scholarly journals Factors Influencing Weight Loss Attempts and Long Term Weight Loss Maintenance

2021 ◽  
Vol 11 (12) ◽  
pp. 205-216
Author(s):  
Souad El-mani ◽  
Ali Ateia Elmabsout ◽  
Abdullah Sheikhi
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Psychological Health ◽  
Weight Loss Maintenance ◽  
Public Hospitals ◽  
Self Control ◽  
Eating Rate ◽  
Related Factors ◽  
Cross Sectional ◽  
Successful Attempt

Background: A cross-sectional study aimed to determine the factors association with repeated weight loss attempts, and weight loss maintenance. Methods: The study was conducted in the main public hospitals in Benghazi, Libya. A total sample of 300 participants who suffered from weight gain or/ obesity and had a history of trying of weight loss. The data were collected by using a questionnaire that include all the factors that may affect the weight loss process such as social, psychological, health, factors related to diet , and daily behavior factors. Results: The majority of participants 78% were found at age group between 15-35 years, 81.7% of them were female and 18.3% were male. More than half of participants 56% had less than four times of weight loss attempts, while 43.6% of them had more than four attempts. The repetition of weight loss attempts was associated with genetic, binge eating, tension, anxiety, negative body image, duration of weight loss maintenance, watching TV or online hours, and eating rate. Around half of participant 55.6% had less than one of successful attempts, while 44.3% had more than one attempts. The factors associated with the successful attempt of weight loss were using weight loss medications, the rate of weight loss, aware food serving, eating breakfast, and exercise. The higher number of attempts of weight lose was associated with higher successful attempt (more than one attempt) P=(0.031). Conclusions: Psychological factors were the most factors affected on repeating weight loss attempts followed by behavior related factors. Practices related to self-control, mental control, stress reduction, and behavior modification should be considered at any weight loss management program. Body weight loss programs need strike follow up by dietician in order to avoid the fluctuations in body weight. Key words: The factors weight loss, weight loss attempts, successful weight loss attempts, weight loss maintenance.

scholarly journals Hair Cortisol Concentration, Weight Loss Maintenance and Body Weight Variability: A Prospective Study Based on Data From the European NoHoW Trial

2021 ◽  
Vol 12 ◽  
Author(s):  
Sofus C. Larsen ◽  
Jake Turicchi ◽  
Gitte L. Christensen ◽  
Charlotte S. Larsen ◽  
Niklas R. Jørgensen ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Body Fat ◽  
Weight Loss Maintenance ◽  
Cortisol Concentration ◽  
Body Fat Percentage ◽  
Hair Cortisol ◽  
Fat Percentage ◽  
Clinical Trial Registration ◽  
Cross Sectional

Several cross-sectional studies have shown hair cortisol concentration to be associated with adiposity, but the relationship between hair cortisol concentration and longitudinal changes in measures of adiposity are largely unknown. We included 786 adults from the NoHoW trial, who had achieved a successful weight loss of ≥5% and had a body mass index of ≥25 kg/m2 prior to losing weight. Hair cortisol concentration (pg/mg hair) was measured at baseline and after 12 months. Body weight and body fat percentage were measured at baseline, 6-month, 12-month and 18-month visits. Participants weighed themselves at home ≥2 weekly using a Wi-Fi scale for the 18-month study duration, from which body weight variability was estimated using linear and non-linear approaches. Regression models were conducted to examine log hair cortisol concentration and change in log hair cortisol concentration as predictors of changes in body weight, change in body fat percentage and body weight variability. After adjustment for lifestyle and demographic factors, no associations between baseline log hair cortisol concentration and outcome measures were observed. Similar results were seen when analysing the association between 12-month concurrent development in log hair cortisol concentration and outcomes. However, an initial 12-month increase in log hair cortisol concentration was associated with a higher subsequent body weight variability between month 12 and 18, based on deviations from a nonlinear trend (β: 0.02% per unit increase in log hair cortisol concentration [95% CI: 0.00, 0.04]; P=0.016). Our data suggest that an association between hair cortisol concentration and subsequent change in body weight or body fat percentage is absent or marginal, but that an increase in hair cortisol concentration during a 12-month weight loss maintenance effort may predict a slightly higher subsequent 6-months body weight variability.Clinical Trial RegistrationISRCTN registry, identifier ISRCTN88405328.

