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1
Hooper, Margaret Berrey. "Selection of an Evidence-Based Pediatric Weight Management Program for the Dan River Region." Thesis, Virginia Tech, 2014. http://hdl.handle.net/10919/47969.
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Background: Efficacious pediatric weight management (PWM) programs have existed for over two decades, but there is limited evidence that these programs have been translated into regular practice. There is even less evidence that they have reached communities experiencing health disparities where access to care is limited. The purpose of this project was to use a community-engaged approach to select an evidence-based PWM program that could be delivered with the available resources in a community that is experiencing health disparities.
Methods: The project was developed by the Partnership for Obesity Planning and Sustainability Community Advisory Board (POPS-CAB) in the Dan River Region of southwest Virginia. The POPS-CAB included representatives from a local pediatric health care center, the Danville/Pittsylvania Health Department, Danville Parks and Recreation, the Boys and Girls Club, and the Fralin Center for Translational Obesity Research (n=15). Three PWM programs were identified that met the criteria of demonstrating short and longer-term efficacy, across multiple studies and diverse populations, in reducing childhood obesity for children between the ages of 8 to 12 years across multiple studies. The programs included the Traffic Light Diet, Bright Bodies, and Golan and colleagues' Home Environmental Change Model. All three programs included a high frequency of in-person sessions delivered over a 6-month period, but one included an adapted version that delivered the content via interactive technology and could be delivered with far fewer resources (Family Connections adapted from the Home Environmental Change Model). A mixed-methods approach was used to determine program selection. This approach included individual POPS-CAB member rating of each program, followed by small group discussions, a collective quantitative rating, and, once all programs were reviewed a rank ordering of programs across characteristics. Finally, a large group discussion was conducted to come to agreement on the selection of one program for future local adaptation and implementation. All small and large group discussions were audio recorded and transcribed verbatim to identify themes that influenced the program selection decision. The quantitative results were averaged across individuals and across the groups. Qualitative results were reduced to meaning units, and then grouped into categories, and lastly, themes.
Results: Individual ratings across Bright Bodies, Family Connections, and Traffic Light were 3.9 (0.3), 3.6 (0.5), and 3.4 (0.4), respectively. The ratings differed slightly between community and academic partners demonstrated by a higher rating for Bright Bodies by community members and a higher rating for Family Connections by academic members. After small group discussions the average group ratings across the programs was 3.8 (0.4) for Bright Bodies, 3.5 (0.6) for Family Connections, and 3.4 (0.6) for Traffic Light. Finally, the rank order of programs for potential implementation was Bright Bodies, Family Connections, and Traffic Light. Qualitative information for each program was broken down into four main themes of discussion, (1) the importance for the chosen program to have a balance of nutrition and physical activity, (2) negative perceptions of calorie counting, (3) a desire to target both the parent and the child, as well as (4) the need for practicality and usability the target settings. During the final large group discussion, the above themes suggest that the primary reasons that Bright Bodies was selected included the availability of nutrition information, structured physical activity sessions, presence of a usable workbook, as well as the balance of parent and child involvement.
Conclusion: Key considerations in program selection were related more to the program content, delivery channel, and available resources for replication rather than simply selecting a program that was less resource intensive.Master of Science
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Gajaria, Asha. "Alignment of Patient and Provider Views in Health Care Intervention Programs: A Study of the Centre for Healthy Active Living at the Children’s Hospital of Eastern Ontario." Thèse, Université d'Ottawa / University of Ottawa, 2014. http://hdl.handle.net/10393/30386.
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This research study focuses on examining the views of patients, their families, and staff member providers of the Centre for Healthy Active Living a clinical obesity management program for children and youth at the Children’s Hospital of Eastern Ontario, in Ottawa, Canada. Qualitative methodology was used and content analysis was conducted with data obtained from family questionnaires and a provider focus group. Analysis of obtained data was conducted to determine alignment of views between patient, family, and provider views, and the formal goals of the program. Emerging themes from the data indicated that patients and families place higher value on the formal goals of “improve quality of life; improve eating behaviours; improving fitness, increasing activity levels; and empower/strengthen families.” (Children’s Hospital of Eastern Ontario, 2012). Specific recommendations with regards to each component of these goals were provided. Instrumental, procedural, systemic, and conceptual recommendations of program components were also provided.
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Taibi, Paula D. Wallace Leigh E. "Assessing fitness and nutrition programs in the Marine Corps a qualitative analysis of perceptions of effectiveness /." Monterey, California : Naval Postgraduate School, 2009. http://edocs.nps.edu/npspubs/scholarly/theses/2009/Dec/09Dec%5FTaibi.pdf.
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Thesis (M.S. in Management)--Naval Postgraduate School, December 2009.Thesis Advisor: King, Cynthia L. Second Reader: Gates, William R. "December 2009." Description based on title screen as viewed on April 12, 2010. Author(s) subject terms: USMC, Marine Corps, weight issues, overweight, weight loss, obesity, nutrition, fitness, education, retention, athletes. Includes bibliographical references (p. 119-121). Also available in print.
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Celaya, Melisa P., and Melisa P. Celaya. "Evaluation of a Medically Supervised, Multidisciplinary Obesity Management Program on Community Hospital Staff." Diss., The University of Arizona, 2018. http://hdl.handle.net/10150/626746.
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Obesity is presently one of the leading preventable causes of mortality and is an increasing issue that affects the workplace. This pilot study investigates the effects of a multidisciplinary obesity management program on employees within a community hospital setting. The purpose of this study is to assess the outcome factors of the intervention and to detect an association between the participants’ biological factors, psychological status, eating behaviors, and lifestyle components to that of their current body weight status.
Methods.
An evaluation of a tailored obesity management program was conducted in a corporate setting with employees of a large community hospital. The evaluation sought to determine if this program could be efficiently and effectively implemented in this corporate setting. This program also allowed an exploration of those sociological, biological, and behavioral factors that were associated with weight loss. An employee health outcomes assessment visit was used to identify, recruit and enroll overweight employees into a quasi-experimental study designed to evaluate potential impacts of a tailored weight management program. The 6-month intervention included medical assessments, nutritional coaching, activity counseling, and behavioral therapy. The following specific aims were proposed for this dissertation research: Specific Aim 1 sought to evaluate the effectiveness of the multidisciplinary weight loss program to change a series of modifiable health risk factors, body composition, clinical indicators, and biological markers from baseline to 6 months for overweight participants. Specific Aim 2 evaluated factors associated with achieving weight loss and patterns of attrition from the program. Weight and lifestyle factors included onset of obesity, family history, weight loss history, weight loss goals, self-perceptions, physical activity factors, and eating habits/patterns. Within Specific Aim 3, we determined if body composition measurements [body mass index (BMI), weight, basal metabolic rate, fat mass, percent fat, fat free mass, and total body water] correlated with standing or supine measurements of waist, hip, or thigh circumferences. We also investigated if there was a significant difference between recording measurements made in both positions. This aim sought to determine if both sets of position measurements needed to be included for subsequent weight management studies.
Results.
Forty-six (46) employees, with a mean age of 48.6 +/- 10.9 years and predominately female (91.3%), consented to participate in the pilot intervention, with 26 participants completing the 6 months (response = 50.9%). Statistically significant changes from baseline were seen at 6 months in the 44 participants that continued in the study after enrollment. In the intent to treat analysis, the participants, regardless of completion status, had a clinically significant (p<.0001) mean percent weight loss of 4.1% and a total weight loss of 9.3 pounds, with a corresponding 5.6% mean weight loss in those participants that completed the program. When analyzing predictors of attrition from the program, models indicated significant associations between overall program attrition and an increase in baseline systolic blood pressure (p=0.02), along with decreased compliance with eating three meals per day (p=0.04). Primary attrition (dropout < 3 months) was statistically associated with an increase in baseline systolic blood pressure (p=0.02) and decreased compliance with eating three meals per day (p=0.01). Secondary attrition (dropout between 3-6 months) was associated with decreased compliance with eating three meals per day (p=0.05) and an increase in weight loss expectations during the intervention (p=0.05). The mean absolute difference between the two techniques (standing vs. supine) was 4.14 inches for waist, hip, and thigh measurements combined. An increase in body mass index was associated with a greater magnitude of discrepancy in the measurement between the two techniques for waist circumference (p=0.02).
