Nutrition education via “instagram” and motivational interviewing for weight
loss motivation and physical activity in obese female students

Nutrition education and motivational interviewing are methods to increase motivation, as essential factors in increasing physical activity. The purpose of this study was to determine the effect of nutrition education via Instagram and motivational interviewing, on weight loss motivation and physical activity of obese female students. This study was quasi-experimental with a pre-post-controlled group design that involved thirty-seven obese female students aged 18-23 years at Universitas Diponegoro, selected by proportional stratified sampling. Subjects were divided into three groups, P1 was given nutrition education via Instagram for 30 days (ED) and motivational interviewing four times (MI), P2 was given ED only, and the control (K) was given a leaflet. Weight loss motivation was measured using a healthy diet motivation questionnaire, and physical activity (PA) was measured using IPAQ-SF. Data were analyzed using one way ANOVA, Kruskal Wallis, paired t-test, Wilcoxon, and Mann Whitney. There was an increase in the mean of weight loss motivation that highest in group P1 (109.86 into 126.43), followed by group P2 (114.85 into 121.69) and group K (105.30 into 112.90). The highest increase in the mean of total physical activity was in the P1 group (1341 to 2572), the P2 group (1761 to 2378), and the K group decreased (3404 to 1987) in METs units. There was a significant difference in the mean change in total physical activity and moderate physical activity between P1 and P2 groups when compared to the K group.

Download Full-text

Feasibility Study of a Newly Developed Technology-Mediated Lifestyle Intervention for Overweight and Obese Young Adults

Nutrients ◽

10.3390/nu13082547 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2547

Author(s):

Habiba I. Ali ◽

Amita Attlee ◽

Salma Alhebshi ◽

Fadima Elmi ◽

Ayesha S. Al Dhaheri ◽

...

Keyword(s):

Physical Activity ◽

Weight Loss ◽

Young Adults ◽

Nutrition Education ◽

Feasibility Study ◽

Cognitive Theory ◽

Mobile Apps ◽

Moderate Physical Activity ◽

Activity Levels ◽

Significant Difference

Background: Poor eating habits and sedentary lifestyle are common among young adults and increase the risk for chronic diseases later in life. Due to the widespread use of information technology among young adults, the Rashakaty (Fitness for Me) study aimed to develop and test the feasibility of a technology-based nutrition education intervention. This would support overweight and obese university students to achieve weight loss, enhance nutrition knowledge, and increase physical activity levels. Methods: We enrolled 246 participants in a 16-week non-randomized feasibility study with two arms: Rashakaty-Basic and Rashakaty-Enhanced. The intervention was guided by social cognitive theory and was delivered via a website and mobile apps. Results: Among the 161 participants who completed the endline assessments, there was no significant difference in weight loss between the two arms. However, waist circumference decreased more (p = 0.003) in the Rashakaty -Enhanced group. Additionally, changes in knowledge related to sources of nutrients (p < 0.001) and diet–disease relationships (p = 0.006) were significantly higher among the Rashakaty-Enhanced group. Rashakaty-Enhanced participants reported increased number of days spent on moderate physical activity (p = 0.013) and minutes walked (p < 0.001). Moreover, they also reported higher scores in social support from friends to reduce fat intake (p = 0.006) and from family and friends to increase physical activity (p = 0.001). Conclusions: The results of this feasibility study can assist in the development and implementation of future technology–mediated health promotion programs in the UAE, especially for young adults.

