Effectiveness of an integrated-Weight Management Programme (i-WMP) in Reducing Body Weight among Noncommunicable Disease Patients in Malaysian Government Primary Care Clinics: A Randomised Controlled Trial
https://doi.org/10.47836/mjmhs.18.6.9
- Author:
Siew-Tin Tan
1
;
Sherina Mohd-Sidik
1
;
Lekhraj Rampal
2
;
Kit-Aun Tan
1
;
Zuriati Ibrahim
3
;
Norliza Binti Ahmad
2
;
Ummu Kalsum Mustapha
4
;
Fuziah Paimin
5
;
Nor Hazlin Talib
5
;
Naemah Sharifuddin
6
;
Normala Ibrahim
1
Author Information
1. Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor, Malaysia
2. Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor, Malaysia
3. Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor, Malaysia
4. Klinik Kesihatan Dengkil, 43800 Sepang, Selangor, Ministry of Health, Malaysia
5. Klinik Kesihatan Kajang, 43000 Kajang, Selangor, Ministry of Health, Malaysia
6. Klinik Kesihatan Bandar Seri Putra, 43000 Kajang, Selangor, Ministry of Health, Malaysia
- Publication Type:Journal Article
- Keywords:
Obesity, Body weight, Randomised controlled trial, Weight management programme, Noncommunicable disease
- From:Malaysian Journal of Medicine and Health Sciences
2022;18(No.6):54-64
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Obesity is a global issue called as “globesity”. Overweight and obesity may lead to many noncommunicable diseases (NCDs). Primary care is the first centre to monitor and follow-up the progress of NCD patients.
Therefore, the objective of this study was to determine the effectiveness of an integrated-Weight Management Programme (i-WMP) to reduce body weight among NCD patients from two Government primary care clinics from
Hulu Langat District. Methods: This study was single-blinded randomised controlled trial by design. There were 244
eligible patients were randomised into intervention (n = 122) or wait-list control group (n = 122). The i-WMP was
developed based on the behaviour change wheel through the operationalization of behaviour change techniques.
The duration of this intervention programme was four weeks. Data collected at week 0, week 4, and week 12. The
software IBM SPSS was used to analyse the data. Generalized linear mixed model analysis with intention-to-treat
principle was applied. Results: The retention rate was 74.2%. Findings showed that the i-WMP was significantly
effective in reducing not only body weight as primary outcome but also secondary outcomes such as waist-to-height
ratio, waist circumference, body mass index, and total sitting time. It also improved effectively other secondary outcomes such as participants’ knowledge, attitude, and practice towards dietary and towards physical activity. However, no significant changes were reported for body fat percentage and total physical activity metabolic equivalent of
task-minutes/week. Conclusion: Implications surrounding the implementation of i-WMP in the primary care clinics
are recommended.
- Full text:11.2022my1359.pdf