Conclusions.
The changes seen following this multidisciplinary intervention were clinically significant and advantageous for the participants. These substantial results suggest that the use of multidisciplinary weight management programs merits further investigation in larger, randomized, controlled trials.
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Mobley, Amy Rossi. "Evaluation of behavioral theory and integrated internet/telephone technologies to support military obesity and weight management programs." College Park, Md. : University of Maryland, 2006. http://hdl.handle.net/1903/3907.
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Thesis (Ph. D.) -- University of Maryland, College Park, 2006.Thesis research directed by: Nutrition. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
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Beauchemin, Antoine T. "How Parents Experience Their Child's Excess Weight: Implications for Weight Management Programs and Mental Health Practitioners." [Kent, Ohio] : Kent State University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=kent1248961211.
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Thesis (M.A.)--Kent State University, 2009.Title from PDF t.p. (viewed Mar. 31, 2010). Advisor: Jason McGlothlin. Keywords: Childhood; obesity; overweight; weight management; parenting; mental health Includes bibliographical references (p. 149-178).
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Lynch, Krista. "The economic benefits of worksite wellness programs." Kansas State University, 2014. http://hdl.handle.net/2097/17579.
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Master of ArtsDepartment of Economics
Dong Li
Comprehensive worksite wellness programs were first introduced in the United States in the late 1970s and early 1980s, with the goals of improving health, reducing health care expenditures, and demonstrating senior management’s commitment to the health and well-being of workers (Ozminkowski et al, 2002). As the annual cost of employer-sponsored family health coverage increased four percent between 2012 and 2013 (Kaiser Family Foundation, 2013), many companies are turning to worksite wellness programs. Wellness programs have shown not only to reduce health care costs, but also decrease absenteeism and increase employee satisfaction. The studies on the benefits of wellness programs are not conclusive; there seems to be a general lack of good data collection and analysis. This report discusses what determines an employer’s likelihood of offering a wellness program, what determines an employee’s participation in a wellness program, and a benefits analysis of wellness programs.
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Al-Tayyar, Ahmed H. "Obesity & overweight epidemic : an innovative approach to understanding & addressing obesity In the Kingdom of Saudi Arabia." Thesis, Massachusetts Institute of Technology, 2017. http://hdl.handle.net/1721.1/112059.
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Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, School of Engineering, System Design and Management Program, 2017.Page 129 blank. Cataloged from PDF version of thesis.
Includes bibliographical references (pages 115-122).
Obesity and overweight are complex global issues that have been and continue to be a significant problem that needs to be addressed. Understanding obesity and overweight are fundamental to finding practical and sustainable solutions. Innovation has different meanings to different people and can be applied in many different sectors in varying forms and at different levels. Innovation in healthcare is no longer a luxury but rather a necessity. In this thesis, we review some concepts of interest to healthcare innovation briefly and also examine the topic of obesity and overweight from a global perspective and with a focus on the Kingdom of Saudi Arabia. We review global obesity and overweight and then focus on obesity and overweight in the Kingdom of Saudi Arabia. We also reflect on the work of Prof. Clayton Christensen "Jobs to be Done Theory" and how it can help address innovation in the healthcare system and in particular applying it to the general concept of tackling obesity. The thesis highlights a critical understanding of obesity based mostly on the work of Jason Fung, MD in his recent book titled "The Obesity Code: Unlocking the Secrets of Weight Loss." A novel integrated solution for tackling obesity in the Kingdom of Saudi Arabia will be proposed incorporating insights from the research material on both innovation and obesity with the utilization of concepts gained from the System Design and Management program at MIT. The concept of innovation in the healthcare setting is shown to be instrumental in creating an opportunity for higher quality, cheaper and faster delivery of health services heavily dependent on the work of Prof. Clayton Christensen. Also, we highlight the need for an innovative integrated solution at different levels of the system including the individual level and institute level and finally the national levels. We believe there is a genuine need to approach innovation in the healthcare setting at the different establishments within the healthcare system and the importance of cross-pollinated innovation teams.
by Ahmed H. Al-Tayyar.
S.M. in Engineering and Management
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Biati, Raquel Marie. "Chronic Disease Self-Management Program." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2598.
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The World Health Organization noted that 2 global health problems have reached epidemic proportions: obesity and type 2 diabetes. These conditions affect nearly 170 million people worldwide. The clinical practice problem addressed by this project was the prevalence of adults ages 50 and older in an ambulatory care setting who suffer from obesity and diabetes and may benefit from a tailored weight management and nutrition education intervention. The purpose of this project was to design a program that would decrease body mass index and hemoglobin A1c in older patients through adaption of the Chronic Disease Self-Management Program. The evidence supporting this project was obtained through a systematic literature review. The self-efficacy theory guided the project, and the evidence-based practice model used to plan the translation of the evidence into practice was the plan-do-check/study-act cycle, a continuous process improvement model used in many health care settings. The product of the project was an education intervention implementation plan that will be agreed upon by the project team and tracked using a Gantt chart. The program's effectiveness will be evaluated by analyzing the themes of qualitative feedback from patients who complete the program and through comparisons using t test statistics of body mass index and A1c that will be collected at 12 weeks and 12 months after the program start. The social change expected of this program, when implemented, is an increase in patients' engagement in and self-management of their care and a more trusting relationship among patients and the health care team. The recommendations from this project also may be useful in addressing health disparities often experienced by patients suffering from obesity and diabetes.
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Olson, KayLoni. "Mindfulness among Participants in a Behavioral Weight Management Program." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1356126201.
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Abildso, Christiaan G. "Evaluating an insurance-sponsored weight management program using the RE-AIM model." Morgantown, W. Va. : [West Virginia University Libraries], 2008. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=5720.
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Thesis (Ph. D.)--West Virginia University, 2008.Title from document title page. Document formatted into pages; contains viii, 104 p. : ill. (some col.). Includes abstract. Includes bibliographical references (p. 54-59).
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Lum, Lai-chun, and 林麗珍. "A weight management programme for obese children: parent-only family-based approach." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43251444.
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Lum, Lai-chun. "A weight management programme for obese children parent-only family-based approach /." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B43251444.
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Berman, Mark Alan. "Thinking beyond health to motivate dietary change : piloting a vegan healthy eating program for obesity management /." [New Haven, Conn. : s.n.], 2004. http://ymtdl.med.yale.edu/theses/available/etd-08182004-165845/.
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Bouhaidar, Claudia. "Text Messaging as Adjunct to Community Based Weight Management Program." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/444.
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Obesity ascending rates are still a public health priority. The primary aim of the study was to evaluate the effect of tailored text messages on body weight change in overweight and obese adults in a community based weight management program. A secondary aim was to detect behavioral changes in the same population. The study design was quasi-experimental with pre and posttest analysis, conducted over 12 weeks. A total of 28 participants were included in the analysis. Body weight, eating behaviors, exercise and nutrition self-efficacy, attitude toward mobile technology, social support and physical activity were assessed at baseline and at 12 weeks. Text messages were sent biweekly to the intervention but not to the control group. At 12 weeks, the intervention group had lost significant weight as compared to the control group. There was a trend toward an improvement in eating behaviors, exercise and nutrition self-efficacy in the intervention group, with no significant difference between groups. A total of 79% of participants stated that text messages helped in adopting healthy behaviors. Tailored text messages appear to enhance weight loss in a weight management program at a community setting. Large scale and long term intervention studies are needed to confirm these findings.
