DOI QR코드

DOI QR Code

Effects of Lifestyle Modification Program on Body Composition, Metabolic Syndrome Markers, and Depression in Obese Postmenopausal Women

생활양식 개선프로그램이 폐경후 비만여성의 신체조성, 대사성증후군 지표 및 우울에 미치는 효과

  • Park, Nam Hee (Department of Nursing, College of Medicine, Inje University)
  • 박남희 (인제대학교 의과대학 간호학과)
  • Received : 2013.04.13
  • Accepted : 2013.08.15
  • Published : 2013.08.31

Abstract

Purpose: The aim of this study was to evaluate the effects of lifestyle modification program on body composition and metabolic syndrome makers, depression in obese postmenopausal women. Method: The research design of this study included a non-equivalent control group pretest-posttest design. The lifestyle modification program was administered twice a week for 12 weeks the experimental group, whereas the control group had no program. The experimental group consisted of 22 obese postmenopausal women while the control group contained 19 subjects. The study also attempted to measure the effects of the program on body composition, metabolic syndrome markers, and depression in obese postmenopausal women. The data were analyzed by descriptive statistics and a t-test using the SPSS/WIN 17.0 program. Results: After participating in the lifestyle modification program, the experimental group showed statistically significant decreases in systolic pressure, diastolic pressure and depression, but no change in body composition. Conclusions: The result of this study show that the lifestyle modification program had a significant impact on obese postmenopausal women. In the future, it is necessary to offer more tailed program for a longer period.

