, for that matter. Quite the reverse, Mexicans behaved just as their contemporaries did in Austria, France, England, and the United States. They devoted scientific inquiry to the malady and mourned the loss of each life to suicide.


2019 ◽  
Vol 9 (4) ◽  
pp. 193-198
Author(s):  
Lyudmila S. Timofeeva ◽  
Albina R. Akhmetova ◽  
Liliya R. Galimzyanova ◽  
Roman R. Nizaev ◽  
Svetlana E. Nikitina

Abstract The article studies the existence experience of historical cities as centers of tourism development as in the case of Elabuga. The city of Elabuga is among the historical cities of Russia. The major role in the development of the city as a tourist center is played by the Elabuga State Historical-Architectural and Art Museum-Reserve. The object of the research in the article is Elabuga as a medium-size historical city. The subject of the research is the activity of the museum-reserve which contributes to the preservation and development of the historical look of Elabuga and increases its attractiveness to tourists. The tourism attractiveness of Elabuga is obtained primarily through the presence of the perfectly preserved historical center of the city with the blocks of integral buildings of the 19th century. The Elabuga State Historical-Architectural and Art Museum-Reserve, which emerged in 1989, is currently an object of historical and cultural heritage of federal importance. Museum-reserves with their significant territories and rich historical, cultural and natural heritage have unique resources for the implementation of large partnership projects. Such projects are not only aimed at attracting a wide range of tourists, but also stimulate interest in the reserve from the business elite, municipal and regional authorities. The most famous example is the Spasskaya Fair which revived in 2008 in Elabuga. It was held in the city since the second half of the 19th century, and was widely known throughout Russia. The process of the revival and successful development of the fair can be viewed as the creation of a special tourist event contributing to the formation of new and currently important tourism products.


2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Sayyida Sayyida ◽  
Nurdody Zakki

Diversity of Indonesian Batik hanging area. One of the very well-known Indonesian batik is Batik Madura. Batik Madura has become a pride for Indonesia, especially for Madura. The purpose of the study is to model the Sumenep pride to Batik Madura and to see the level of risk or tendency of batik madura pride for the community group Sumenep. This research method uses a non parametric regression used a non-parametric regression because the dependent variable in this study is the variable Y are variables not normally distributed. The results of this study states that the level of risk of the village in Sumenep proud of batik is almost 5 times higher than the islands while people in this city who live in the district town at risk Sumenep proud of Batik Madura 8-fold compared to the archipelago. So it can be concluded that the city is much more proud of batik than those who reside in rural areas especially those who reside in the islands. This study uses data from 100 questionnaires were analyzed using logistic regression analysis. The conclusion of this study is the pride of the batik model as follows: Function logistic regression / logit function: g (x) = 0,074 + 1,568X4(1)+2,159X4(2 this is case the islands as a comparison, X4(1)  is the place to stay in the village and X4(2)  is the place to stay in town, so the Model Opportunities p(x) = EXP(g(x))/1+EXP(g(x)).  Hopes for further research is to conduct research on the development of batik in an integrated region, the need to be disseminated to potential areas of particular potential in Madura batik, especially for residents who reside in the Islands.Keywords: Pride, Batik, Sumenep.


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