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Akindele, Mukadas Oyeniran. "An intervention programme for management of overweight and obese Nigerians in Lagos State, Nigeria." University of the Western Cape, 2014. http://hdl.handle.net/11394/4192.
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Philosophiae Doctor - PhDOver the past decades there has been a global increase in the prevalence of overweight and obesity. The increase in the prevalence of overweight and obesity leads to surging of associated co-morbidities of overweight and obesity in low/medium income countries which eventually overburdens the vulnerable health systems threatens by malnutrition and communicable diseases in low/medium income countries. The designed interventions to curb overweight/obesity in high income countries might be inappropriate to apply in low income countries, such as Nigeria, due to the different cultural norms and values regarding types of food, and physical activity. The overall aim of this study is to design an intervention that will be culturally appropriate for overweight and obesity management among Nigerians. The convergent parallel mixed method design specifically was used in this study. This involves simultaneous timing of carrying out both quantitative and qualitative strands of mixed methods during the same phase of the research process, prioritizes the methods equally, and keeps the strands autonomous during analysis and then mixes the results during overall implementation/execution. The population for the quantitative part was Nigerians residing within sixteen enumeration areas of Alimosho Local Government area of Lagos State, Nigeria. Overweight and obese Nigerians as well as traditional healers and healthcare professionals were purposely selected for the qualitative phase. Delphi study was the last phase of study which involved recruitment of healthcare professionals in the management of overweight and obesity. A sample size of 2250 was projected and approached for this while 1571 consented and participated in the study. This gave a response rate of 69.82%. About 51.2% of the sample population was male and 48.8% female. The mean age of the total sample was 35.36(SD =11.66). Using BMI, the prevalence of overweight/obesity was 42.3% using BF%, the prevalence of body fatness was 39.2% of which 62.5% were females. Data analysis shows strong positive correlation between other measures of body fatness (.694 to .872) except WHR with low but positive relationships between BF% (184), BMI (.280), WC (.495), and negative relationships with HC (-.077) and BAI (-.076). Gender, marital status and age are predictors of overweight and obesity among Nigerians. Type of diet, meal timing, reduced physical activity and genetic factor were perceived as the causes of overweight and obesity. Diet therapy, an increase in physical activity and the use of herbs were various ways perceived to assist in reducing excess body weight. Among the challenges faced by overweight and obese Nigerians were lack of time for exercise because of the nature of their jobs, lack of recreational facilities, lack of motivations and support from family members to reduce weight, lack of money and poor/lack of knowledge to reduce weight. Experts unanimously agreed that the content of a culturally appropriate intervention should be individualised and to include physical activity/exercise, diet therapy, education and self-monitoring. There was a unanimous decision that the intervention should be done for a duration of 12 weeks at health facility and should be held for between 1-2 times per week if holding at community (excluding community/ public health facility) for 12 weeks in total. In addition, experts agreed that the use of media such as television, radio, weekly newspapers and magazines should be used for preventive campaigns.
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Fox, Lesley Diana. "The Efficacy of a Maintenance-Oriented Weight Management Program in an Obese Population." Diss., Virginia Tech, 2003. http://hdl.handle.net/10919/26899.
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While weight loss programs over the past 30 years have proven to be effective in producing initial weight-loss, long-term weight maintenance has remained an elusive goal. Given the serious negative health consequences associated with obesity, new approaches to weight management are warranted. The purpose of this study was to evaluate the efficacy of a maintenance-oriented weight management program in producing changes in weight, body composition, fitness, blood lipids, physical activity, and strength following completion of the treatment program and at 3-month follow-up. Fifty overweight and obese men (n = 18) and women (n = 32), ages 27-55 (M = 40.52) who had low cardiorespiratory fitness (M = 20.87 ml/kg/min) and high total cholesterol (M = 223.36) were randomly assigned to one of three treatment conditions: 1] Behavioral Choice Treatment (BCT) with a theory-based maintenance-oriented program, moderate calorie goals, and the New Healthy Pyramid for nutrition recommendations; 2] a traditional exercise and nutrition education program (USDA) using the current Dietary Guidelines for Americans with the Food Guide Pyramid; and 3] a wait-list control group that was transitioned into BCT without the maintenance-oriented program (WLC/BCT w/o maintenance). All groups (during treatment) received a center-based strength and aerobic program utilizing short-duration, but prescriptive protocols aimed at increasing fitness and strength. Assessments were completed at baseline, 16 weeks, 28 weeks, and 40 weeks (WLC/BCT w/o maintenance only). Participants in BCT and USDA experienced significant health changes compared to WLC who experienced minimal weight gain and decreased fitness across the 4-month waiting period. Results comparing BCT, BCT w/o maintenance, and USDA revealed that participants in all treatment conditions significantly improved aerobic fitness, strength, and physical activity during treatment (pâ s < .05). Participants in the BCT groups experienced significant decreases in weight, total % body fat, waist and hip circumferences, BMI, and LDL-C (pâ s < .05), while participants in USDA did not. At 3-month follow-up, while participants in both BCT groups continued to make improvements on multiple health outcomes, only participants in BCT with maintenance group were able to maintain their fitness gains (p < .001). In addition, BCT with maintenance group showed a trend toward continued weight loss, maintenance of physical activity, and increased strength. Taken together, the data indicate that any BCT offers greater health outcomes compared to a more traditional educationally based program both at post-treatment and follow-up. Importantly, BCT with maintenance offered additional benefits including continued weight loss, continued decreased intra-abdominal fat, maintenance of fitness, physical activity, and strength compared to BCT w/o maintenance. In conclusion, given the limited scope of small center-based trials, future studies need to examine the effectiveness of this program in a more community-based setting where there is potential for greater public health impact.Ph. D.
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Hanson, Meredith Walker. "Correlates of Adherence to an Adolescent Weight Management Program: A Secondary Data Analysis." ScholarWorks @ UVM, 2016. http://scholarworks.uvm.edu/graddis/436.
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The aim of this study was to determine the relationship between HRQOL and
adherence to an adolescent weight management program and identify variables predictive of increased adherence which are critical to motivating engagement in weight
management. This study was a non-experimental, retrospective secondary analysis from
aggregate data collected as part of the REWARD Teens program, a weight management
program for overweight and obese adolescents. Data from 37 subjects were included in
this study. Subject adherence to the program was the primary outcome variable. There
was no significant relationship between baseline adolescent or parent-proxy sub-scale or total HRQOL scores with program adherence. A significant positive relationship for
improved adherence was found only when change in BMI (p=.023), change of parent-proxy total PedsQL (p=.014), and change in child total PedsQL (p=.007) were present in
the regression model. Body mass index and changes in both parent-proxy and child total
HRQOL significantly affected attendance. Our findings suggest that baseline HRQOL
does not affect program adherence. However, we identified a potentially novel interplay
between variables predictive of program adherence. Future studies should focus on
elucidating the mechanism by which these factors gained significance in the relationship
with adherence when combined, perhaps as mediators or moderators, in order to identify
interactions which may function as barriers or facilitators to adherence.
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Pittson, H. "Development of a family-based treatment programme for childhood obesity using Intervention Mapping methods." Thesis, Coventry University, 2013. http://curve.coventry.ac.uk/open/items/3ba0edbe-3848-4e35-9397-ea8de0665cf1/1.