Quality of Life of Healthcare Workers Suffering from Occupational Contact Dermatitis

2021 ◽  
Vol 15 ◽  
Author(s):  
Amira Omrane ◽  
Asma Khedher ◽  
Chayma Harrathi ◽  
Maher Maoua ◽  
Taoufik Khalfallah ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Contact Dermatitis ◽  
Healthcare Workers ◽  
Female Gender ◽  
Public Hospitals ◽  
Healthcare Personnel ◽  
Related Factors ◽  
Cross Sectional ◽  
Occupational Contact Dermatitis

Background: Healthcare workers are at a high risk of developing Occupational Dermatitis (OD). Affected workers often experience severe impairment of their Quality of Life (QoL). This study aimed to assess the skin-related QoL of healthcare workers with OD and to explore its related factors. Methods: A cross-sectional and exhaustive study was conducted among healthcare personnel of four public hospitals in the central region of Tunisia. All the cases of OD declared were included. Skin-related QoL was assessed using the validated Tunisian version of the “Dermatology Life Quality Index” (DLQI). Some related patents were discussed. Results: A total of 37 cases of OD were collected with an annual incidence of 4.2 cases per 10000 workers. The population was predominantly female (73%) and mean aged 44.7±9.4 years. Nurses were the most represented occupational category (38%). Allergic contact dermatitis was the most frequent diagnosis (96%). Use of gloves was the most frequently reported occupational hazard (86%). The most frequently affected sites were hands (97%). The median score of DLQI was five. Multivariate analysis showed an association between the impairment of skin-related QoL and female gender (p = 0.04; OR = 19.3,84), exposure to disinfecting chemicals in the workplace (p = 0.01; OR = 17,306) and the absence of occupational reclassification (p = 0.01; OR = 21,567). Conclusion: About one third of the population had an impaired quality of life. The score impairment was significantly related to female gender, exposure to disinfecting chemicals and the absence of occupational reclassification.

scholarly journals Breakfast consumption and weight-loss maintenance: results from the MedWeight study

2016 ◽  
Vol 115 (12) ◽  
pp. 2246-2251 ◽  
Author(s):  
Dora Brikou ◽  
Dimitra Zannidi ◽  
Eleni Karfopoulou ◽  
Costas A. Anastasiou ◽  
Mary Yannakoulia
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Dietary Intake ◽  
Eating Behaviour ◽  
Weight Loss Maintenance ◽  
Precise Definition ◽  
Confounding Factors ◽  
Initial Body Weight ◽  
Breakfast Consumption ◽  
At Home

AbstractDaily breakfast consumption is a common eating behaviour among people who have maintained their weight loss after weight-loss management. However, there is not a precise definition for breakfast in the literature. The purpose of this study was to investigate potential associations between breakfast consumption (based on several definitions) and weight-loss maintenance, as well as to explore differences in breakfast quality between individuals who managed to maintain part of the weight loss and in those who regained weight loss. The study sample consisted of 354 participants of the MedWeight study (age: 32 (sd 10) years, 61 % women) who had lost ≥10 % of their initial body weight and either maintained the loss for ≥1 year (maintainers, n 257) or regained weight loss (regainers, n 97). Participants completed online questionnaires and reported their dietary intake through two telephone 24-h recalls. Breakfast consumption was evaluated using twelve different definitions. The analysis indicated that breakfast consumption was associated with weight-loss maintenance only in men, when using self-reported breakfast consumption or the following breakfast definitions: (1) the first eating episode consumed at home and (2) the first eating episode consumed at home excluding caffeinated drinks. This association remained statistically significant even after adjustment for potential confounding factors. Thus, breakfast, the first eating episode of the day, when consumed at home, may be protective against weight regaining.

scholarly journals EVALUATING TREATMENT-SEEKING BEHAVIOR AND THE RELATED FACTORS AMONG THE DWELLERS OF SAFASHAHR CITY

2016 ◽  
Vol 10 (1) ◽  
pp. 144
Author(s):  
Sarehrashidi . ◽  
Abbas Yazdanpanah ◽  
Parvizaghayiibarzabad .
Keyword(s):  
Family Physician ◽  
Health Resources ◽  
Public Hospitals ◽  
Treatment Seeking ◽  
Self Medication ◽  
Related Factors ◽  
Cross Sectional ◽  
Seeking Behavior ◽  
Spearman Test ◽  
The Relationship

