The efficacy of psycho-physical interventions for obesity and associated factors among Pakistani women: A randomized controlled trial study

The study aims to measure the effectiveness of psychological and physical interventionsfor obesity and associated factors. The psycho-physical interventions are the combination ofcognitive behavior therapy (CBT), exercise, and diet management to reduce obesity diagnosticfactors such as body weight,...

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Main Author:	Tufail, Muhammad Waseem
Format:	thesis
Language:	eng
Published:	2018
Subjects:	RA Public aspects of medicine
Online Access:	https://ir.upsi.edu.my/detailsg.php?det=5058
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language	eng
topic	RA Public aspects of medicine
spellingShingle	RA Public aspects of medicine Tufail, Muhammad Waseem The efficacy of psycho-physical interventions for obesity and associated factors among Pakistani women: A randomized controlled trial study
description	The study aims to measure the effectiveness of psychological and physical interventionsfor obesity and associated factors. The psycho-physical interventions are the combination ofcognitive behavior therapy (CBT), exercise, and diet management to reduce obesity diagnosticfactors such as body weight, body mass index (BMI), waist- to-hip ratio (WHR), and percent body fat(PBF) among Pakistani women. The same interventions targeted obesity associated factors such aseating behavior, sedentary behavior, body image, and self-control. Through a randomized controltrial repeated measure design, the study recruited 128 females by employing panel data technique onthe basis of inclusion criteria (BMI>25 kg/m2). The sample were distributed into four equal groupsusing online permuted block randomization. Experimental group-1 (CBT+ Exercise) received weekly sessions for 10 weeks of cognitive behavior therapy along with exerciseexecution. Experimental group-2 (CBT + Diet) received weekly sessions for 10 weeks of cognitivebehavior therapy with diet management plan. Experimental group-3 (CBT + Exercise + Diet) alsoreceived weekly sessions for 10 weeks of CBT along with exercise execution and diet plan. Group-4(control) attended weekly sessions for 10 weeks but were provided information only. The resultsfound that the intervention-3 significantly (treatment effect × time effect p≤0.001) reduced morebody weight, BMI, WHR, and PBF at 10-week and 5-month follow-up as compared to other groups.Likewise, the intervention-3 significantly (treatment effect × time effect p≤0.001) reduced eatingbehavior, sedentary behavior, body image, and self-control at 10-week as compared to other groupsbut in the 5-month follow-up there were no significant changes. Conclusively, the combination ofCBT with exercise and diet management is the most effective intervention to reduce obesity andassociated factors as compared to CBT with exercise alone or CBT with diet management alone. Thestudy implicated that body weight, obesity, and associated factors can be reduced byusing psycho-physical interventions.
format	thesis
qualification_name
qualification_level	Doctorate
author	Tufail, Muhammad Waseem
author_facet	Tufail, Muhammad Waseem
author_sort	Tufail, Muhammad Waseem
title	The efficacy of psycho-physical interventions for obesity and associated factors among Pakistani women: A randomized controlled trial study
title_short	The efficacy of psycho-physical interventions for obesity and associated factors among Pakistani women: A randomized controlled trial study
title_full	The efficacy of psycho-physical interventions for obesity and associated factors among Pakistani women: A randomized controlled trial study
title_fullStr	The efficacy of psycho-physical interventions for obesity and associated factors among Pakistani women: A randomized controlled trial study
title_full_unstemmed	The efficacy of psycho-physical interventions for obesity and associated factors among Pakistani women: A randomized controlled trial study
title_sort	efficacy of psycho-physical interventions for obesity and associated factors among pakistani women: a randomized controlled trial study
granting_institution	Universiti Pendidikan Sultan Idris
granting_department	Fakulti Pembangunan Manusia
publishDate	2018
url	https://ir.upsi.edu.my/detailsg.php?det=5058
_version_	1747833160749547520
spelling	oai:ir.upsi.edu.my:50582020-08-04 The efficacy of psycho-physical interventions for obesity and associated factors among Pakistani women: A randomized controlled trial study 2018 Tufail, Muhammad Waseem RA Public aspects of medicine The study aims to measure the effectiveness of psychological and physical interventionsfor obesity and associated factors. The psycho-physical interventions are the combination ofcognitive behavior therapy (CBT), exercise, and diet management to reduce obesity diagnosticfactors such as body weight, body mass index (BMI), waist- to-hip ratio (WHR), and percent body fat(PBF) among Pakistani women. The same interventions targeted obesity associated factors such aseating behavior, sedentary behavior, body image, and self-control. Through a randomized controltrial repeated measure design, the study recruited 128 females by employing panel data technique onthe basis of inclusion criteria (BMI>25 kg/m2). The sample were distributed into four equal groupsusing online permuted block randomization. Experimental group-1 (CBT+ Exercise) received weekly sessions for 10 weeks of cognitive behavior therapy along with exerciseexecution. Experimental group-2 (CBT + Diet) received weekly sessions for 10 weeks of cognitivebehavior therapy with diet management plan. Experimental group-3 (CBT + Exercise + Diet) alsoreceived weekly sessions for 10 weeks of CBT along with exercise execution and diet plan. Group-4(control) attended weekly sessions for 10 weeks but were provided information only. The resultsfound that the intervention-3 significantly (treatment effect × time effect p≤0.001) reduced morebody weight, BMI, WHR, and PBF at 10-week and 5-month follow-up as compared to other groups.Likewise, the intervention-3 significantly (treatment effect × time effect p≤0.001) reduced eatingbehavior, sedentary behavior, body image, and self-control at 10-week as compared to other groupsbut in the 5-month follow-up there were no significant changes. Conclusively, the combination ofCBT with exercise and diet management is the most effective intervention to reduce obesity andassociated factors as compared to CBT with exercise alone or CBT with diet management alone. Thestudy implicated that body weight, obesity, and associated factors can be reduced byusing psycho-physical interventions. 2018 thesis https://ir.upsi.edu.my/detailsg.php?det=5058 https://ir.upsi.edu.my/detailsg.php?det=5058 text eng closedAccess Doctoral Universiti Pendidikan Sultan Idris Fakulti Pembangunan Manusia A Karim, N., Mohd Yusof, S., Hashim, J. K., Din, M., Haslinda, S., Harun, Z., . . .Norazlin, S. (2008). Food consumption patterns: findings from the Malaysian Adult Nutrition Survey(MANS). Malaysian Journal of Nutrition, 14(1), 25-39.Aßmann, C., Steinhauer, H. W., Kiesl, H., Koch, S., Schönberger, B., Müller-Kuller, A., . . .Blossfeld, H.-P. (2011). 4 Sampling designs of the National Educational Panel Study: challenges andsolutions. Zeitschrift für Erziehungswissenschaft, 14, 51-65.Ainsworth, B. E., Haskell, W. L., Herrmann, S. D., Meckes, N., Bassett Jr, D. R., Tudor-Locke, C.,. . . Leon, A. S. 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