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Background: Reviews of primary research in developed countries and policy in the UK demonstrate there is a lack of evidence from well conducted RCTs on lifestyle interventions for childhood obesity (NICE 2006, SIGN 2003, Oude Luttikhuis et al. 2009). Objectives: To develop, implement and evaluate the Y W8? family focused childhood obesity treatment programme using a randomized controlled trial. Methods: The programme was developed using Bartholomew’s Intervention Mapping framework. Using this stepped process a needs analysis was undertaken, a steering group formed, focus groups were completed in local schools and interviews took place with parents of obese children. The determinants identified by these processes were combined with relevant theories and information gathered through a literature review to develop the programme. Y W8? is a 12 week course for families with children aged 8–13 years designed to assist with weight management. The RCT was designed as an individually randomised parallel-group trial with a waiting-list control group. Children in the intervention group (n=59) had their height, weight, self-reported physical activity levels, self-reported fruit and vegetable consumption and a measure of self-esteem recorded at pre- and post-assessment, whilst only height and weight was collected from the children in the control group (n=55). Results: Twelve week (post course) results showed a significant difference in change in BMI z-score between the control and intervention group, mean difference = -0.12 (95% CI: 0.09 to 0.16, F (1, 98) = 54.04, p < 0.0005), with the control group increasing and the intervention group decreasing their BMI z-score. Analysis showed this positive effect on weight status did not adversely affect linear growth. For the intervention group 81% of children completed the programme. Implications: This RCT offers evidence to support the use of family-based treatment programmes in the treatment of childhood obesity and displays positive results in the short-term, at a lower cost than similar interventions. The thesis also demonstrates how a public health programme can be implemented and sustained in routine NHS practice.
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Tibbs, Jason Connaught Dennett. "Evaluating a comprehensive weight control programme for obesity management : the consideration of psychological factors in treatment outcome." Master's thesis, University of Cape Town, 1996. http://hdl.handle.net/11427/9508.
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Bibliography: p. 122-141.Obesity (BMI > 30 kg I m2) is a major health and psychosocial problem worldwide, for which no single consistently effective intervention has been found. In particular, obesity has a substantial impact on psychological well-being. Positive value is given to thinness in western society, thus stereotyping the obese as aesthetically displeasing, and subjecting them to prejudice and discrimination. Psychological distress often observed in obese individuals, can be seen as a direct ' consequence rather than a cause of their condition. The high prevalence of obesity in all South African racial groups is striking, however, as yet no formal weight loss clinics exist in either outpatient or primary health care settings in this country. The aim of this study was to evaluate the effectiveness of a 24-week comprehensive behavioural weight management programme (CWCP) for outpatients, paying particular attention to psychological factors. The programme consisted of eating behaviour modification, nutrition education and increased activity levels. A randomised controlled trial was designed, and obese volunteers (n = 155), recruited through media advertisements, were assigned to either the experimental (CWCP) or control group (who received standard treatment). Four trained dieticians conducted the weekly, one-hour group sessions at Tygerberg Hospital. Subjects were required to undergo baseline, three, six and twelve month assessments, which included demographic, anthropometric and psychological measures. The psychological tests used consisted of the Beck Depression Inventory, The Robson Self-esteem Scale, The Eating Inventory, the Family Adaptability and Cohesion Evaluation Scales, and the Stress Vulnerability Scale.
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Trapp, Stephen. "MOTIVATION, MINDFULNESS, AND METABOLIC FACTORS PREDICTING ADOLESCENT ADHERENCE AND ATTRITION IN A MULTIDISCIPLINARY WEIGHT MANAGEMENT PROGRAM." VCU Scholars Compass, 2015. http://scholarscompass.vcu.edu/etd/3947.
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Estimated rates of obesity are notably high in the United States and pose a significant public health concern. A number of deleterious physical and psychosocial conditions are associated with pediatric obesity and the cost of its treatment is considerable. Accordingly, the number of weight management treatments has increased to meet this growing public health challenge. Unfortunately, insufficient participation in weight management treatment, namely low adherence and high attrition, often impede the effectiveness of these programs. Although the barriers associated with inadequate adherence and elevated rates of attrition are documented, there is a dearth of research on the predictors of the low participation in pediatric weight management. To address this gap in the literature, the current study examined whether psychosocial (e.g., motivation, mindfulness, depression), biological (e.g., anthropometric, biochemical), and demographic variables predicted adherence and attrition. A series of backward elimination regressions were modeled to identify the biopsychosocial factors that best predicted adherence and attrition in a pediatric weight management program. The study utilized a sample of parent-adolescent dyads (N = 143) from the T.E.E.N.S. program, a multidisciplinary weight management treatment involving behavioral, nutrition, and exercise components for adolescents with obesity. Several demographic characteristics were associated with lower adherence. Parent basic psychological need fulfillment was also significantly associated with six-month attrition. This finding underscores the importance of the parents’ role in the successful completion of a pediatric weight management program. This study contributes to an increased understanding of the factors related to participation in weight management programs, and can inform the refinements of interventions, such as T.E.E.N.S. and related programs.
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Brode, Cassie. "Identification of Latent Subgroups of Obese Adolescents Enrolled in a Healthy Weight Management Program." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/373.
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In obesity research, it is assumed that the population is homogeneous. While this approach has yielded important insights, testing this supposition might reveal information that could impact our understanding of the phenomena and its treatment. In this study, data from obese teenagers (N = 248, Mean BMI percentile = 99%; Mean age = 13.9, SD = 1.8) who were predominantly minority (n = 182), female (n = 169), and enrolled in a weight loss intervention were analyzed. Latent profile analysis (LPA) was used to segment patients into groups based on their scores on PedsQL 4.0 scales (physical-, emotional-, social-, and school functioning) and the Coopersmith Self-Esteem Scale. A 3-class solution was parsimonious and demonstrated the best statistical fit (Bayesian information criterion = 10596.96; Lo-Mendell-Rubin-adjusted likelihood ratio test = 73.020, p < .05). The 3 groups were ordinal and composed of respondents with high- (HF; n = 72, 29%), medium- (MF; n = 110, 44%), and low functioning (LF; n = 66, 27%). Further analyses (chi squares and linear regressions) showed that the LF group had a significantly higher proportion of Caucasians and males compared to the HF (referent) group. Also, when controlling for demographics and weight, the LF group had significantly higher blood pressure (diastolic and systolic), lower self-reported physical activity (on two different measures), and a higher total score on a scale of depressed mood. Four groups of ordinal regressions (since the pair of self-reported exercise variables and blood pressure variables were correlated, only one from each pair was included in each set) consistently found that self-reported physical activity and blood pressure improved significantly from the LF to HF groups. However, when depressed mood was included, it became the only significant variable. These findings suggest that LF group members are demographically and clinically distinct and that depressed mood may be the critical factor connecting self-report and metabolic dysfunction. Theory suggests depressed mood is both associated with cognitive schemas that affect responses on self-report measures; skewing them negative, and is also manifested metabolically.
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Lau, So-king Jenny. "Weight management : factors affecting weight maintenance after participating in a weight loss programme, from the perspectives of people with obesity /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36357704.
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Lau, So-king Jenny, and 劉素瓊. "Weight management: factors affecting weight maintenance after participating in a weight loss programme, from theperspectives of people with obesity." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45014541.
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Blane, David Nicholas. "Understanding the role of primary care in the management of adults with co-morbid obesity : a mixed methods programme." Thesis, University of Glasgow, 2018. http://theses.gla.ac.uk/30627/.