ABSTRACTObjective: The present study aims to recognize and evaluate treatment-seeking behavior and the related factors among the dwellers of Safashahr city.Methods: The current applied research is cross-sectional with a population size of 380 and executed in a systematic random sampling among thedwellers of Safashahr city and the villages governed by it. SPSS version 22 has been utilized for analyzing the data in this study. T-test, Chi-squarevariance analysis, Pearson test, and Spearman test have been used to evaluate the significance and the relationship between the understudy variableswith the treatment-seeking variables.Results: 75% of participants in the study have reported being diagnosed with illness in the past 6 months. Visiting family physician was rankedhighest with an average 3.36 followed by public hospitals with an average of 3.05. However, they chose to go to clinic centers with an average of2.1. Self-medication has been reported for an average of 2.6% and 88.2% of the participants in this study have preferred to ignore the medium andless than medium treatment. In this study, a significant relationship has been found between age, number of family members, living location, salary,habitation status, and type of insurance with at least one of the search-for-treatment (p<0.05).Conclusion: Taking into account the findings of the research, lifting the society’s awareness about the consequences of self-medication and ignorancetoward treatment, continuing and executing the urban family physician in other areas, implementation of measures for limiting access to unprescribedmedications, increasing satisfaction, and trust toward public sector and provision and allocation of health resources across cities are recommended asappropriate solutions to improving the pattern of using health services.Keywords: Treatment seeking behavior, Self-medication.

scholarly journals ASSESSMENT OF PROFESSIONALISM IN NURSING AND FACTORS ASSOCIATED AMONG NURSES WORKING IN ARSI ZONE PUBLIC HOSPITALS, OROMIA, ETHIOPIA

2020 ◽  
Author(s):  
Mulugeta Degefa Tola ◽  
Yibeltal Siaraneh Beleta ◽  
Fikru Tafese Jaleta
Keyword(s):  
Job Satisfaction ◽  
Formal Education ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
P Value ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Body Of Knowledge ◽  
Arsi Zone

Abstract Background: Professionals are defined in the context of a particular body of knowledge which is obtained through formal education, expanded level of skills, type of certification proving their entry into the profession; a set of behavioral norms called professionalism and attitudes representing high levels of commitment to and identification with a specific profession. Several factor affecting the development of the nursing profession. Recognizing and determining such factors can be the first step to move towards the professionalization of nursing. The objective of this study was to assess professionalism in nursing and factors associated among nurses working in Arsi zone, Public Hospitals, Oromia, Ethiopia 2018. Methods: This study used an Institutional based cross sectional study design. Self-administered structured questionnaire adapted from RNAO (Registered Nurses association of Ontario) guideline, was used to measure the level of professionalism. The sample was 420 nurses from the six Public Hospitals of Arsi Zone, Oromia, Ethiopia. Data was analyzed using SPSS 20.0. Both bivariate and multivariate analysis were carried out to identify associations. Odds ratio was calculated for related factors with 95% confidence interval (CI). A p-value < 0.05 was considered to be statistically significant. Result: Out of 420 Nurses working in six public Hospitals, 380 responded to the questionnaire, making the response rate of 90.5%. In current study level of professionalism was high among nurses (n=380) with highest percentages on accountability, advocacy, and ethics. Gender (AOR =2.489, 95% CI=1.540-4.023), nursing is indispensable (AOR=1.760, 95% CI=1.104-2.806), job satisfaction (AOR= 1.844, 95% CI = 1.143-2.975) and having up to dated training (AOR= 1.809, 95%CI=1.071-3.055 were significantly associated with overall professionalism level. Conclusion: Nurses working in public hospitals of Arsi zone have relatively had better professionalism level. Gender, nursing is indispensable, job satisfaction, presence of up-to-dated trainings were found significantly associated with professionalism in nursing. Human resource personnel and CEOs of respective hospitals should develop various training programs for nurses and provide encouraging environments for obtaining better qualities in attributes of professionalism. Keywords Attributes of professionalism, Nursing, Professionalism, associated factors

scholarly journals Body weight loss and associated factors among adults People living with HIV/AIDS on antiretroviral therapy in Shashemane referral Hospital, Oromia national regional state, Ethiopia: A facility based cross sectional Study

2020 ◽  
Author(s):  
Dedefo Bati Bedassa ◽  
Tsegaye Demissie Gamebo ◽  
Dereje Yohannes Teferi
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Body Weight Loss ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Under Nutrition ◽  
Living With Hiv ◽  
Hiv Aids

