Effect of the Weight Control Program Focusing on the Modification of Eating Behavior in the Overweight or Obese University Students

Main Article Content

ภัทรจิตรา สมานชาติ
อรอนงค์ วลีขจรเลิศ
บุษบา บุษบา โทวรรณา

Abstract

Objectives:  To examine the effects of the weight control program focusing on the modification of eating behavior in the overweight or obese students residing in the dormitory of Mahasarakham University. Method: The study was a randomized controlled trial in 70 participants with body mass index (BMI) at least 23 kg/m2. The subjects were randomized into intervention group (N = 35) and control group (N = 35). Three sessions of intervention were delivered to the intervention group during three months. Interventions were education, group discussion, distribution of weight control education CD and food menu handbook and group activities including “Noi market” tour and supermarket tour. Outcomes of the study were changing in knowledge, psychological variables based on theory of planned behavior (TPB), waist, weight, and BMI. Results: After three months intervention, the intervention group had significantly higher scores of  dieting behavior, intention to control weight by healthy dieting, perceived behavioral control, and subjective norm when compared with the control group (p<0.01). Three months after intervention, statistically significant reductions in waist, weight, and BMI were found in the intervention group (p<0.01). However, no significant differences between groups were found. Conclusion:  The weight control program focusing on the modification of eating behavior could improve knowledge, intention, behavioral control and healthy eating behaviors. It was also able to reduce waist, weight, and body mass index within three months, even thought the reduction did not reach the significant levels. The program could not prevent weight regain in long term or three months after the end of the intervention

Article Details

Section
Research Articles

References

1. National Health and Nutrition Examination Survey. Plan and operation of the Third National Health and Nutritional Examination Survey [online]. 1999 [cited 2008 Dec 5] Available from: URL: http://www.faqs.org/nutrition /Met-Obe/National-Health-and-Nutrition-Examination-Survey-NHANES.htm.

2. Aekplakorn W, Chaiyapong Y, Nesl B, Chariyalertsak S, Kunanusont C, Phoolcharoen W, et al. Prevalence and determinants of overweight and obesity in Thai adult. J Med Assoc Thai 2004; 87: 685- 93.

3. รัชนีบูลย์ เงินวิลัย. ระดับไขมัน กลูโคสในซีรัม ความดันโลหิตและพลังงานที่ได้รับในเด็กวัยเรียนที่มีภาวะอ้วน. [วิทยานิพนธ์สาธารณสุขศาสตรมหาบัณฑิต] กรุงเทพฯ: มหาวิทยาลัยมหิดล; 2539.

4. วลัยทิพย์ สาชลวิจารณ์. พฤติกรรมของผู้บริโภคในยุคไอที. การประชุมวิชาการโภชนาการกินอย่างไรปลอดภัยในยุคไอที; 20 -21 มิถุนายน 2539; กรุงเทพฯ. สมาคมโภชนาการฯ; 2539.

5. The Obesity Task Force of the National Heart Lung, and Blood Institute. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults-the evidence report. Obes Res 1998; 6: 51S-209S.

6. The Western Pacific Region, World Health Organization, International Associates for the Study of Obesity, International Obesity Task Force. The Asia-Pacific Perspective: redefining obesity and its treatment. Health communication Australia; 2000; Melbourne; 2000.

7. Glanz K, Rimer B, Lewis F. Health behavior and health education. 3rd ed. San Francisco: Jossey-Bass; 2002.

8. Conner M, Norman P, Bell R. The theory of planned behavior and healthy eating. Health Psychol 2002; 21: 194-201.

9. Povey R, Conner M, Sparks P, James R, Shepherd R. Application of the theory of planned behaviour to two dietary behaviors: roles of perceived control and self-efficacy Br J Health Psychol 2000; 5:121-39.

10. Bogers RP, Brug J, van Assema P, Dagnelie PC. Explaining fruit and vegetable consumption: the theory of planned behaviour and misconception of personal intake levels. Appetite 2004; 42: 157-66.

11. Waleekhachonloet OA, Limwattananon C, Limwattananon S, Gross CR. Group behavior therapy versus individual behavior therapy for healthy dieting and weight control management in overweight and obese women living in rural community. ORCP 2007; 1: 223-32.

12. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007; 39: 175-91.

13. Anderson JW, Vichitbandra S, Qian W, Kryscio RJ. Long-term weight maintenance after an intensive weight-loss program . JACN 1999; 18: 620–27.

14. Linde JA, Jeffery RW, French SA, Pronk NP, Boyle RG. Self-weighing in weight gain prevention and weight loss trial. Ann Behav Med 2005; 30: 210-6.