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Introduction: Obesity is widely regarded as one of the biggest public health problems in the UK today. Policy suggests more can be done in primary care to support adults with obesity, particularly identifying and referring individuals with “high risk” obesity (obesity with co-morbidities) to weight management services. The aims of this thesis were to examine the role of primary care in the management of adults with co-morbid obesity; to understand the barriers facing patients and practitioners in accessing NHS adult weight management services via primary care; and to explore theory-driven, evidence-based interventions targeted at primary care practitioners to improve the management of co-morbid obesity. Methods: This was a mixed methods study, integrating qualitative and quantitative approaches. There were 4 phases of research in this thesis: Phase 1) Semi-structured interviews with 9 senior dietitians involved in planning and delivery of adult weight management in Scotland; Phase 2) A realist review of interventions targeted at primary care practitioners to improve the identification and referral of adults with obesity; Phase 3) Analysis of 9,677 GP referrals to the largest NHS weight management service in Scotland, the Glasgow and Clyde Weight Management Service (GCWMS); Phase 4) Analysis of interviews with 20 patients who had been referred to GCWMS, as well as 17 primary care practitioners (GPs and practice nurses) from referring practices. Key results: Phase 1) identified that there is no consensus among key stakeholders (senior dietitians) about the role of primary care in adult weight management, with a number of tensions apparent related to who should be doing what, where, and how. Phase 2) found 12 mechanisms that were characteristic of successful interventions targeting primary care practitioners, many of which could be activated by improving communication between primary care and weight management services. A number of important contextual factors that influence these interventions were also identified, at micro (individual/interpersonal), meso (institutional) and macro (infrastructural) levels. Phase 3) found that roughly a third (n=3250, 33.6%) of 9,677 adults with obesity referred to GCWMS attended at least one session. The likelihood of attendance increased with age, BMI category, and increasing affluence. Practice-level characteristics that were most strongly associated with attendance were being a non-training practice, having a larger list size, and not being in the most deprived areas. Phase 4) helped to explain some of this variation in attendance, related to geographical and structural barriers, particularly for working adults and those from areas of high socio-economic deprivation. An expanded conceptual model of candidacy theory is proposed, advancing our understanding of access to weight management. Conclusion: GPs and practice nurses are well placed to discuss weight and related health issues and to refer patients to further sources of support. This support should ideally be local, familiar, and relatively quick and easy to access, particularly important in areas of high socio-economic deprivation, which have the highest proportion of referrals to GCWMS but the lowest likelihood of attendance. To improve the identification and referral of adults with obesity, future interventions should consider training of practitioners, audit/feedback on referrals, and tools to aid both identification (e.g. automatic BMI calculators, posters in waiting area) and referral. To improve attendance following referral, however, greater emphasis needs to be placed on improved communication between weight management services and primary care, and improved accessibility of services.
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Williams, D. Pauline. "The Effectiveness of a Structured, Long-Term, Multi-Component, Family-Based Weight Management Program in Reducing Body Mass Index Z-Scores and Improving Lifestyle Habits in Overweight /Obese Children and Adolescents." DigitalCommons@USU, 2011. https://digitalcommons.usu.edu/etd/921.
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Few studies have evaluated structured, long-term, family-based, weight management programs in children. This study’s purpose was to determine if completion of such a program resulted in reduced body mass index (BMI) z-scores and improved lifestyle habits.
An observational study overtime from 2008-2010 was conducted with 89overweight/obese children. Subjects were divided into two groups, compliers (completed ≥ 7 intervention classes) and non-compliers (completed <7 intervention>classes.) The LiVe program, a 12-month structured, multi-component, family-based program, served as the study intervention. Anthropometric measurements and a written survey on lifestyle habits were used to obtain changes over 12 months in anthropometric, nutrition, activity, and behavior habits for subjects.
Descriptive statistics, chi square, analysis of co-variance, and a mixed modellogistic regression were used to determine anthropometric and lifestyle habits changeover time as well as differences between age, gender, and compliance groups. Nodemographic differences were seen between compliance groups. Compliers had asignificant decrease in BMI z-score (-0.1903 p=.0004) and BMI percentile (-2.02p=.0235) over time. Compliers had a higher probability of meeting vegetable intake (pre 0.31%, post 55.67%; p=<.0001), and physical activity guidelines (pre 13.58%, post 56.58%; p=.0032) post intervention. Males were more likely than females to meet the physical activity guideline (p=.0007). Both compliers and non-compliers had a higher probability of meeting fruit (p=.0015) and sugar-sweetened beverage intake guidelines (p=.0337) at 12 months. No significant differences in age and gender were seen for changes in anthropometric or lifestyle habits except as noted above.
Long-term, family-based, structured weight management programs are effectivein reducing BMI z-scores and improving lifestyle habits in children. Continueddevelopment and evaluation of these programs is warranted to address childhood obesity treatment methods.
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Zunker, Christie L. "Maintaining healthy eating behaviors with women after a weight management program a grounded theory approach /." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2009. https://www.mhsl.uab.edu/dt/2009p/zunker.pdf.
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Guidozzi, Rosetta. "The efficacy of short-messaging service in a weight reduction programme amongst women in a general practice." Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/6717.
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Thesis (MNutr)--University of Stellenbosch, 2011.ENGLISH ABSTRACT: Obesity has become one of the major conditions contributing towards chronic lifestyle diseases. The management of obesity, in order to prevent chronic lifestyle disease, requires a combination of treatment modalities. There is therefore a constant need to search for innovative behavioural and awareness programmes regarding the treatment of obesity, and to develop innovative strategies to improve compliance and ultimately to change lifestyles. The notion of utilizing short message services (SMS), during a weight reduction progamme to provide regular reminders and information to achieve the aforementioned goals, was therefore used as an intervention in the study. Furthermore a questionnaire validating the effectiveness of the short message service was devised and completed by the recipients of the intervention. The purpose of the questionnaire was to statistically quantify the effectiveness of the SMS as an intervention. Each question had four graded answers, with a score allocated to each - 1 being the least effective and 4 being the most. These values were converted to percentages and according to these percentages a rating of effectiveness was ascertained. Ultimately the study set out to determine whether the intervention had a statistically significant effect on weight reduction, compliance in attending appointments and on the attrition rate. This was a double blinded randomized, controlled study in which 75 participants were recruited at a general medical practice in Gauteng. The sample comprised of three groups. Group 1 (N = 25) had no intervention; Group 2 (N = 25) received a SMS weekly and Group 3 (N = 25) received a SMS three times per week. The weight reduction programme, which included dietary modifications and lifestyle advice was standardized and remained the same for each group. The programme extended over a 12 week period and the questionnaire was completed at the end of the programme. Upon analysis of the results there was a decrease in the mean BMI and waist circumference for all the three groups, with no statistically significant difference (p-value > 0.05) between them. The percentages of the participants completing the programme in each group were – Group 1: 44%, Group 2: 60% and Group 3: 68%. The effectiveness of the intervention was manifested by the compliance of attendance at each visit and the reduced attrition rate in the intervention groups, although this was not found to be statistically significant. The analysis of the scores allocated to the responses of the questionnaire, equated to an outcome of above 75% and was assessed as being very successful in both the intervention groups. In conclusion the use of short message servicing in this weight reduction programme improved the compliance and reduced the attrition rate although not statistically and was perceived by the participants as a successful intervention.
