Volume 9, Issue 4 (volume 9, number 4 2017)                   IJDO 2017, 9(4): 136-147 | Back to browse issues page

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Irani Barghi Z, Ahmadi A R, Bahrekhazan S Z. Effectiveness of Lifestyle Modification Therapy on Weight Management, Body Image and Self-Esteem of Overweight Women . IJDO 2017; 9 (4) :136-147
URL: http://ijdo.ssu.ac.ir/article-1-361-en.html
Effectiveness of Lifestyle Modification Therapy on Weight Management, Body Image and Self-Esteem of Overweight Women
Ziba Irani Barghi * , Ali Reza Ahmadi , Sayedeh Zahra Bahrekhazan
Department of Psychology, Faculty of Literature & Human Sciences, Payam-e-Noor University, Tehran, Iran.
Abstract:   (3530 Views)
Objective: Prevalence of obesity and overweight in Iranian women is increasing. Due to the obesity consequences, prevention is important. The aim of this study was to determine the effectiveness of lifestyle modification on the management of weight loss, body image and self-esteem in overweight women.
Materials and Methods: This study was carried out in a semi-experimental method using pretest-posttest design with control group. The sample of study were 30 obese women referred to nutrition and treatment clinics in the north of Tehran, who were selected by convenience sampling method and randomly assigned to experimental group based on lifestyle and control group. Data were collected using structured clinical interviews, structured clinical interviews for personality disorders, body mass index (BMI), Multiple Body-Self Relationship Questionnaire (MBSRQ), Weight Efficacy Lifestyle (WEL), and Scale of Self-Esteem Index for Women-Short-form (SSEL-W-SF). Data were analyzed using multivariate covariance analysis (MANCOVA). For training subjects, lifestyle modification therapy was used in 12 sessions of 90 minutes, once a week. No intervention was used for control group and pretest and post-test were performed for both groups.
Results: The results showed that lifestyle modification therapy had a significant effect on weight management, body image and sexual self-esteem of women with high overweight. This means that the experimental group had higher weight management, body image and sexual self-esteem after intervention than the control group (P≤0.001).
Conclusion: These results indicate that training the women with high overweight for lifestyle modification has a significant impact on creating new and original inspirations and actions; and this training can be used as a useful intervention to improve the level of weight management, body image and sexual self-esteem among overweight women.

 
Keywords: Lifestyle, Weight management, Body image, Sexual self-esteem, Women, Obesity
Full-Text [PDF 250 kb]   (1036 Downloads)    
Type of Study: Research | Subject: Special
Received: 2018/02/26 | Accepted: 2018/02/26 | Published: 2018/02/26
References
1. Samper-Ternent R, Al-Snih S. Obesity in older adults: epidemiology and implications for disability and disease. Rev Clin Gerontol. 2012;22:10-34.
2. Yücel O, Kinik ST, Aka S, Diagnosis of a trend towards obesity in preschool children: a longitudinal study. Eur J Pediatr. 2011;170:751-6.
3. Mohammadi Zaidi I, Pakpour Haji-Agha A, Akaberi A. The effectiveness of training intervention on lifestyle modification of high school first grade male students with overweight in Tonkabon County. J North Khorasan Univ Med Sci, 2013;5(3):631-42.
4. Boutayeb A, Boutayeb S. The burden of non-communicable diseases in developing countries. Int J Equity Health. 2005;4:2.
5. World health organization, WHO Global InfoBase online, Accessed 9 February 2011.
6. Kouris-Blazos A, Wahlqvist ML. Health economics of weight management: evidence and cost. Asia Pac J Clin Nutr. 2007;16(1):329-38.
7. Dehghan M, Akhtar-Danesh N, Merchant AT. Childhood obesity, prevalence and prevention. Nutr J. 2005;4:24.
8. Mirzazadeh A, Sadeghirad B, Haghdoost AA, Bahrein F, Rezazadeh Kermani M. The Prevalence of Obesity in Iran in Recent Decade; a Systematic Review and Meta-Analysis Study. Iranian J Publ Health, 2009;38(3):1-11.
9. Li HL, Xu B, Zheng W, Xu WH, Gao J, Shu XO, et al. Epidemiological characteristics of obesity and its relation to chronic diseases among middle aged and elderly men. Zhonghua Liu Xing Bing Xue Za Zhi. 2010;31(4):370-4.