Keywords

References

  1. Andres, G. D., James, P. M., Robert, A. G., & Roman, V. D. (2009). Comparision of methods for delivering a lifestyle modification program for obese patients. Annals of Internal Medicine, 150(4), 255-262. https://doi.org/10.7326/0003-4819-150-4-200902170-00006
  2. Anh, S. H. (2007). Effects of Walking on Cardiovascular Risk Factors and Psychosocial Outcomes in Postmenopausal Obese Women. Journal of Korean Academy of Nursing, 37(4), 519-528. https://doi.org/10.4040/jkan.2007.37.4.519
  3. Asikma, T. M., Kukkonen-Harjula, K., & Miilunpalo, S. (2004). Exercise for health for earlypostmenopausal women: a systematic review of randomised controlled trials. Sports Medicine, 34(11), 753-778. https://doi.org/10.2165/00007256-200434110-00004
  4. Carroll S., Borkoles E., & Polman R. (2007). Short-term effects of a non-dieting lifestyle Intervention program on weight management, fitness, metabolic risk, and psychologicalwell--being in obese premenopausal females with the metabolic syndrome. Applied Physiology, Nutrition, and Metabolism. 32(1), 125-42. https://doi.org/10.1139/h06-093
  5. Cho, J. H., Chung, J. H, Shin, M. R., & Lee, J. H. (2006). Effects of Aerobic Exercise Habit on Obesity Linked Factors in Females. Journal Korean Sports Medicine, 24(2), 211-218.
  6. Cho, M. Y. Lee, H. J., Lee, H. J., & Park, H, S. (2004). The Effects of Problem Solving Group Counseling on the Index of Obesity and Health Habits of Obese Children. Journal of Korean Academy of Nursing, 34(7), 1224-1233. https://doi.org/10.4040/jkan.2004.34.7.1224
  7. Choi, M. S., Han, K. H., & Park, K. S. (2001). Comparison of dietary intakes by 24-hr dietary recall, dietary record and food frequency questionaire among elderly people. Korean Journal of Nutriton, 34(6), 688-700.
  8. D'Zurilla, T. J., & Doldfried, M. R. (1973). Cognitive Process Problem Solving and Effective Behavior. In Golffried, M. R. & Merbaum, M. Behavior Change Self-Contro. New York; Plenum.
  9. Erdfelder, E., Faul, F., & Buchner, A. (1996). GPOWER: A general power analysis program. Behavior Research Methods, Instruments & Computers, 28, 1-11. https://doi.org/10.3758/BF03203630
  10. Finkelstein, E. A., Trogdon, J. G., Cohen, J. W., & Doetz, W. (2009). Annual medical spending attributable to obesity: payer-and service-specific estimates. Health Affairs, 28(5), 822-831. https://doi.org/10.1377/hlthaff.28.5.w822
  11. Kang, H. S., Hong, H. R., Kang, K. H., & Lee, J. Y. (2006). Effect of weekly exercise volume on obesity and its metabolic syndrome in centrally obese mid-life women. Exercise Science, 15(4), 301-308.
  12. Kim, G. S., Kim, E. G., Lee, C. Y., You, M. A., Kim, B. J., Park, S. H., Lee, S. N., & Kim, J. E. (2009), Obesity related factors in middle aged women: comparison of body mass index and/or waist circumference as measures of obesity. Journal of Korean Academy of Nursing, 23(2), 273-284.
  13. Kim, Y. H., & Yang, Y. O. (2005). Effect of walking exercise on metabolic syndrome risk factors and body composition in obese middle school girls. Journal of Korean Academy of Nursing, 35(5), 858-867. https://doi.org/10.4040/jkan.2005.35.5.858
  14. Korean Society for the Study of Obesity (2003). Treatment Guide of Obesity. Seoul: Haneuhak.
  15. Jeon, E. R. (2006). Effects of Nutriton Education and Aerobic Exercise Program on Weight Program of Middle Aged Abdominal Obese Women. Korean Jourmal of Human Ecology, 9(2), 65-73.
  16. Lee, S. C. (2012). Obese Society, Economic Threats and Opportunities Report. Samsung Economic Research Institute, Management Notes 139.
  17. Lee, J. H. (1997). Counseling Psychology. Seoul; Parkyungsa.
  18. Lee, J. Y., Kim, D. Y., Park, S. H., Han, T. K., Lee, S. H., Kim S. H., Ahn E. S., & Kang, H, S. (2005), Correlation of abdominal obesity, cardiopulmonary fitness and metabolic syndrome in pre-and post-menopausal women. Exercise Science, 14(4), 535-544.
  19. Linde, J. A., Jeffery, R. W., Levy, R. L., Sherwood, N. E., Utter, J., Pronk, N. P., & Boyle, R. G. (2004). Binge eating disorder, weight control self-efficacy, and depression in overweight men and women. International Journal of Obesity and Related Metabolic Dsisorders, 28(3), 418-425. https://doi.org/10.1038/sj.ijo.0802570
  20. Ministry of Health & Welfare (2011). 2010 National health and nutrition survey, Seoul. Retrieved September 9, 2012, from http://knhanes.cdc.go.kr/
  21. National Cholesterol Education Program's Adult Treatment Panel III (2002). Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults(Adults Treatment Panel III). Final report, Circulation, 106, 143-421. https://doi.org/10.1161/01.CIR.0000019555.61092.9E
  22. O'Neil, P. M. (2001). Assessing dietary in management of obesity. Obes Res, 9(5), 361-366.
  23. Park, N. H., Han, C. I., & Choi, E. O. (2007). The Effects of a Combined Exercise Programand Telephone Counseling on Physiological Functions, Self-efficacy and Depression in Obese Middle-Aged Women. Journal of Korean Academy of Community Health Nursing, 18(1), 69-78.
  24. Park, N. H., & Ahn, H. G. (2006). Effects of the weight management program based self-efficacy for body lipid profile, weight self-efficacy lifestyles, depression in middle-aged obese women. Journal of Korean Academy of Nursing, 36(8), 1359-1366. https://doi.org/10.4040/jkan.2006.36.8.1359
  25. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research on the general population. Applied psychological measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306
  26. Seo, D. I., Kim, S. K., & Chang, H. K. (2009), The effect of 12 weeks of walking exercise on body composition and physical fitness in middle aged women. Journal of Korean Academy of Public Health Nursing, 23(1), 61-68.
  27. Shin, S. A., & Kang, H. S. (2005). Compare obesity indices, cardiorespiratoty fitness, metabolic syndrome indices between pre-and post-menopausal women. Exercise Science, 14(2), 193-202.
  28. Song, J. K., Jang, S. M., Choi, J. S., Kim, Y. S., & Jung, C. H. (2002). The self management in middle aged women with diabetes mellitus. Diabetes Montor, 3(1), 56-66.
  29. Tomas, A. W., Robert, I. B., Leslie, G. W., David, B. S., Suzanne, P., Robert, K. C., Louise,A.H., Suzette, Y. S., Rosalind, K., & Albert, J. S. (2007). Randomized trial of lifestyle modification and pharmacotherapy for obesity. The Newengland Journal of Medicine, 353(20), 2111-2120.
  30. Yoon, S. H., Park, J. H., Cho., S. C., Park, M. J., Kim, S. S., Choi, S, H., Choi., S. Y., Jeong.,I. K., Lee, C. M., Shin, C. S., Cho, S. H., Oh, B. H., & Choi, J. K. (2005). Depressive Symptommatology and Metabolic Syndrome in Korean Women. The Korean Journal of Obesity, 14(4). 213-219.

Cited by

  1. The Effects of Lifestyle Factors on Metabolic Syndrome among Adolescents vol.28, pp.2, 2014, https://doi.org/10.5932/JKPHN.2014.28.2.270
  2. Self-Management Program for Heart Healthy Behavior Among Middle- and Old-Aged Korean Women at Risk for Metabolic Syndrome vol.32, pp.6, 2017, https://doi.org/10.1097/JCN.0000000000000406
  3. A Pilot Study of APN-led Self-management Program to Improve Cardiovascular Health Status among Korean Women with Risk Factors vol.28, pp.2, 2016, https://doi.org/10.7475/kjan.2016.28.2.237