AFRIKAANSE OPSOMMING: Vetsug (obesiteit) het een van die primêre kondisies geword wat bydrae tot chroniese leefstyl siektes. Die hantering van obesiteit vereis 'n kombinasie van behandelingsmodaliteite, ten einde hierdie siektes te voorkom, Daar is dus 'n konstante soeke na innoverende gedrags- en bewustheidsprogramme rakende die behandeling van obesiteit, asook 'n behoefte om innoverende strategieë te ontwikkel om inskiklikheid te verbeter en uiteindelik leefstyle te verander. Die idee om kortboodskapdienste (SMS) gedurende 'n gewigsverliesprogramme te gebruik om gereelde aanmanings en inligting te kommunikeer ten einde die genoemde doelwitte te bereik, is aangewend as intervensie in hierdie studie. 'n Vraelys is ontwikkel wat die effektiwiteit van die kortboodskapdiens valideer, en is voltooi deur die ontvangers van die intervensie. Die doel van die vraelys was om die effektiwiteit van die SMS as 'n intervensie te kwantifiseer. Elke vraag het vier gegradeerde antwoorde gehad, met 'n telling wat aan elk toegeken is – 1 wat aandui minste effektief en 4 wat aandui die meeste. Hierdie waardes was omgeskakel tot persentasies en na aanleiding van die persentasies is 'n waarde van effektiwiteit bepaal. Uiteindelik was die doel van die studie dus om vas te stel of die intervensie ʼn statisties beduidende effek op gewigsverlies, die nakom van afsprake en uitvalskoerse het. Hierdie was 'n dubbelblind, ewekansige gekontroleerde studie waarin 75 deelnemers gewerf was by 'n algemene mediese praktyk in Gauteng. Die steekproef het bestaan uit 3 groepe. Groep 1 (N = 25) het geen intervensie gehad nie; Groep 2 (N = 25) het 'n weeklikse SMS ontvang en Groep 3 (N = 25) het 'n SMS ontvang drie keer per week. Die gewigsverliesprogramme, wat dieetaanpassings en leefstyl advies ingesluit het, was gestandardiseer en het dieselfde gebly vir elke groep. Die programme het gestrek oor 'n 12 weke periode en die vraelys was voltooi aan die einde van die programme. Analise van die resultate het 'n afname getoon in die gemiddelde LMI (Liggaamsmassa indeks) en middelomtrek vir al drie groepe, met geen statisties beduidende verskil (p-waarde > 0.05) tussen groepe nie. Die persentasies van die deelnemers wat die programme voltooi het in elke groep was Groep 1: 44%, Groep 2: 60% en Groep 3: 68%. Die effektiwiteit van die intervensie was gemanifesteer deur die inskiklikheid van bywoning tydens elke besoek en die verlaagde uitvalkoers in die intervensie groepe, alhoewel dit nie statisties beduidend was nie. 'n Analise van die tellings geallokeer aan die response tot die vraeslys, dui 'n uitkoms aan van bo 75% en was beskou as baie suksesvol in albei die intervensie groepe. Die gebruik van kortboodskapdienste (SMS) in hierdie gewigsverliesprogramme het inskiklikheid verbeter en uitvalskoerse verlaag, alhoewel nie statisties beduidend nie, en was deur die deelnemers beskou as 'n suksesvolle intervensie.
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Lehl, S. "Healthcare practitioners' and patients' perspectives of a weight management service and the place of psychological support within this." Thesis, University of Wolverhampton, 2016. http://hdl.handle.net/2436/617877.
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Both the NHS and Public Health are keen to identify how best to manage long term health condition’s as a result from obesity and vice-versa. There is evidence to support the efficacy of psychological support in weight management programmes. This study explored the perceived importance of psychological support within weight management services; perspectives of both client and healthcare practitioners, in view of considering the implications for the role of a counselling psychologist. There were nine interviews conducted with five healthcare practitioners and four clients. The professionals’ disciplines included: physiologist, dietician, health psychologist, programme manager, and a medical consultant. Of the four patients, two had accessed psychology services as part of their weight management programme and two had not. Data was analysed using thematic analysis. Five overarching themes were identified. Tension (pivotal central theme) this connected to: Lifestyle; Quality of Life (QoL); Service Delivery Model; and Professional and Personal beliefs and values. The findings highlighted that perceived importance of psychological support was influenced by an individuals’ background and experiences by both groups. The implications for the role of a counselling psychologist was to provide training to health professionals as well as raising clients’ awareness of the role of counselling and psychological support within such programmes. Further research is needed to understand better the potential of psychological support within weight management services to help contain UK obesity.
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Luca, Paola D. "Adolescents with Severe Obesity: Outcomes of Participation in an Intensive Obesity Management Program." Thesis, 2013. http://hdl.handle.net/1807/43094.
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Objective: To evaluate the SickKids Team Obesity Management Program (STOMP), an obesity management program for severely obese adolescents.
Methods: Non-randomized study of 6 and 12 month outcomes in STOMP patients vs. a comparison group of obese adolescents.
Results: At 6 months, STOMP patients stabilized their BMI (0.08±0.3 kg/m2;p=0.79) and reported improved psychological and health behaviour measures, whereas comparison participants increased their BMI (0.7±0.2 kg/m2;p=0.004) and had worsening of cardiometabolic outcomes. Between-group differences included improved cardiometabolic, psychological and health behaviour measures in STOMP patients. At 12 months, STOMP patients stabilized their BMI (0.8±0.5 kg/m2;p=0.07), had improvements in anthropometric and cardiometabolic outcomes and reported an increase in health behaviours, whereas comparison participants increased their BMI (1.2±0.4 kg/m2;p=0.001) and had worsening of cardiometabolic outcomes. Between-group differences included improved anthropometric, cardiometabolic and health behaviour outcomes in STOMP patients.
Conclusions: Participation in STOMP improved anthropometric, cardiometabolic, psychological and health behaviour outcomes among severely obese adolescents.
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Almasi, Shabnam. "An exploration of the translation of MEND 5-7 for the BC context using the RE-AIM framework." Thesis, 2014. http://hdl.handle.net/1828/5769.
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Introduction: Prevalence of obesity and overweight in children is growing in Canada and worldwide. In recent years multiple approaches have been utilized to treat childhood obesity. Multidisciplinary and family-based approaches have been shown to be successful in the management of obesity and overweight in children however, there is limited evidence about their use with younger children. Therefore the purpose of this thesis was to explore the translation of a family-based intervention, MEND 5-7, for the British Columbia (BC) context using the RE-AIM framework.
Methods: A mixed methods design was used. Twenty-four children and their families who were enrolled in MEND program across 3 cities participated in the study. Anthropometrics and self-reported lifestyles and attitudes were measured for both children and parents pre and post program. MEND staff completed recruitment and registration tracking, and session feedback forms; were interviewed about implementation and meeting minutes were analysed for the process evaluation. In addition parent feedback surveys and site visit feedback forms were also included. Data were organized and analysed based on the RE-AIM framework.
Results: The sample was too small to be representative but the demographics of the group appeared to be similar to the BC population. A number of significant improvements were seen related to physical activity (screen-time, p = .002; parent self-efficacy for increasing play and enjoyment, p = .05) and eating habits (parent fruit and vegetable consumption, p = .009). The small number of participants made in difficult to draw a valid conclusion about the changes in anthropometry. Data on implementation showed that families and group leaders were highly satisfied with the program. The program was found to be feasible and facilitators included team work, flexibility, participants’ engagement, community relations, preparation and planning, and support. Barriers to implementation included were time, recruitment, parental involvement, diversity, lack of flexibility in manual and location.
Conclusion: MEND 5-7 appeared feasible for the BC population, however recruitment remains a significant challenge to program operations. Further research using an experimental design is needed.Graduate
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Barreto, Tiago Nuno Vieira. "Programa multidisciplinar de gestão do peso." Master's thesis, 2018. http://hdl.handle.net/10400.5/19434.
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A obesidade consiste numa patologia complexa e multifactorial, cujo desenvolvimento em um dado momento, determina uma acumulação excessiva de adipócitos nas regiões corporais. De forma consequente, a obesidade condiciona o estado de saúde de uma pessoa, contribuindo para o aumento do risco de morbilidade e de mortalidade. Destaco dois fenómenos que contribuem para o desenvolvimento da obesidade, a inatividade física e a ingestão alimentar excessiva. A literatura científica tem demonstrado que a prática regular e adequada de exercício físico a longo prazo, contribui para a prevenção do desenvolvimento da obesidade.