10. Santos Silva DA, Nahas MV, de Sousa TF, Del Duca GF, Peres KG. Prevalence and associated factors with body image dissatisfaction among adults in southern Brazil: a population-based study. Body Image. 2011;8(4):427-31.
11. Gavin AR, Simon GE, Ludman EJ. The association between obesity, depression, and educational attainment in women: the mediating role of body image dissatisfaction. J Psychosom Res. 2010;69(6):573-81.
12. Ernersson A, Frisman GH, Frostell AS, Nyström FH, Lindström T. An obesity provoking behavior negatively influences young normal weight subjects’ health related quality of life and causes depressive symptoms. Eat Behav, 2010;11(4),247-52.
13. Zeanah PD, Schwarz JC. Reliability and validity of the Sexual Self-Esteem Inventory for women. Assessment, 1996;3:1-15.
14. Beth AV, Julien B, Anthony FB, Michael CA. Psychopathy, sexual behavior and self-esteem, it’s different for girls. Journal personality and individual differences. 2010;48(7):833-83.
15. James R. Correlates of sexual self-esteem in a sample of substance-abusing woman. J Psychoactive Drugs, 2011;43(3):220-8.
16. Ramazani M, Dolatian M, Shams J, Alavi Majd H. The correlation between self-esteem and sexual dysfunction and satisfaction in women. Arak Med Univ J. 2012;14(59):57-65.
17. Showani E, Zahrakar K, Ghasemi Jobaneh R, Dargahi Sh. Role of sexual Satisfaction, Spiritual Health, Psychological Distress and Self- Esteem in Marital Commitment of Women’s with Veteran Husbands. Iran J War & Public Health, 2015;7(2):99-105.
18. Cash TF, Hicks KL. Being fat versus thinking fat: Relationships with body image, eating behaviors and wellbeing. Cognit Ther Res. 1990;14(3):327-41.
19. Kulie T, Slattengren A, Redmer J, Counts H, Eglash A, Schrager S. Obesity and women’s health: an evidence-based review. Am Board Fam Med. 2011;24(1):75-85.
20. Rowe DA, Benson J, Baumgartner TA. Development of body self-image questionnaire. Meas Phys Educ Exerc Sci. 2009;3(3):233-47.
21. Paxton SJ, Eisenberg ME, Neumark-Sztainer D. Prospective predictors of body dissatisfaction in adolescent girls and boys: A five-year longitudinal study. Dev. Psychol. 2006;42(5):888-99.
22. Cash TF, Winstead BA, Janda LM. The Great American Shape-up: Body Image Survey Report. Psychol Today, 1986;30-7.
23. McKee MD, Deen D, Maher S, Fletcher J, Fornari A, Blank AE. Implementation of a pilot primary care lifestyle change intervention for families of pre-school children: lessons learned. Patient Educ Couns. 2010;79(3):299-305.
24. Eshaghi S, Shahsanai A, Mellat M. Assessment of the Physical Activity of Elderly Population of Isfahan, Iran. J Isfahan Med School, 2011;29(147):939-46. (in Persian)
25. Reverse Heart Disease, The heart risk factor, 2003. Center for Disease Control and Prevention. Healing Heart. http://www.Heart disease/risk/ factor/healing heart.html.
26. Seo NS, Kim YH, Kang HY. Effects of an obesity control program based on behavior modification and self-efficacy in obese elementary school children. Taehan Kanho Hakhoe Chi. 2005;35(3):611-20.
27. Sawatzky RG, Ratner PA, Richardson CG, Washburn C, Sudmant W, Mirwaldt P. Stress and depression in students: the mediating role of stress management self-efficacy. Nurs. 2012;61(1):13-21.
28. Gerstel E, Pataky Z, Busnel C, Rutschmann I, Guessous I, Zumwald C, et al. Impact of lifestyle intervention on body weight and the metabolic syndrome in home-care providers. Diabetes Metab. 2013;39:78-84.
29. Lloyd JJ, Wyatt KM, Creanor S. Behavioral and weight status outcomes from an exploratory trial of the Healthy Lifestyles Program (HeLP): a novel school-based obesity prevention program. BMJ Open. 2012;2(3):1-12.