Download Full-text

The effect of nutrition education based on PRECEDE model on iron deficiency anemia among female students

BMC Women s Health ◽

10.1186/s12905-021-01394-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ali Khani Jeihooni ◽

Sanaz Hoshyar ◽

Pooyan Afzali Harsini ◽

Tayebeh Rakhshani

Keyword(s):

Iron Deficiency ◽

Nutrition Education ◽

Blood Level ◽

Iron Deficiency Anemia ◽

Female Students ◽

Deficiency Anemia ◽

Fars Province ◽

Significant Difference ◽

The Mean ◽

Experimental Group

Abstract Background Iron deficiency anemia disrupts the concentration of adolescent girls; reduces their academic achievement, productivity, and physical strength, and increases the risk of infection. This research aim was to evaluate the effectiveness of the PRECEDE model nutrition education on iron deficiency anemia among female students of Fasa City, Fars Province, Iran. Methods This quasi-experimental study was done on 160 students (80 experimental and 80 control groups) who were selected using a random sampling method in Fasa City, Fars Province, Iran, in 2018–2019. The educational intervention included six sessions based PRECEDE model for 45 or 50 min. A scale of this study consisted of two parts; demographic information, and PRECEDE constructs were used to determine the nutritional behaviors status concluding preventing iron deficiency anemia and hemoglobin, hematocrit, and ferritin blood level in two (before and 4 months after intervention) times. Results In the experimental group of the students the mean age was 13.85 + 1.72 years and in the controlled group was 13.60 + 1.81 years. Moreover, there was no significant difference in the PRECEDE constructs, and nutritional behaviors preventing iron deficiency anemia before the intervention in two groups of study. However, the experimental group showed a significant increase 4 months after the intervention. Also, there was no significant difference in the mean score of hemoglobin, hematocrit, and ferritin blood level between the two groups before the intervention. However, in ferritin level, a significant increase was shown in 4 months after the intervention in the experiential group. Conclusions Based on results, the nutrition intervention education base on PRECEDE model has a positive effect to improve iron deficiency anemia preventive behaviors in female students.

Download Full-text

Relationship between self-efficacy and life satisfaction according to exercise participation in obese female university students

Journal of Human Sciences ◽

10.14687/jhs.v15i4.5501 ◽

2018 ◽

Vol 15 (4) ◽

Author(s):

Turhan Toros ◽

İnci Kesilmiş ◽

İbrahim Başhan

Keyword(s):

Life Satisfaction ◽

University Students ◽

Self Efficacy ◽

Pearson Correlation ◽

Female Students ◽

T Test ◽

Exercise Participation ◽

Obese Female ◽

Significant Difference ◽

The Mean

The aim of this study was to examine the relationship between self-efficacy and life satisfaction according to exercise participation in obese female university students. The sample of the study consisted of over 18 age 145 obese (BMI≥30) that were regularly exercising for at least 4 days, 90 minutes in a week for 6 mounts and 136 obese sedentary (BMI≥30). The mean age was (20.69 ± 1.84) for obese female students who participated regular exercise and (20.19 ± 1.49) for obese female university students who was sedentary. “General Self-Efficacy Scale” that originally developed by Sherer et al. (1982) and adapted to Turkish by Yıldırım and İlhan (2010) and “Life Satisfaction Scale” that originally developed by Diener et al. (1985) and adapted to Turkish by Yetim (1991) were used for measurement. For statistical analysis, The Kolmogorov-Smirnov test was used to determine whether the scores were normally distributed. Descriptive statistics, independent sample t test and pearson correlation analysis were also applied. There was statistically significant difference for the mean life satisfaction (t = 7.68, p <.05) but there was no statistically significant difference for the mean self-efficacy (t = 1.17; p> .05) between two groups according to the t test results. There was a significant positive correlation between life satisfaction and total self-efficacy scores (r = .551**). As a result, there was significant difference in life satisfaction between two groups. Obese female students with high self-efficacy perceptions may be aware of their abilities and thus rely on their abilities. In this case, it can be concluded that they are happy and generally enjoy life.