No âmbito do mestrado de Exercício e Saúde, participei durante um ano académico como estagiário no Ginásio Clube Português (GCP), integrado numa equipa de fisiologistas de exercício. O GCP proporciona aos sócios a adesão a um programa de gestão e controlo do peso, o qual possibilita uma orientação ajustada durante o processo de treino, em função de vários momentos de avaliação e da constante monitorização dos exercícios físicos prescritos.
O contributo prestado à instituição, foi realizado através da participação em actividades de rastreio cardiovascular que decorreram durante todo o mês de Maio, à realização de um estudo científico que implicou o uso de um aparelho de bioimpedância adquirido recentemente e ao desempenho de tarefas nas salas de avaliação e de exercício físico.
Durante o período de estágio consegui evoluir as minhas competências enquanto fisiologista de exercício, em aspetos como o conhecimento técnico e as relações interpessoais, estando agora mais apto para integrar a área de exercício e saúde.Obesity is a complex and a multifactorial pathology that once developed, determines an excessive accumulation of adipocytes in corporal segments. This pathology influences the health condition of a person, enhancing the risk of morbidity and mortality. There are two decisive phenomenons for the development of obesity, the physical inactivity and the excessive eating pattern. Several scientific papers have demonstrated, that a regular and correct pratice of physical exercise on a medium or long term, contributes to the prevention of obesity. Due to my presence on the Master Degree of Exercise and Health, i managed to do an internship of one year at the Ginásio Clube Português (GCP), an institution that provides a physical exercise program directed to weight management. This program is well organized and allows a correct guidance trough the workout routine, constantly monitorizing the performance and health status of the participants. My contribute to GCP was done mainly trough: activities on the diagnosis of cardiovascular risk factors during the entire month of May; a scientific study using a recent BIA equipment still not used by the exercise and health professionals and the performance of several tasks related with evaluation of the health status and exercise prescription. During the internship i managed to evolve my competences as an exercise physiologist, specially in the techical field as well in the social relationships, feeling more fit to perform on the exercise and health area.
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Becker, Maria Catarina Sousa. "Programa de gestão e controlo do peso do Ginásio Clube Português." Master's thesis, 2017. http://hdl.handle.net/10400.5/14051.
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Segundo o ACSM (2014), o Excesso de Peso e a Obesidade são caracterizados pelo excesso de massa gorda, sendo o IMC o critério mais comum para classificá-los e distingui-los. Associado a estas condições encontram-se inúmeras patologias crónicas, incluindo as Doenças Cardiovasculares (DCV), a Diabetes Tipo II (DT2), várias formas de cancro e diversos problemas musculo-esqueléticos. A Atividade Física (AF) e o Exercício Físico (EF) demonstram ser benéficos para a prevenção e tratamento do excesso de peso e obesidade, acarretando inúmeras alterações a nível da composição corporal, capacidade cardiorespiratória, capacidade funcional e, ainda, melhorias na saúde e bem-estar psicológico.
Estagiar no Ginásio Clube Português foi, sem dúvida, uma aprendizagem que levo para a vida e que futuramente irei aplicar a nível profissional. É de referir que me foram dadas todas as ferramentas para que este processo fosse concluído com sucesso, graças ao excelente acompanhamento e condições disponibilizadas tanto pela instituição como pelo grupo multidisciplinar envolvido.
Foram estabelecidos alguns objetivos de forma a facilitar todo o processo de estágio, e com o finalizar do mesmo posso dizer que, foi possível cumprí-los da melhor forma possível e com os recursos disponibilizados.
Este relatório aborda a temática da Gestão e Controlo do Peso, e todo o trabalho desenvolvido ao longo de um ano letivo de estágio no Ginásio Clube Português.According to ACSM (2014), excess weight and obesity are characterized by excess of fat mass, with BMI being the most common criterion for classifying and distinguishing them. Associated with these conditions are numerous chronic pathologies including Cardiovascular Diseases (CVD), Type 2 Diabetes (T2D), various forms of cancer and various musculoskeletal problems. Physical Activity and Exercise have been shown to be beneficial for the prevention and treatment of overweight and obesity, leading to numerous changes in body composition, cardiorespiratory capacity, functional capacity, and improvements in health and psychological well-being. The experience of internships at the Ginásio Clube Português was, undoubtedly, a learning process that I take to life and that in the future I will apply at a professional level. It should be noted that I was given all the tools for this process to be completed successfully, and all thanks to the excellent supervision and conditions provided by both the institution and the multidisciplinary group involved. Some objectives were established in order to facilitate the entire internship process, and with the end of it i can say that it was possible to fulfill them in the best possible way and with the resources made available. This report addresses the issue of Weight Control and Management, and all the work developed over one year traineeship.
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Brites, Tiago Filipe Correia. "Relação entre prazer na prática de atividade física e níveis de atividade física em adolescentes com excesso de peso expostos a um programa clínico de gestão de peso." Master's thesis, 2021. http://hdl.handle.net/10437/12091.
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Orientação: António Videira da Silva; co-orientação: Helena FonsecaA prática de atividade física (AF) tem diversos benefícios na saúde geral, e em particular na gestão de peso, prevenindo a obesidade e o desenvolvimento de comorbilidades a esta associadas. A maioria dos adolescentes apresenta, no entanto, níveis insuficientes de AF, o que poderá estar associado a um comprometimento do prazer na prática de AF (PPAF). De acordo com o nosso conhecimento até à data, nenhum outro estudo analisou profundamente a associação entre a evolução do PPAF e os níveis de AF em adolescentes com excesso de peso. Esta dissertação tem como objetivo colmatar o vazio que existe na literatura relativamente a esta temática nesta população especifica. Foi realizada uma revisão sistemática de literatura (RSL) e uma investigação original longitudinal de forma a perceber esta relação. Para a RSL foram pesquisados estudos relevantes incluindo crianças e adolescentes, nas bases de dados PubMed e Google Scholar, que analisassem a relação entre o PPAF e os níveis de AF. No estudo longitudinal foram utilizados os dados de 84 adolescentes com excesso de peso (IMC ≥ percentil 85), seguidos durante 6 meses num programa clínico multidisciplinar de gestão de peso. Dos 30 estudos incluídos na RSL, 18 (60%) reportaram uma associação positiva entre o PPAF e os níveis de AF e 5 (16,7%) uma associação negativa. Dois dos 8 estudos que incluíram uma população clínica (25%) reportaram uma associação positiva entre as variáveis. Na investigação original observou-se uma correlação positiva entre a evolução do PPAF e a evolução da AF moderada (AFM) (r = ,224, p ≤ ,05), VO2 max (r = ,335, p ≤ ,01) e massa isenta de gordura e osso (MIGO) (r = ,385, p ≤ ,01); e uma correlação negativa entre o PPAF e a massa gorda (MG) (r = -,401, p ≤ ,01), z-score do índice de massa corporal (IMC) (r = -,289, p ≤ ,01) e o tempo em comportamento sedentário (r = - ,269, p ≤ ,05). Quando controlado para possíveis variáveis de confusão, observou-se uma correlação positiva entre a evolução do PPAF e o VO2 max (r = ,318, p ≤ ,01) e MIGO (r = ,346, p ≤ ,01); e uma correlação negativa com a MG (r = -,364, p ≤ ,01) e o z-score do IMC (r = -,300, p ≤ ,05). Os resultados deste trabalho sugerem a existência de uma associação positiva entre o PPAF e os níveis de AF em adolescentes com excesso de peso, sendo esta associação mediada pela condição física. Conclui-se ainda que o PPAF e a condição física evoluem no mesmo sentido, e que uma intervenção de alteração comportamental poderá ter um impacto benéfico nos níveis de AF, condição física e PPAF em adolescentes com excesso de peso.
