Development and Evaluation of Interventional Program for Obesity Based on Health Education and Self-Dertermination
10.2185/jjrm.52.172
- VernacularTitle:健康学習と自己決定に基づく肥満改善プログラムの開発と評価
- Author:
Kuninori SHIWAKU
;
Akiko NOGI
;
Erdembileg ANUURAD
;
Keiko KITAJIMA
;
Kumiko SHIMONO
;
Yosuke YAMANE
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2003;52(2):172-183
- CountryJapan
- Language:Japanese
-
Abstract:
To arrest the prevalence of obesity in Japanese rural communities, we have conducted to develop an interventional program for the prevention of obesity based on health education and self-dertermination since 2000. We adopted the behavioral program to strengthen self-control of diet and exercise based on learning principles. The objectives of the 3-month program were to lose weight by 3.0kg, to reduce metabolic measurement values by 10% in terms of dietary caloric intake and to keep taking over 7, 000 steps a day. Subjects were 140 residents with Body Mass Index of 24.8±3.0, aged 35-70 years, in Izumo City and Sada Town, Shimane Prefecture, who were interested in the prevention of overweight and obesity-associated diseases, voluntarily participated in the behavioral program conducted in 2000-2002. The rate of dropout from the program was 2.9%(4/140). The behavioral intervention induced significant decreases in intakes of energy, protein and fat, and increases in the number of steps per day taken by the participants. The intervention induced a significant difference in weightloss (-1.0kg in 2001 and -1.8kg in 2002). Significant differences of anthropometric parameters were found in body weight, BMI, waist and hip circumferences, blood pressure and lipid profiles, such as total cholesterol, LDL-cholesterol, and HDL-cholesterol, by the intervention in 2001 and 2002. Since our program is based on the participants' awareness and autonomous improvement of behavior, it would be easier to continue for a long term compared to complying with specialist's complicated prescription of behavioristic modification.
