scholarly journals Impact of a Multidisciplinary Lifestyle Intervention on Weight Reduction in Overweight and Obese Adolescents- A Longitudinal Study

2021 ◽  
Author(s):  
Arivoli Kaliyan ◽  
Venkatesh Singa Kumaran ◽  
Sudhakar Prasanna ◽  
Narayanan Ethirajan ◽  
Reji Manjunath ◽  
...  
Keyword(s):  
Physical Activity ◽  
Longitudinal Study ◽  
Lifestyle Intervention ◽  
Weight Reduction ◽  
Intervention Program ◽  
Lifestyle Changes ◽  
School Based ◽  
Younger Age ◽  
Life Style Changes ◽  
Before And After

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.

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 ◽  
...  
Keyword(s):  
Physical Activity ◽  
Lifestyle Intervention ◽  
Lifestyle Modification ◽  
Comprehensive Evaluation ◽  
Lifestyle Changes ◽  
Healthy Nutrition ◽  
Lifestyle Program ◽  
Metabolic States ◽  
Before And After ◽  
Motivation For Change

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.

scholarly journals Development of a Lifestyle Intervention Program to Support Preconception, Pregnant and Postnatal Women Who are Overweight or Obese: A Qualitative Study

2021 ◽  
Author(s):  
Chee Wai Ku ◽  
Shu Hui Leow ◽  
Lay See Ong ◽  
Christina Erwin ◽  
Isabella Ong ◽  
...  
Keyword(s):  
Lifestyle Intervention ◽  
Goal Setting ◽  
Intervention Program ◽  
Maternal Obesity ◽  
Healthy Lifestyle ◽  
Target Population ◽  
Lifestyle Changes ◽  
Lifestyle Behaviors ◽  
Obese Women ◽  
The Impact

Abstract Background: Poor lifestyle behaviors, including unhealthy diet and physical inactivity, contribute to the global obesity pandemic and result in long-term adverse health effects on mothers and their children. The time period before, during and after pregnancy represents a unique opportunity for interventions to cultivate sustained healthy lifestyle behaviors. Since the success of a lifestyle intervention is heavily dependent on uptake and continued compliance, the intervention components should be acceptable, sustainable, and tailored to the concerns and needs of the target population. This study aims to identify enablers and barriers towards engagement with a lifestyle intervention for improving the metabolic health of prospective mothers and their offspring, among a sample of the target population.Methods: In-depth interviews were conducted with 15 overweight or obese women in the preconception, pregnancy or postpartum periods. Interviews were transcribed verbatim and thematic analysis was undertaken using NVivo. Factors influencing adoption of a novel lifestyle intervention were systematically charted using the integrated–Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, that comprises Recipient, Context, Innovation and Facilitation constructs.Results: Ten enablers and barriers were identified. Barrier factors within the Recipient construct include time constraints as participants juggled multiple roles, and poor baseline knowledge about healthy behaviors and the impact of maternal obesity on maternal and offspring health. Within Context, a family culture of communal meals, convenient access to unhealthy foods in the environment, as well as lack of relevant data sources, were barriers to dietary change. Recipient motivation to be healthy for themselves and their offspring is an enabler, along with family and social support within the Context construct. In the Innovation construct, a holistic delivery platform providing desired information delivered at appropriate times increases engagement. Lastly, in Facilitation, regular feedback, goal setting and nudges would ensure continued engagement and sustainability of lifestyle changes.Conclusions: The features of a successful lifestyle intervention targeting overweight and obese women include (i) a holistic life-course approach to provide education and guidance, (ii) using mobile health platforms to reduce barriers, provide personalized feedback and promote goal-setting, and (iii) health nudges to cultivate sustained lifestyle habits.

scholarly journals The Smart Life Stay (SLS) program: effects of a lifestyle intervention program in combination with health tourism and health guidance for type 2 diabetes

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Madoka Matsushita ◽  
Akiko Muramoto ◽  
Eri Nomura ◽  
Yukari Eguchi ◽  
Ayako Kato ◽  
...  
Keyword(s):  
Glucose Metabolism ◽  
Lifestyle Intervention ◽  
Intervention Program ◽  
Lifestyle Changes ◽  
Control Group ◽  
Health Examination ◽  
Inclusion Criteria ◽  
Health Tourism ◽  
Lifestyle Intervention Program ◽  
Health Guidance

