DOI QR코드

DOI QR Code

Effects of Community Based Participatory Obesity Intervention Program in Middle-Aged Women

중년 여성 대상의 지역사회 참여형 비만 중재 프로그램의 효과

  • 김현 (대전발전연구원)
  • Received : 2015.02.06
  • Accepted : 2015.04.20
  • Published : 2015.04.30

Abstract

Purpose: The aim of the study was to determine the effects of a community based participatory program in obese middle-aged women. Methods: One-group pretest-posttest design was used. The subjects were 35 middle-aged women. Data were collected at public health centers in Chungcheongnam-Do from March to May, 2013. To evaluate the effect of the program, physiological indexes(body mass index, skeletal muscle mass, body fat mass, visceral fat area) and health behavior indexes(dietary practice guidelines score, moderate physical activity, drinking frequency) were measured. Analysis was performed using a Wilcoxon Signed Rank Test. Results: After the program, physiological indexes (BMI, BFM, SMM, VFA) and health behavior indexes (dietary guidelines scores, frequency of physical activity, drinking frequency) were significantly improved. Conclusion: The community based participatory obesity program by public health centers is considered to be effective. Therefore, greater effort is needed for better participatory program development of several health promoting fields, and more research is needed in order to examine a continuous effect.

Keywords

References

  1. Ahn, B.C.& Jeong, H.J. (2005). Socioeconomic cost of obesity in korea. Journal of the Korean Society of Food Science and Nutrition, 38(9), 786-792.
  2. Andrews, J.O., Tingen, M.S., Jarrie, S.C., CAleb, M., Simmons, A., Brunson, J., Mueller, M., Ahluwalia, J.S., Newman, S. D., Cox, M.J., Magwood, G., & Hurman, C. (2012). Application of a CBPR Framework to Inform a multi-level tobacco cessation intervention in public housing neighborhoods, American Journal of Community Psychology, 50(1-2), 129-140. https://doi.org/10.1007/s10464-011-9482-6
  3. Cho, B.H. (2010). The past and the current status of community-based health promotion. Korean Journal of Health Education and Promotion, 27(4), 1-6.
  4. Cho, K.O.& Jeong, S.Y. (2007). The effects of regular dietary habits on obesity indices and nutrition intakes in adult males. Journal of the Korean Kietetic Association, 13(2), 114-122.
  5. Choi, E.J., Yoo, J.S., Kim, H.S., Oh, E.G., Kim, S., Bae, S.H., & Chu, S.H.(2007). Utilization and needs assessment of health promotion programs for middle-aged women in public health centers. Journal of Korean Public Health Nursing, 21(2), 193-205.
  6. DeHaven, M.J., Ramos-Roman, M.A., Gimpel, N., Carson, J., DeLemos, J., Pickens, S., Simmons, C., Powell-Wiley, T., Banks-Richard, F., Shuval, K., Duval, J., Tong, L., Hsieh, N., & Lee, J.J.(2011). The goodNEWS (Genes, Nutrition, Exercise, Wellness, and Spiritual Growth) trial: A community-based participatory research trial with African -American church congregations for reducing cardiovascular disease risk factors recruitment, measurement, and randomization. Comtemporary Clinical Trials, 32(5), 630-640. https://doi.org/10.1016/j.cct.2011.05.017
  7. Deheeger, M., Rolland-Cachere, M.F., & Fontvitielle, A.M.(1997). Physical activity and body composition in 10 year old French children: Linkages with nutritional intake. International Journal of Obesity Metabolic Disorder, 21, 372-379. https://doi.org/10.1038/sj.ijo.0800415
  8. Faul, F., Erdfelder, E., Lang, A.G., & Buchner, A. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses, Behavior Research Methods, 41(4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  9. Flores, Y.G., Manzo, R.D., & De la Torre, A. (2013). Engaging control group low-income Mexican origin families in a federally funded USDA NIFA study of childhood overweight and obesity: CBPR methodology and lessons learned. Journal of Nutrition Education and Behaviour, 45(4), 81-85.
  10. Gu, S.H. (2010). Metabolic disorders in obesity and metabolic syndrome and diabetes with a focus on the latest research study. Journal of Biochemistry and Molecular Biology, 30(4), 29-35.