30. Costa Dias Pitangueira J, Rodrigues Silva L, de Farias Costa PR. The effectiveness of intervention programs in the prevention and control of obesity in infants: a systematic review. Nutr Hosp. 2015;31(4):1455-64.
31. First MB, Gibbon M, Spizer RL, Williams JB, Benjamin LS. Structured Clinical Interview for DSM-IV Axis II Personality Disorders. (SCID-II). Washington, D.C.: American Psychiatric Press, Inc., 1997.
32. Groth-Marnath G. Handbook of Psychological Assesment. New York: Wiley&sons, 1997.
33. Sharifi V, As’adi SM, Mohammadi MR, Amini H, Semnani Y, Sha’bani A, et al. The reliability and feasibility of implementing the Persian version of the Structured Diagnostic Interview for DSM-IV (SCID). J New Cogn Findings, 2004;6(1&2):10-22.
34. Enferadi SH. Investigating the relationship between cognitive strategies of emotional regulation with anxiety and depression in students (comparison of clinical and non-clinical samples). Master’s thesis of Clinical Psychology, Psychiatric Institute, 2010.
35. Cash TF. The body image workbook: An 8-step program for learning to like your looks. New Harbinger: Oakland, 1997.
36. Louise J. Personality tests (Translated by Mohammad Ali Besharat and Mohammad Habibnejad). Tehran: Aijiz Publication. 1st Ed, 2005.
37. Clark MM, Abrams DB, Niaura RS, Self-efficacy in weight management. J Consul Clin Psychol. 1991;59:739-44.
38. Sadeghi K, Gharaei B, Fati L, Mazhari SZ. The effectiveness of cognitive behavioral therapy in the treatment of obese patients. J Psychiatry Clin Psychol Iran, 2010;16(2):107-17.
39. Babaie S, Khodapanahi MK, Sadeghpour BS. Validating and investigating reliability of the weight efficacy lifestyle questionnaire. J Behav Sci. 2008;2(1):75-81.
40. Karageorghis CI, Vencato MM, Chatzisarantis NLD, Carron AV. Development and initial validation of the Brunel lifestyle physical activity questionnaire. ‎Br J Sports Med. 2009;39(5):23.
41. Jae SY, Fernhall B, Heffernan KS, Jeong M, Chun EM, Sung J, et al. Effects of lifestyle modifications on C- reactive protein: Contribution of weight loss and improved aerobic capacity. Metab Clin Exp. 2006;55:825-31.
42. Wing RR, Tate DF, Gorin AA, Raynor HA, Fava JL. A self-regulation program for maintenance of weight loss. N Eng J Med. 2006;355:1563-71.
43. Kitzmann KM, Dalton WT, Stanley CM, Beech BM, Reeves TP, Buscemi J, et al. Lifestyle interventions for youth who are overweight: A meta-analytic review. Health Psychol. 2010;29(1):91-101.
44. Fine JT, Colditz GA, Coakley EH, Moseley G, Manson JE, Willett WC, et al. A prospective study of weight change and health-related quality of life in women. JAMA. 1999;282:2136-42.
45. Polivy J, Coleman J, Herman CP. The effect of deprivation on food cravings and eating behavior in restrained and unrestrained eaters. Int J Eat Disord, 2005;38:301-9.
46. Lee V, Cohen SR, Edgar L, Laizner AM, Gagnon AJ. Meaning-making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Soc Sci Med. 2011;62(4):3133-45.
47. Brownell K. The LEARN Program for weight management, Dallas, Texas: American Health Publishing Company, 2000.
48. Brownell KD. The LEARN program for weight management 2004, (10th Ed.) Dallas, TX: American Health Publishing, 2004.
49. Thompson JK. Body image disturbance, assessment and treatment, University of South Florida- Pergamum press, 1990.
50. Yoshiike N, Miyoshi M. Epidemiological aspects of overweight and obesity in Japan-international comparisons. Nihon Rinsho. 2013;71(2):207-16.
51. Zeanah PD, Schwarz JC. Reliability and validity of the Sexual Self-Esteem Inventory-Women. Assessment. 1996;3(1):1-15
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