بررسی اثر بخشی تلفیق آموزش خوردن آگاهانه و مدل قصد تحقق رفتار بر، شاخص توده بدن، دور کمر، خوردن ذهن آگاهانه و فعالیت بدنی زنان مبتلا به چاقی
10 Mar 2021-Health Education and Health Promotion (فصلنامه آموزش بهداشت و ارتقاء سلامت ایران)-Vol. 9, Iss: 1, pp 94-109
TL;DR: In this paper, the authors evaluated the effectiveness of integration of eating awareness training and implementation intention model on body mass index, waist circumference, mindfulness eating, and physical activity in obese women.
Abstract: Background and Objective: Obesity is a metabolic and medical condition in which adipose tissue accumulates too much in the body. The main purpose of current study is �evaluation of effectiveness of integration of eating awareness training and implementation intention model on body mass index, waist circumference, mindfulness eating, and physical activity in obese women.� Materials and Methods: The research method was semi-experimental with pretest, post-test and follow-up test design, and comparing them with a control group. The population of this study were obese women with a BMI higher or equal to 25 in Karaj in 1398. Forty-one subjects were randomly divided into two experimental and control groups according to the inclusion criteria and targeted sampling. Weight with digital scales, waist with meter tape, mindful eating questionnaire and physical activity with checklist, were assessed. MBEAT was held during 12 sessions of 150 minutes each session and with the implementation intention model, daily planning for physical activity was done. Data were analyzed by mixed analysis, Shapiro-Wilk, Loon, Mohali sphericity, with significance level of P<0/001. Finally, 35 people were analyzed. Results: The results showed that the integration of implementation intention and mindfulness-based eating awareness training reduces the mean BMI in the post-test (71.57± 0.6) and follow-up (69.78 ± 0.97) compared to the pre-test (77.00 ± 1.05) and eat mindfulness eating in the post-test (53.52 ± 0.80) and follow up (53.21 ± 0.67) and increase the average physical activity in the post-test (24.06 ± 2.84) and follow up (23.65 ± 2.52) compared to the pre-test (28.91 ± 3.18) .(P=0.001). Conclusion: The result of integration of MBEAT and implementation intention model was to increase people's ability to self-regulate and be aware of the body sensations and emotional symptoms of eating and doing physical activity on a daily basis, which eventually led to weight loss. © 2021 Iranian Journal of Health Education and Health Promotion. All rights reserved.
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TL;DR: Ajzen, 1985, 1987, this article reviewed the theory of planned behavior and some unresolved issues and concluded that the theory is well supported by empirical evidence and that intention to perform behaviors of different kinds can be predicted with high accuracy from attitudes toward the behavior, subjective norms, and perceived behavioral control; and these intentions, together with perceptions of behavioral control, account for considerable variance in actual behavior.
65,095 citations
Ashkan Afshin, Mohammad H. Forouzanfar, Marissa B Reitsma, Patrick J Sur +164 more•Institutions (70)
TL;DR: The rapid increase in the prevalence and disease burden of elevated BMI highlights the need for continued focus on surveillance of BMI and identification, implementation, and evaluation of evidence‐based interventions to address this problem.
Abstract: BACKGROUND Although the rising pandemic of obesity has received major attention in many countries, the effects of this attention on trends and the disease burden of obesity remain uncertain. METHOD ...
4,519 citations
TL;DR: Meta-analysis showed that a medium-to-large change in intention leads to a small- to-medium change in behavior, and several conceptual factors, methodological features, and intervention characteristics that moderate intention-behavior consistency were identified.
Abstract: Numerous theories in social and health psychology assume that intentions cause behaviors. However, most tests of the intention- behavior relation involve correlational studies that preclude causal inferences. In order to determine whether changes in behavioral intention engender behavior change, participants should be assigned randomly to a treatment that significantly increases the strength of respective intentions relative to a control condition, and differences in subsequent behavior should be compared. The present research obtained 47 experimental tests of intention-behavior relations that satisfied these criteria. Meta-analysis showed that a medium-to-large change in intention (d = 0.66) leads to a small-to-medium change in behavior (d = 0.36). The review also identified several conceptual factors, methodological features, and intervention characteristics that moderate intention-behavior consistency.
3,109 citations
TL;DR: It is suggested from data that waist circumference values above approximately 100 cm, or abdominal sagittal diameter values > 25 cm are most likely to be associated with potentially "atherogenic" metabolic disturbances.
Abstract: The amount of abdominal visceral adipose tissue measured by computed tomography is a critical correlate of the potentially "atherogenic" metabolic disturbances associated with abdominal obesity. In this study conducted in samples of 81 men and 70 women, data are presented on the anthropometric correlates of abdominal visceral adipose tissue accumulation and related cardiovascular disease risk factors (triglyceride and high-density lipoprotein cholesterol levels, fasting and postglucose insulin and glucose levels). Results indicate that the waist circumference and the abdominal sagittal diameter are better correlates of abdominal visceral adipose tissue accumulation than the commonly used waist-to-hip ratio (WHR). In women, the waist circumference and the abdominal sagittal diameter also appeared more closely related to the metabolic variables than the WHR. When the samples were divided into quintiles of waist circumference, WHR or abdominal sagittal diameter, it was noted that increasing values of waist circumference and abdominal sagittal diameter were more consistently associated with increases in fasting and postglucose insulin levels than increasing values of WHR, especially in women. These findings suggest that the waist circumference or the abdominal sagittal diameter, rather than the WHR, should be used as indexes of abdominal visceral adipose tissue deposition and in the assessment of cardiovascular risk. It is suggested from these data that waist circumference values above approximately 100 cm, or abdominal sagittal diameter values > 25 cm are most likely to be associated with potentially "atherogenic" metabolic disturbances.
2,094 citations
TL;DR: Test the hypothesis that a single measurement, waist circumference, might be used to identify people at health risk both from being overweight and from having a central fat distribution and found it could be used in health promotion programmes to identify individuals who should seek and be offered weight management.
Abstract: Objective : To test the hypothesis that a single measurement, waist circumference, might be used to identify people at health risk both from being overweight and from having a central fat distribution. Design : A community derived random sample of men and women and a second, validation sample. Setting : North Glasgow. Subjects : 904 men and 1014 women (first sample); 86 men and 202 women (validation sample). Main outcome measures : Waist circumference, body mass index, waist:hip ratio. Results : Waist circumference >/=94 cm for men and >/=80 cm for women identified subjects with high body mass index (>/=25 kg/m 2 ) and those with lower body mass index but high waist:hip ratio (>/=0.95 for men, >/=0.80 women) with a sensitivity of >96% and specificity >97.5%. Waist circumference >/=102 cm for men or >/=88 cm for women identified subjects with body mass index >/=30 and those with lower body mass index but high waist:hip ratio with a sensitivity of >96% and specificity >98%, with only about 2% of the sample being misclassified. Conclusions : Waist circumference could be used in health promotion programmes to identify individuals who should seek and be offered weight management. Men with waist circumference >/=94 cm and women with waist circumference >/=80 cm should gain no further weight; men with waist circumference >/=102 cm and women with waist circumference >/=88 cm should reduce their weight.
1,792 citations