Abstract Background The aim of this study was to determine the effectiveness of the Smart Life Stay (SLS) program, which is an experience-oriented stayover program, in combination with health tourism and mandatory health guidance on glucose metabolism after 2 years. Methods The participants of the SLS program (n = 792) were recruited from a database of 23 medical insurers. They underwent a mandatory health examination termed Specific Health Checkups in 2014. The participants were included if they had diabetes or were at a high risk of diabetes and if they satisfied the following inclusion criteria: (1) body mass index (BMI; kg/m2) > 25, or (2) waist circumference (WC; cm) > 85 for men and > 90 for women, or (3) hemoglobin A1c (HbA1c; %) > 5.6, or (4) fasting plasma glucose (FPG; mg/dl) > 100. Individuals who corresponded to one or more items were included as study participants. The control subjects (n = 3645) were nonparticipants of the program who were selected from the database and met the inclusion criteria. The lifestyle changes and changes in mean BMI, WC, FPG, and HbA1c in both groups from baseline to 2-year follow-up were compared by inverse probability weighting of a propensity score. Results The percentage of people who exercised regularly increased significantly in the SLS group compared with the control group. In the SLS group, BW, BMI, and WC significantly decreased by 1.75 kg, 0.60 kg/m2, and 1.45 cm, respectively, whereas in the control group, WC, FPG, and HbA1c increased significantly by 0.38 cm, 3.37 mg/dl, and 0.12%, respectively. The comparison between groups revealed that the BW, BMI, WC, FPG, and HbA1c improved significantly in the SLS group. Conclusions The SLS program is suggested to help improve glucose metabolism. This program could be a feasible option as a lifestyle intervention program for diabetes.

Markers of metabolic syndrome in obese children before and after 1-year lifestyle intervention program

2010 ◽  
Vol 50 (6) ◽  
pp. 391-400 ◽  
Author(s):  
C. Pedrosa ◽  
B. M. P. M. Oliveira ◽  
I. Albuquerque ◽  
C. Simões-Pereira ◽  
M. D. Vaz-de-Almeida ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Lifestyle Intervention ◽  
Intervention Program ◽  
Obese Children ◽  
Before And After ◽  
Lifestyle Intervention Program

scholarly journals Effects of a daily school based physical activity intervention program on muscle development in prepubertal girls

2008 ◽  
Vol 105 (4) ◽  
pp. 533-541 ◽  
Author(s):  
Susanna Stenevi-Lundgren ◽  
Robin M. Daly ◽  
Christian Lindén ◽  
Per Gärdsell ◽  
Magnus K. Karlsson
Keyword(s):  
Physical Activity ◽  
Intervention Program ◽  
Muscle Development ◽  
Physical Activity Intervention ◽  
School Based ◽  
Prepubertal Girls

scholarly journals Nível de atividade física e excesso de peso em adolescentes: estudo longitudinal de base escolar / Physical activity level and overweight in teens: school based longitudinal study

2021 ◽  
Vol 7 (6) ◽  
pp. 58506-58516
Author(s):  
Rafael José Fernandes Ravagnani ◽  
Sergio Luiz Carlos Dos Santos ◽  
Rodrigo Garcia Fiorillo ◽  
Ana Paula Rodrigues Brischiliari ◽  
Guilherme dos Santos Amadeu ◽  
...  
Keyword(s):  
Physical Activity ◽  
Longitudinal Study ◽  
Physical Activity Level ◽  
Activity Level ◽  
School Based

Use of a mobile lifestyle intervention application as a waitlist intervention for adolescents with obesity: single arm feasibility study (Preprint)

2020 ◽  
Author(s):  
Chu Shan Elaine Chew ◽  
Eric Andrew Finkelstein ◽  
Courtney Davis
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Lifestyle Intervention ◽  
Intervention Program ◽  
Clinical Care ◽  
Mobile App ◽  
Z Score ◽  
Fat Percentage ◽  
Lifestyle Intervention Program

BACKGROUND Use of a mobile health tool as a waitlist intervention combined with in-person weight management clinic visits may increase participant engagement and be an effective treatment strategy for adolescent obesity. OBJECTIVE The aim of this study was to assess the effectiveness of and adolescent engagement with a mobile application-based lifestyle intervention program as a waitlist intervention prior to their engagement with a multidisciplinary weight management clinic METHODS This single-arm feasibility study recruited adolescents with obesity, aged 10-16 year old, to a waitlist intervention using a mobile app-based lifestyle intervention program with routine clinical care. Primary outcomes were adolescents’ engagement with the mobile application and BMI z-score at 6 months. Secondary outcomes included health behaviours, physical activity levels , quality of life and disordered eating behaviours. RESULTS We enrolled 40 adolescents with mean age of 13.8 ± 1.7 years and BMI z-score of 2.07 ± 0.30. Participants were ethnically diverse with 45% Chinese, 33% Malay, 15% Indians and 10% of other ethnicity. 83% of the participants had a household income level that was below the national median levels. 83% of the participants engaged with the mobile app-based lifestyle intervention program. There was no significant differences in the BMI z-score and disordered eating behaviours of the participants at 6 months. Participants had significant improvement in quality of life (P=0.044) and physical activity level (P=0.026) with reduction of total caloric intake (P=0.018) and fat percentage (P=0.018) at 6 months. CONCLUSIONS Use of a mobile app-based lifestyle intervention program combined with multidisciplinary clinical care is feasible strategy to provide obesity management services to a low-income and racially diverse Asian population and improves quality of life, physical activity levels and reduces fat percentage and total caloric intake. CLINICALTRIAL ClinicalTrials.gov NCT03561597

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