Download Full-text

Using the laboratory to engage all students in science practices

Chemistry Education Research and Practice ◽

10.1039/c6rp00093b ◽

2016 ◽

Vol 17 (4) ◽

pp. 1098-1113 ◽

Cited By ~ 17

Author(s):

J. P. Walker ◽

V. Sampson ◽

S. Southerland ◽

P. J. Enderle

Keyword(s):

Academic Achievement ◽

Female Students ◽

Chemistry Laboratory ◽

Scientific Practices ◽

Science Practices ◽

General Chemistry Laboratory ◽

Representational Practices ◽

Significant Difference ◽

The Mean ◽

Practical Exam

This study examines the extent to which the type of instruction used during a general chemistry laboratory course affects students’ ability to use core ideas to engage in science practices. We use Ford’s (2008) description of the nature of scientific practices to categorize what student do in the laboratory as either empirical or representational. One approach to lab instruction, engages students in the empirical practices of science but in a traditional prescriptive manner designed to demonstrate and verify content. The second approach, Argument-Driven Inquiry (ADI), engages students in both the empirical and representational practices of science. A practical exam was used to compare student learning in each condition. The assessment targeted student ability to participate in specific scientific practices, including planning and conducting investigations, analyzing and interpreting data and arguing from evidence. Students who were taught with either ADI (N= 81) or Traditional (N= 76) had equivalent understanding of content based on the ACS-GCST exam, however the mean score on the practical exam was significantly higher for students in the ADI sections. Results also indicate that the mean scores on the practical exam were significantly higher in the ADI sections for all students including female students, under-represented minority (URM) students, and students with lower past academic achievement. In the traditional laboratory sections there was a significant difference in the mean scores on the practical exam for the URM student relative to the majority, which was not present in the ADI sections. However, the opposite was found for students with low past academic achievement; the mean score on the practical exam was significantly lower for the students in the ADI sections in comparison to the traditional sections.

Download Full-text

Level of physical activity in undergraduate students in Peshawar, Pakistan

Asian Journal of Health Sciences ◽

10.15419/ajhs.v7i1.481 ◽

2021 ◽

Vol 7 (1) ◽

pp. ID20

Author(s):

Shahid Alam ◽

Sardar Bakht Khan ◽

Qamar Wahid Khattak ◽

Syed Zain Ul Abidin ◽

Salman Farooqi ◽

...

Keyword(s):

Physical Activity ◽

Undergraduate Students ◽

Physical Inactivity ◽

Short Form ◽

Demographic Data ◽

Activity Level ◽

P Value ◽

Moderate Physical Activity ◽

Significant Difference ◽

The University

Background: Physical activity is one of the leading health indicators, considered an essential factor in the population's health and quality of life promotion. Physical inactivity is the fourth leading risk factor for global mortality. Physical inactivity has been linked with chronic disease and obesity in most populations. This study aims to compare the prevalence of physical activity and overweight/obesity among students of the university. Methods: A cross-sectional survey was conducted from March to September 2019 on undergraduate students from different departments of Peshawar University. A sample of 377 (male n = 243, female n = 134) was taken through convenience sampling. Those individuals who were physically disabled and not willing to participate were excluded from the study. Those meeting the inclusion criteria were given the International Physical Activity Questionnaire (IPAQ short form). Demographic data included age, weight, and height was self-stated by the participants. The levels of physical activity in each of three domains (leisure, transport, and domestic) were calculated and presented as metabolic equivalent (M.E.T.) hour per week in the form of means, percentage, and frequency in different physical activity domains. Results: The overall sample showed that 13.70% of participants were inactive, 27.76% showed a low level of physical activity, 41.29% showed moderate physical activity level, and 17.24% showed a high level of physical activity. A total of 90.98% of participants were involved in leisure physical activities, 93.10% presented transport-related physical activity, and 74.80% were involved in domestic-related physical activity. Average time spent during sitting was found to be 53.32 hrs/week and 7.61 hrs/ day, with females being more involved in sitting activities as compared to males. A significant difference was found between B.M.I. and sitting domain (p-value 0.002) with a Pearson value of -0.12 showing a negative correlation. Conclusion: The B.M.I. and Physical Activity are found negatively associated with each other. Male students were more physically active than females as females spend their majority of time sitting. It is concluded that students are moderately active, while a minimal percent of students are highly active. There were a few numbers of respondents too who were physically inactive, which shows that there is still unawareness of physical activity on the university level.

