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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Bibliographic Details
Main Author: Tufail, Muhammad Waseem
Format: thesis
Language:eng
Published: 2018
Subjects:
Online Access:https://ir.upsi.edu.my/detailsg.php?det=5058
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Summary: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.