  11. Holmes, J.C., Gibson, A.L., Desautels, R.L., & Nuudi, L. (2007). Ability of InBody 720, InBody 320, and skinflds to estimate FFM From Underwater weighing for adult athletes. Medicine & Science in Sports & Exercise, 39(5), 370s.
  12. Hyoung, H.K.& Kim, H.S. (2009). The effect of brisk exercise program on body composition, blood pressure, blood glucose and blood lipid for middle-aged woman with obesity. The Journal of Korean Biological Nursing Science, 10(1), 62-68.
  13. Israel, B.A., Eng, E., Schulz, A.J., & Parker, E.A. (2005). Methods in community-based participatory research for health.methods in community-based participatory research for health. SanFrancisco, CA: Jossey-Bass.
  14. Kim, E.J.& Hwang, H.J. (2010). Effects of a nutrition education and exercise program of overweight or obese female adults on nutritional and health status. Journal of the Korean Society of Food Science and Nutrition, 39(1), 78-84. https://doi.org/10.3746/jkfn.2010.39.1.078
  15. Kim, H.& Lee, S.G. (2012). Effects of an individual health counseling program for community. Korean Journal of Health Education and Promotion, 29(2), 13-21.
  16. Kim, K.D., Song, Y.O., & Back, Y.H. (2011). Effects of belly dancing and nutritional education on body composition and serum lipids profiles of obese women in a study, obesity clinic projects at community health center. Korean Journal of Food Science and Technology, 40(10), 1417-1422.
  17. Kim, K.W. (2010). Obesity prevalence and weight control programs for middle-aged women. Journal of Women's Studies, 25, 153-166.
  18. Korea Centers for Disease Control & Prevention. (2014). Korea national health and nutrition examination survey 6th-1year (2013). Seoul: Korea Centers for Disease Control & Prevention.
  19. Korean Society for the Study of Obesity. (2000). The Asia-Pacific Perspective: Redefining Obesity and Treatment. Seoul: Korean Society for the Study of Obesity.
  20. Kwon, H.J., Kim, K.A., & Kang, J.H. (2005). The development of a web-based weight reduction program for public health care. Korean Society for the Study of Obesity, 14(4), 242-267.
  21. Kwon, Y.S. (2014). Necessity of the development of a web-based obesity management program to prevent metabolic syndrome of the workers. International Conference on Convergence Technology, 5(4), 121-127.
  22. Maitlen, L.A., Bockstahler, A.M., & Belcher, A.E. (2012). Using community-based participatory research in parish nursing: A win-win situation: university graduate students partnered with a large urban hospital parish nurse program for a CBPR project that helped everyone win. Journal of Christian Nursing, 29(4), 222-227. https://doi.org/10.1097/CNJ.0b013e318267c862
  23. Meloche, J. (2003). Cooking with class: participation soars with hands-on learning and take-away. Journal of Nutrition Education Behavior, 35(2), 107-108. https://doi.org/10.1016/S1499-4046(06)60048-1
  24. Merzel, C.& D'Afflitti, J. (2003). Reconsidering community-based health promotion: promise, performance. American Journal of Public Health, 93(4), 557-574. https://doi.org/10.2105/AJPH.93.4.557
  25. Ministry of Health and Welfare. (2012). Handbook of health promotion. Seoul: Ministry of Health and Welfare.
  26. Ministry of Health and Welfare. (2005). Revised Health Plan 2010. Seoul: Ministry of Health and Welfare.
  27. Minkler, M. (2005). Community-based research partnerships: Challenges and opportunities. Journal of Urban Health, 82(2suppl2), ii3-ii12. https://doi.org/10.1093/jurban/jti135
  28. Oh, S.W. (2009). Effects of alcohol on obesity and metabolic syndrome. Journal of Korean Society for the study of Obesity. 18(1).1-7.
  29. Sim, J.H., Go, G.Y., & Yoo, J. (2007). The effect of an obesity control program on body composition and blood lipid level among middle-aged obese women in a health center. Journal of Korean Academy of Community Health Nursing, 18(2), 201-210.
  30. Yoo, H.J. (2002). Effects of triglyceride response to a high fat meal and visceral fat accumulation on the postprandial lipemia and cardiovascular risk factors in healthy men. Unpublished doctoral dissertation, Yousei University, Seoul.
  31. Yoo, S.H. (2009). Using community-based participatory research(CBPR) for health promotion. Korean Journal of Health Education and Promotion, 26(1), 141-158.