Download Full-text

Flipping the “Learning Skills” Course during COVID-19: A Mixed-Modality Study

Education in Medicine Journal ◽

10.21315/eimj2021.13.3.4 ◽

2021 ◽

Vol 13 (3) ◽

pp. 31-41

Author(s):

Ashfaq Akram ◽

Kamran Sattar ◽

Tauseef Ahmad ◽

Hamza M. Abdulghani ◽

Jennesse John ◽

...

Keyword(s):

Medical Students ◽

Flipped Classroom ◽

Teaching Method ◽

Female Students ◽

Learning Material ◽

Learning Skills ◽

Male And Female ◽

Class Time ◽

Significant Difference ◽

The Mean

The purpose of this study was to compare the male and female medical students’ perceptions of the flipped classroom (FC) using the Zoom online platform during the COVID-19 pandemic. A mixedmodality study proceeded for first-year undergraduate medical students (n = 149). Three topics (learning how to learn, stress management and doctor-patient communication) were flipped using the Zoom platform. Following the flipping, relevant videos and PowerPoint slides were sent to the students. Home assignments were done through the online classroom. The students were then made to answer a questionnaire on their perceptions of FC consisting of 5-point Likert items. In addition, a focus group discussion (FGD) was carried out with voluntary participation (n = 13) for an in-depth discussion of flipped teaching. The quantitative data were analysed using the independent t-test, and Atlas.ti was used to analyse the qualitative data. For most of the Likert statements, there was no significant difference (p > 0.05) between the mean results obtained by the male and female students. For example, for the item “The learning material was available before class time”, both the male (mean [SD] = 1.857 [0.443]) and female (mean [SD] = 1.966 [0.365]) respondents confirmed the learning material’s availability before class time (p = 0.121). However, the mean result obtained by the male respondents for the variable “I understood the topics in lesser time compared to the traditional lecture method” was higher than the mean result obtained by the female participants by 0.236, which was statistically significant (95% CI [0.373, –0.100], p = 0.001). Modified FC teaching for the “learning skills” course is thus an effective teaching method. The male students took significantly lesser time understanding the three included topics compared to the female students.

Download Full-text

Abstract P199: Keep Moving, Your Health Depends On It: Impact Of Improved Physical Activity And Weight Loss In A Wellness Program

Circulation ◽

10.1161/circ.129.suppl_1.p199 ◽

2014 ◽

Vol 129 (suppl_1) ◽

Author(s):

Ebenezer T Oni ◽

Ehimen Aneni ◽

Maribeth Rouseff ◽

Thinh Tran ◽

Henry Guzman ◽

...

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Weight Loss ◽

Intervention Program ◽

South Florida ◽

Metabolic Equivalents ◽

Baseline Weight ◽

The Mean ◽

The Difference

Negative impact of CVD as the leading cause of death in the US is worsened by the significant burden of obesity and associated morbidity and concerns about the growing population inactivity. The American Heart Association has emphasized worksite-based interventions to improve CV health. We evaluated the benefits of improved physical activity(PA) and weight loss(WL) among employees of the Baptist Health South Florida enrolled in a wellness intervention program. Methods: Employees with two or more Cardio-metabolic risk factors , such as total cholesterol ≥ 200 mg/dl, systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg, hemoglobin A1C ≥ 6.5%, and body mass index (BMI) ≥ 30 were enrolled in an intervention program themed “My unlimited potential”. Interventions were focused on diet and PA modifications. We defined improved physical activity as the difference in the metabolic equivalents (METs) at 12 weeks follow-up and at baseline. WL (lbs) was the difference in weight at follow-up. The relationship between WL and changes in METs was explored in an ordered logistic regression. Results: Overall 203 (48±10 years, 78% females) employees were enrolled with a retention rate of 89% (n=181) at 12 weeks follow-up. At baseline the median weights was 211 lbs., and mean METs- 8.6, while at follow-up the median weight was 200 lbs, and the mean METs 11. At 12 weeks follow up 38% had significant WL (lost >5% of baseline weight). The median WL was 8.4 (IQR 4.8-13.0) lbs and the mean change in METs was 2.4±1.8. Median WL increased with increasing tertiles of METs change; tertile1- 6.5(4-11) lbs., tertile2- 9(6-13)lbs. tertile3- 11(7-15)lbs. Increased PA was related to increased WL across BMI categories adjusting for age, gender and baseline weight. Conclusion: This study points strongly toward the benefit of increasing PA among other lifestyle modification interventions in controlling weight. Although further follow-up of this population to evaluate sustainability of change is needed, our results clearly relate improved PA and health.