Physical activity (PA) is associated with several health benefits, such as weight control, excess weight prevention and development of comorbidities. However, the large majority of adolescents show insufficient levels of PA, which may be associated with a low enjoyment in PA. To the best of our knowledge, to date no other study has analyzed in depth the association between enjoyment in PA and changes in PA levels in a sample of adolescents with excess weight. The main aim of this thesis has been to fulfil the existent gap in the literature on the subject, in this specific population. A systematic literature review and a longitudinal original research were conducted in order to investigate this relationship. For the systematic review, relevant studies on this topic and including children and adolescents, were searched in PubMed and Google Scholar databases. In the original research, data from 84 adolescents with excess weight (BMI ≥ 85th percentile) followed for 6 months in a multidisciplinary clinical weight management program were analyzed. Of the 30 studies included in the systematic review, 18 (60%) reported a positive association between PA enjoyment and PA levels, and 5 (16.7%) a negative association. Two of the 8 studies including a clinical population (25%) reported a positive association between the two variables. In the original research, a positive correlation between changes in enjoyment and moderate PA (MPA) (r = ,224, p ≤ ,05), VO2 max (r = ,335, p ≤ ,01), and Fat-and-bone free-mass (FBFM) (r = ,385, p ≤ ,01); and a negative correlation between enjoyment and body fat mass (BFM) (r = -,401, p ≤ ,01), body mass index (BMI) z-score (r = -,289, p ≤ ,01) and time spent in sedentary behavior (r = -,269, p ≤ ,05) were observed. When controlling for possible confounding variables, a positive correlation between changes in PA enjoyment and VO2 max (r = ,318, p ≤ ,01) and FBFM (r = ,346, p ≤ ,05); as well as a negative correlation with BFM (r = -,364, p ≤ ,05), and BMI z-score (r = -,300, p ≤ ,05) were observed. These results suggest a positive association between PA enjoyment and PA levels among adolescents with excess weight, yet this association seems to be mediated by fitness. These results further suggest that PA enjoyment and fitness change in the same direction, and that a behavioral change intervention may have a beneficial impact on PA levels, fitness and enjoyment in adolescents with excess weight.
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Barros, Filipa João Veiga de Almeida. "Exercício físico no Programa de Gestão de Peso no Instituto Prof. Teresa Branco." Master's thesis, 2016. http://hdl.handle.net/10400.5/12859.
Full textAbstract:
O excesso de peso e a obesidade estão a aumentar rapidamente em muitos países, trazendo várias complicações na vida pessoal, nomeadamente na saúde (doença cardiovascular e metabólica), mobilidade e independência, e na estética.
Tentando contrariar esta tendência, cada vez mais as pessoas procuram adotar um estilo de vida saudável. A alimentação variada e saudável já era procurada por muitos, mas atualmente o exercício físico tem aparecido cada vez mais aliado à alimentação saudável e à saúde. O exercício físico é fundamental na obtenção e manutenção do peso ideal, através da redução de massa gorda, aumento e manutenção da massa muscular. O exercício tem ainda um papel importante no controlo de comorbilidades associadas ao excesso de peso.
Desta forma, o trabalho desenvolvido ao longo do ano de 2015 no Instituto, baseou-se na abordagem à gestão de peso, através do acompanhamento profissional, de forma a ajudar à mudança de comportamentos e a adotar estilo de vida saudável que inclua exercício físico e alimentação regrada.The overweight and is quickly increasing in many countries, this brings various complications in personal life, namely health (cardiovascular and metabolic disease), mobility and independence, and body image. In order to counter this trend, people seek to adopt a healthier lifestyle. Many people already searched a varied and healthy diet, but nowadays the physical activity has appeared associated with a balanced diet and health. The physical activity is crucial to achieve e maintain the ideal weight, by reducing the fat mass and increasing and maintain the fat free mass. Evidence also suggests that exercise have an important role in the control of comorbidities associated with obesity. Thus, the work developed during the year 2015 in the institute, relied on the approach to the weight management through professional monitoring, that aimed to help changing the behaviour and adopt a healthier lifestyle, that includes physical activity and balanced diet.
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Dušátková, Lenka. "Studium genetických a infekčních rizikových faktorů v patogenezi obezity u českých adolescentů." Doctoral thesis, 2016. http://www.nusl.cz/ntk/nusl-348094.
Full textAbstract:
4 Abstract The prevalence of obesity and its related cardiometabolic complications in children remains high across the world. Obesity is a multifactorial disease caused by interaction between genes and environmental factors. Genome-wide association studies have discovered several single nucleotide polymorphisms associated with obesity. A causal role of infection in the pathogenesis of obesity has also been considered, particularly the role of adenovirus 36 (Adv36). The aim of the Ph.D. thesis was to investigate the associations of obesity susceptibility loci (TMEM18, SH2B1, KCTD15, PCSK1, BDNF, SEC16B, MC4R, FTO) and Adv36 infection with obesity-related characteristics and complications in the Czech adolescent population. The results are described in eight publications, of which six are original papers and two are reviews. Studies were performed on a cohort of Czech adolescents recruited either from the general population (1,533 individuals from the epidemiological study) and from in-patient or outpatient weight management clinics (562 overweight/obese individuals underwent an intervention). The results demonstrated an association of TMEM18, SEC16B and FTO gene variants with obesity. Some variants of the genes involved in hypothalamic regulation of energy homeostasis − MC4R, BDNF, PCSK1 − were related to...
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Silva, Sílvia Daniela Ramos. "Relatório final de estágio em exercício físico no programa de perda de peso realizado no Instituto Prof. Teresa Branco." Master's thesis, 2017. http://hdl.handle.net/10400.5/14105.
Full textAbstract:
O excesso de peso e a obesidade são um tema que despoleta uma elevada preocupação na população em geral devido às suas repercussões na saúde. Ao longo dos últimos anos várias formas de tratamento têm surgido como resposta a este problema, no entanto, ainda são poucos os estudos que comprovam a eficácia dos mesmos a longo prazo.
A obesidade é uma doença complexa e multifatorial, e por isso, torna-se fundamental que o tratamento da mesma seja através de uma abordagem multidisciplinar que inclua múltiplas formas de intervenção, tais como, nutrição, exercício físico, psicologia e fisiologia do exercício. O Instituto Teresa Branco evidencia-se como um exemplo de sucesso desse tipo de intervenção.
Enquanto fisiologista do exercício, este trabalho consistiu essencialmente no acompanhamento de clientes com diferentes objetivos e aplicação de planos de exercício específicos e acompanhados ao longo de vários meses. Numa análise final de cada caso, foi possível verificar melhorias na maior parte das variáveis analisadas (peso, índice de massa corporal, pregas subcutâneas, perímetros e percentagem massa gorda). Nas variáveis em que o resultado não melhorou e/ou piorou, as razões principais passam pela falta de assiduidade e pelo estilo de vida.Overweight and obesity are a subject of great concern in the general population due to its health effects. Over the past few years various forms of treatment have emerged as a response to this problem, however, there are still few studies that prove their effectiveness in the long run. Obesity is a complex and multifactorial disease, and therefore, it is fundamental that the treatment is through a multidisciplinary approach that includes multiple forms of intervention, such as nutrition, physical exercise, psychology and physiology. The Teresa Branco Institute stands out as an example of the success of this type of intervention. As an exercise physiologist, this work consisted essentially in following up clients with different goals and applying specific exercise plans and followed up over several months. In a final analysis of each case, it was possible to verify improvements in most of the analyzed variables (weight, body mass index, subcutaneous folds, perimeters and percentage fat mass). In the variables in which the result did not improve and / or worsened, the main reasons are lack of attendance and lifestyle.