Effects of Multidisciplinary Lifestyle Modification Program on Health-promoting Behavior, Psychological Distress, Body Composition and Reproductive Symptoms among Overweight and Obese Middle-aged Women

Ju-Hee Nho; Eun Suk Hwang

doi:10.7475/kjan.2019.31.6.663

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Nho and Hwang: Effects of Multidisciplinary Lifestyle Modification Program on Health-promoting Behavior, Psychological Distress, Body Composition and Reproductive Symptoms among Overweight and Obese Middle-aged Women

Original Article

Korean Journal of Adult Nursing 2019; 31(6): 663-676.

Published online: 20 December 2019

DOI: https://doi.org/10.7475/kjan.2019.31.6.663

Effects of Multidisciplinary Lifestyle Modification Program on Health-promoting Behavior, Psychological Distress, Body Composition and Reproductive Symptoms among Overweight and Obese Middle-aged Women

Ju-Hee Nho¹

, Eun Suk Hwang²

¹Associate Professor, College of Nursing, Jeonbuk National University, Jeonju, Korea.

²Assistant Professor, Kunsan College of Nursing, Gunsan, Korea.

Corresponding author: Nho, Ju-Hee. College of Nursing, Jeonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju 54899, Korea. Tel: +82-63-270-3108, Fax: +82-63-270-3127, jhnho@jbnu.ac.kr

Received 28 October 2019 Revised 20 November 2019 Accepted 1 December 2019

Korean Society of Adult Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study aimed to examine the effect of multidisciplinary lifestyle modification program in overweight or obese middle-aged women.

Methods

This study was conducted from January 2 to June 5, 2018 at Jeonju city in South Korea. A non-equivalent control group quasi-experimental design was used. A total of 46 women were assigned to the experiment group (n=22) or the control group (n=24). The multidisciplinary lifestyle modification program for this study consisted of physical activity, nutritional management, stress management, health counseling, lifestyle monitoring, and affective support based on King's goal attainment theory, which was implemented for eight weeks.

Results

Significant group differences were found in health- promoting behavior (p<.001), depression (p<.001), anxiety (p=.018), stress (p=.001), weight loss (p=.002) and reproductive symptoms (p=.020) among over-weight and obese middle-aged women.

Conclusion

Multidisciplinary lifestyle modification program is effective in improving health-promoting behavior, depression, anxiety, stress, weight loss and reproductive symptoms. Therefore, healthcare providers should develop strategies to expand and provide multidisciplinary lifestyle modification program through interaction and transaction for overweight or obese middle-aged women.

Keywords: Overweight, Obesity, Middle aged, Life style, Programs

Figures and Tables

Figure 1

Conceptual framework.

Figure 2

Flow chart of the enrollment of the participants.

Table 1

Contents of the Multidisciplinary Lifestyle Modification Program

Table 2

Homogeneity of Baseline Characteristics (N=46)

BW=body weight; BMI=body bass index; HDL=high density lipoprotein; LDL=low density lipoprotein; TG=triglyceride; Exp.=experimental group; Cont.=control group; SD=standard deviation; ^†Mann-Whitney test.

Table 3

Effectiveness of Lifestyle Intervention (N=46)

BW=body weight; BMI=body bass index; HDL=high density lipoprotein; LDL=low density lipoprotein; TG=triglyceride; Exp=experimental group; Cont.=control group; ES=effect size; SD=standard deviation; ^†ANCOVA; ^‡Mann-Whitney test.

ACKNOWLEDGEMENT

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP) (No. NRF-2016R1C1B1008627).

Notes

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

^AUTHORSHIP

Study conception and design acquisition - NJ-H;
Data collection - NJ-H and HES;
Analysis and interpretation of the data - NJ-H and HES;
Drafting and critical revision of the manuscript - NJ-H.

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ORCID iDs

Ju-Hee Nho
https://orcid.org/0000-0002-5260-5605

Eun Suk Hwang
https://orcid.org/0000-0003-3428-8412

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