Download Full-text

The Relationship Between Adherence to the Mediterranean Diet and Body Composition in Nutrition and Dietetic Students

Proceedings of The Nutrition Society ◽

10.1017/s0029665120002876 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Servet Madencioğlu ◽

Sevinç Yücecan

Keyword(s):

Physical Activity ◽

Body Composition ◽

Waist Circumference ◽

Mediterranean Diet ◽

Near East ◽

Female Students ◽

Significant Difference ◽

The Mediterranean ◽

Nutrition And Dietetics ◽

The Relationship

AbstractIntroductionThe determination of level of adherence to the Mediterranean diet (MD) in young adults has been investigated in countries situated near the Mediterranean region generally. The main purpose of this study were to determine differences in body composition by gender and level of adherence to the MD and to determine the relationship between body composition and level of adherence to the MD in Nutrition and Dietetics students at Near East University in Cyprus.Materials and MethodsThe study was conducted on 126 Nutrition and Dietetics students, aged 18 to 32 years. MDS was calculated, and then classified into three groups: good (36–55 points), moderate (21–35 points), and poor (0–20 points). Body composition was assessed using bioelectrical impedance (BIA). Anthropometrical measurements; height (H), body weight (BW), waist circumference (WC) and hip circumference (HC) were assessed according to standardized procedures and physical activity (PA) was assessed by using International Physical Activity Questionnaire (IPAQ-short form). The study protocol was approved by the Ethics Committee at Near East University.ResultsAccording to study results 31.0% of students were found out to low adherence, while 69.0% of students had moderate adherence to the MD. There is no student had high adherence to the MD. There was no significant difference (p = 0.877) between the male and female students in terms of adherence to Mediterranean diet. The findings indicate that the eating habits of the Nutrition and Dietetics students, even those studying nutrition, are in need of improvement. The results show that 78.6% of students were normal and 21.4% of students were overweight and obese. Male students’ BW (p = 0.000), WC (p = 0.000) and HC (p = 0.015) were higher than females’, while female students’ fat mass (FM) (p = 0.000) was higher than males’. However, there is no significant difference between BW (p = 0.724), FM (p = 0.896), BMI (p = 0.691), WC (p = 0.632) and HC (p = 0.982) neither low adherence nor moderate adherence to the MD. Most of students minimal active according to IPAQ scores (41.2%) and there is no significant difference IPAQ score and adherence to the MD (p = 0.923).DiscussionOne of the healthiest diets worldwide is the traditional MD. Several studies have shown, that higher adherence to the MD is inversely related with BMI, waist circumference (WC) and waist-to-height ratio (WHR). Little is known of how adherence to the MD is related to body composition, especially in university students. Further large-scale studies are required to clarify the relationship between adherence to the MD and body composition

Download Full-text

Changes in Body Mass Index and Physical Activity Predict Changes in Vitality During a Weight Loss Trial in Breast Cancer Survivors

Annals of Behavioral Medicine ◽

10.1093/abm/kay004 ◽

2018 ◽

Vol 52 (12) ◽

pp. 999-1009 ◽

Cited By ~ 3

Author(s):

Kelly M Kenzik ◽

Wendy Demark-Wahnefried ◽

Patricia A Ganz ◽

Graham Colditz ◽

Cheryl L Rock ◽

...

