Narrative-focused Group Counseling Improves Intervention Outcomes in Women With Obesity
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články
PubMed
35909038
DOI
10.1016/j.jneb.2022.04.005
PII: S1499-4046(22)00135-X
Knihovny.cz E-zdroje
- Klíčová slova
- ghrelin, metabolic biomarkers, obestatin, weight loss, narrative-focused group counseling,
- MeSH
- cholesterol MeSH
- ghrelin * MeSH
- index tělesné hmotnosti MeSH
- krevní glukóza * MeSH
- lidé MeSH
- lipoproteiny HDL MeSH
- lipoproteiny LDL MeSH
- obezita terapie MeSH
- poradenství MeSH
- triglyceridy MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Írán MeSH
- Názvy látek
- cholesterol MeSH
- ghrelin * MeSH
- krevní glukóza * MeSH
- lipoproteiny HDL MeSH
- lipoproteiny LDL MeSH
- triglyceridy MeSH
OBJECTIVE: To investigate the effects of narrative group counseling combined with diet modification and exercise plans on weight loss in Iranian women with obesity. DESIGN: Parallel 2-arm clinical trial. PARTICIPANTS: Fifty-six Iranian women with obesity (aged 18-50 years). INTERVENTION: The intervention group included weekly diet, exercise, and narrative-focused group counseling, whereas the comparison group included dietary modification and exercise sessions for 8 months (32 sessions). MAIN OUTCOME MEASURE: Anthropometric and body composition parameters, blood biochemical parameters (high-density lipoproteins, low-density lipoproteins, triglycerides, fasting blood sugar, ghrelin, obestatin), physical activities, and appetite scores. ANALYSIS: McNemar test was used for the variables that were not normally distributed and for scaling. Furthermore, t tests were used to compare quantitative variables with normal distributions. The original P (0.05) was adjusted to P = 0.0031 using the Bonferroni correction. RESULTS: Weight, body mass index, body fat proportion, and hip circumference decreased significantly in the intervention vs comparison group. Serum low-density lipoproteins, triglycerides, total cholesterol, fasting blood sugar, appetite score, and ghrelin decreased, whereas obestatin increased significantly in the intervention vs comparison group. CONCLUSIONS AND IMPLICATIONS: Narrative-focused group counseling combined with traditional strategies was effective in achieving significant changes in weight, body mass index, and appetite. Future studies with a more diverse audience and a longer follow-up are warranted.
Biochemistry Payam Noor University Tehran Iran
Charles University Prague Czech Republic
Department of Food and Drug Administration Isfahan University of Medical Sciences Isfahan Iran
Faculty of Science and Engineering Waseda University Tokyo Japan
Institute of Nutrition Sciences Kagawa Nutrition University Saitama Japan
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