Abstract Background: HIV/AIDS and under nutrition commonly manifested as body weight loss are both highly prevalent in many parts of the world. Their effects are interrelated and act in a vicious cycle. Both HIV and under nutrition can independently cause progressive damage to the immune system and increased susceptibility to infection. Ethiopia is one of the countries affected by both epidemics, despite, study done on acute under nutrition among HIV/AIDS adults in particular were found inadequate. Thus the main aim of this study is to assess the magnitude of acute under nutrition (weight loss within 3 months) and associated factors among people living with HIV/AIDS adults on ART in Shashemane referral Hospital. Methods: Facility based cross-sectional study conducted in shashemane referral Hospital Oromia region, Ethiopia from August 3 to September 4.2016. Systematic random sampling technique employed and 402 study participants were included. Data was collected by interview patients using pre-tested structured questionnaire, review of patients register, weight and height measurements were taken. The data were entered into Epi Info version 3.5.1 and analyzed using version 20 SPSS statistical package and percentages of body weight loss were calculated. Logistic regression analyses were carried out to identify factors associated with body weight loss of > 5% within three months. Strength of association determined using P< 0.05 and odd ratio (95% CI). Result: The magnitude body weight loss > 5% were 15.9% (95% CI; 12.4-19.7). Low CD4 level of less than 200mm3/ml (AOR=8.41,95% CI:3.46-20.44), inability to consume high protein diets like meat, egg & fish per week (AOR=2.97, 95% CI;1.39-6.35), low meal frequency of 2 or less per day (AOR=3.09,95% CI: 1.25-7.68) and low average income of 1000 birr per month (AOR=9.07,95% CI: 3.71-22.14) were significantly associated with Body weight loss of > 5% within 3 months with P<0.05. Conclusion: Body weight loss >5% within 3 months(acute under nutrition) is still a problem in people living with HIV/AIDS adults on ART, specifically among advanced immune compromised, low income, consumes less meal frequently per day and fewer or no consumption of animal product.

scholarly journals Weekly, seasonal and holiday body weight fluctuation patterns among individuals engaged in a European multi-centre behavioural weight loss maintenance intervention

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0232152 ◽  
Author(s):  
Jake Turicchi ◽  
Ruairi O’Driscoll ◽  
Graham Horgan ◽  
Cristiana Duarte ◽  
Antonio L. Palmeira ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Weight Loss Maintenance ◽  
Weight Fluctuation ◽  
Maintenance Intervention

scholarly journals Effects of a Low-Carbohydrate Diet on Cardiometabolic Risk Factors During Weight-Loss Maintenance: A Randomized Controlled Feeding Trial

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 625-625
Author(s):  
Cara Ebbeling ◽  
Amy Knapp ◽  
Ann Johnson ◽  
Julia Wong ◽  
Kimberly Greco ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Total Energy ◽  
Repeated Measures ◽  
Plasma Lipids ◽  
Saturated Fat ◽  
Weight Loss Maintenance ◽  
Lipoprotein Subfractions ◽  
Low Carbohydrate Diet ◽  
The Metabolic Syndrome