Keyword(s):

Breast Cancer ◽

Physical Activity ◽

Body Mass Index ◽

Weight Loss ◽

Cancer Survivors ◽

Body Mass ◽

Structural Equation ◽

Breast Cancer Survivors ◽

Structural Equation Models ◽

The Mean

AbstractBackgroundBreast cancer survivors rank fatigue (e.g., decreased vitality) as their number one concern affecting quality of life. Excess adiposity is associated with decreased vitality in breast cancer survivors, yet weight loss intervention trials report inconsistent effects on this parameter.MethodsThis is a secondary analysis of the Exercise and Nutrition to Enhance Recovery and Good Health for You trial, in which 692 overweight or obese breast cancer survivors ≤5 years from diagnosis, initiated weight loss interventions, and completed assessments semi-annually for 2 years. Assessments included the Godin Leisure-Time Exercise Questionnaire and the SF-36 MOS vitality subscale as an inverse measure of fatigue. Multilevel structural equation models estimated the direct effects of physical activity on vitality and indirect effects through body mass index (BMI) changes.ResultsWithin-person findings show that at assessments with greater physical activity, BMI was significantly lower (B = −0.07, p < 0.001) and vitality was higher (B = 0.22, p < 0.001). However, there was no direct relationship between lower BMI and higher vitality (B = −0.11, p = 0.262) after controlling for the relationship of physical activity with BMI and physical activity with vitality. The between-person indirect effect of physical activity change through BMI change to vitality was significant (B = 0.03, p < 0.001). Participants whose physical activity was above the mean (B = 0.37, p < 0.001) and whose BMI was below the mean (B = −1.05, p < 0.001) were more likely to report greater vitality.ConclusionImprovements in vitality are primarily associated with increases in physical activity rather than BMI changes in this trial. Vitality was lower among survivors with higher BMI, although within-individual changes in BMI had no effect on vitality. Physical activity and weight loss share mechanistic links to vitality with physical activity potentially increasing (e.g., in an additive or synergistic manner) the effect of BMI reduction on vitality.

Download Full-text

YOUTH PHYSICAL ACTIVITY AND THE PROCESS OF PHYSICAL EDUCATION IN LUBLIN PROVINCE, POLAND

SOCIETY INTEGRATION EDUCATION Proceedings of the International Scientific Conference ◽

10.17770/sie2018vol1.3107 ◽

2018 ◽

Vol 4 ◽

pp. 323-331

Author(s):

Małgorzata Wasilewska ◽

Józef Bergier

Keyword(s):

Physical Activity ◽

Physical Education ◽

Physical Activities ◽

Educational Process ◽

Total Physical Activity ◽

Table Tennis ◽

Modern School ◽

The Mean ◽

High Level ◽

Activity Questionnaire

The research was conducted on a randomly chosen group of 916 students aged 16-18 in Lublin Province, Poland. The research was carried out in 2016 using the International Physical Activity Questionnaire, the extended version, and supplemented with additional questions regarding the students’ assessment of physical education lessons. The majority of students (77.4%) meet the requirements for a high level of physical activity, with the remaining 16.5% demonstrating moderate and only 6.1% − low level. There were no significant reductions of physical activity visible in the older age group, although in subsequent periods (in 16-18 year-olds), it was successively lower. The mean level of total physical activity in boys was 65566 MET[1] - min week, and it was significantly higher than in girls, i.e. 5345,5 MET-min/week. The vast majority of students (92.2%) participate in school physical education classes, and over 75% think that they like these activities. Students enrolled in physical education classes demonstrate a higher level of total physical activity (5960.5MET-min/week), in contrast to the non-participating ones (5637,2MET-min/week); however, no significant relationship has been found. Furthermore, it has been shown that girls and boys were willing to get involved in different physical activities. Apart from PE classes, boys would mainly get involved in football (23.2%), volleyball (15.5%), table tennis (13.0%), and swimming (12.5%). Girls would instead choose volleyball (14.7%), football (12.6%), swimming (9.4%) and gymnastics (8.9%). This favourable image of physical activity of students in the Polish schools in Lublin Province can contribute to the discussion of the place of physical activities in the modern school educational process.

Download Full-text