Abstract Objectives To compare effects of diets varying in carbohydrate (carb) and fat on plasma lipids and lipoprotein subfractions. Methods Participants (N = 164, 70% female, 18–65 y, BMI ≥ 25 kg/m2) achieved 10–14% weight loss on a run-in diet and then were randomized to 3 test diets for 20 weeks of weight-loss maintenance. Percentages of total energy from carb-fat-protein for high-, moderate-, and low-carb diets were 60-20-20 (HI), 40-40-20 (MOD), and 20–60-20 (LO). Relative amounts of added sugar (15% total carb) and saturated fat (35% total fat) were fixed across diets. Plasma was collected at START (post-weight loss) and END of trial. The primary outcome for this ancillary study was lipoprotein insulin resistance (LPIR) – a 6-component weighted score of triglyceride-rich, high-density, and low-density lipoprotein particle (TRL-P, HDL-P, LDL-P) sizes and subfraction concentrations (large/very large TRL-P, large HDL-P, small LDL-P) (NMR spectroscopy, LabCorp). Other outcomes included large LDL-P concentration, triglycerides (TG), and cholesterol (HDL-C, LDL-C). Means (±SE) and END–START changes (mean [95% CI]) were constructed and compared from repeated measures ANOVA. Results Retention was 90% and 147 participants provided evaluable data, with no difference in body weight by diet after randomization. LPIR was 32.6 ± 1.5 at START. Change in LPIR differed by diet (P = 0.009): LO (−5.3 [−9.2, −1.5]), MOD (−0.02 [−4.1, 4.1]), HI (3.6 [−0.6, 7.7]). Diet effects favoring LO compared to HI were observed for large/very large TRL-P (P = 0.005), large HDL-P (P = 0.045), TG (P = 0.006), and HDL-C (P = 0.04). There were no mean differences between diets for particle sizes, LDL-P subfraction concentrations, and LDL-C (START: 79.3 ± 1.8 mg/dL; END–START: HI, 8.2 [4.2, 12.2]; MOD, 11.7 [7.8, 15.7]; LO, 10.0 [6.3, 13.7]). Conclusions With 3-fold higher saturated fat content (21% vs 7% total energy), a low- vs high-carb diet improved LPIR, a biomarker of diabetes risk, and several other components of the metabolic syndrome, with no adverse effects on LDL-P or LDL-C. These results from a large feeding study suggest that carb restriction may help prevent cardiometabolic disease independent of body weight. Funding Sources Nutrition Science Initiative (gifts from Arnold Ventures and Robert Lloyd Corkin Charitable Foundation), New Balance Foundation, Many Voices Foundation, Blue Cross Blue Shield.

scholarly journals Impact of Successful Weight Loss Maintenance on Serum Lipids and Glucose Concentrations of Previous Participants of a Weight Loss Programme in Accra, Ghana

2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Sandra Ayisi Addo ◽  
Christiana Nti ◽  
Frederick Vuvor ◽  
Jonathan Adjimani ◽  
Matilda Steiner-Asiedu
Keyword(s):  
Weight Loss ◽  
Serum Lipid ◽  
Fasting Blood Glucose ◽  
Density Lipoprotein ◽  
Weight Loss Maintenance ◽  
Dietary Behaviour ◽  
Cross Sectional ◽  
Weight Loss Programme ◽  
Successful Weight Loss

Background and Aim. There is a need to investigate the long-term impact of successful weight loss maintenance on blood lipids and glucose concentrations in populations within Africa, where obesity and cardiovascular disease (CVD) rates are increasingly becoming a public health threat. The aim of this study was to compare the serum lipid and glucose concentrations of successful and unsuccessful weight loss maintainers who previously participated in the Nutriline Weight Loss Programme (NWLP) in Accra, Ghana. Methods. 112 participants were randomly selected to participate in this cross-sectional study. Baseline and end of weight loss programme anthropometric and programmatic data were accessed via the NWLP archival database. On follow-up, anthropometric data, physical activity, dietary behaviour, serum lipid, and glucose indices were taken. Successful weight loss maintainers (SWLM) were defined as those achieving at least 5% weight loss below the baseline weight at follow-up, otherwise unsuccessful (UWLM). Results. The adjusted serum total cholesterol (TC) concentration was significantly lower for SWLM (5.17 ± 0.99 mmol/L) compared to UWLM (5.59 ± 1.06 mmol/L). Serum low-density lipoprotein (LDL), high-density lipoprotein (HDL), fasting blood glucose (FBG), and glycosylated haemoglobin (HbA1c) concentrations for SWLM versus UWLM did not differ significantly and were as follows: 3.58 ± 0.92 mmol/L versus 3.87 ± 0.99 mmol/L, 1.22 ± 0.38 mmol/L versus 1.17 ± 0.32 mmol/L, 4.48 ± 0.72 mmol/L versus 4.73 ± 1.00 mmol/L, and 5.52 ± 0.39% versus 5.59 ± 0.59%, respectively. Triglyceride (TG) concentration was significantly (P<0.001) lower for SWLM (0.79 ± 0.28 mmol/L) compared to UWLM (1.17 ± 0.51 mmol/L). After adjusting for covariates, it was no longer significant. Additionally, there was no significant association between weight loss maintenance success and having a normal status for selected lipids and glucose parameters. Conclusion. SWLM had a significantly lower serum TC compared to UWLM. In addition, a greater proportion of SWLM had normal values for TC, TG, HbA1c, and LDL out of the six parameters measured although not statistically significant.

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