Journal of Korean Academy of Nursing

Comparison of Obesity Management Between a Behavior Modification Program and an Aerobic Exercise Progrem in Overweight Adolescent Girls: Jung Soon Moon, Seung Kyo Chaung; Journal of Nurses Academic Society 1996;26(4):799-807. Published online March 30, 2017; DOI: https://doi.org/10.4040/jnas.1996.26.4.799

Abstract PDF: This study was done to compare the effects of managing obesity using a behavior modification program and an aerobic exercise in adolescent girls. Thirty three subjects were selected from one girls' middle school located in Seoul. Seventeen girls participated in the behavior modification program by joining 60 ?90 minute group sessions weekly. The aerobic exercise program was given to 16 girls three times per week for 60 minutes each. These iter-ventions continued for eight weeks from October 17 to December 10,1995. The data were obtained before and after the interventions by measuring degree of obesity, body weight, blood pressure, serum lipid, %body fat, and waist to hip ratio (WHR). Data ware analysed by using paired t-test. The results are as follows. 1. Subjects in both the behavior modification and the aerobic exercise groups showed significant decresc in the degree of obesity, body weight, di-astolic blood pressure, total cholesterol, low density lipoprotein, %body fat and fat mass after the 8-week interventions. 2. Systolic bood pressure, high density lipoprotein cholesterol and waist to hip ratio were significantly decreased after the 8-week intervention in the behavior modification program group while triglyceride was significantly decreased after the 8-week intervention in the aerobic exercise program group. These findings indicate that both behavior modification and aerobic exercise programs are good strategies for managing obesity among adolescent girls.

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The Effects of Exercise Therapy and Exercise-Behavior Modification Therapy on Obesity, Blood Lipids, and Self-esteem of the Obese Middle-aged Women: In Hong Kim; Journal of Korean Academy of Nursing 2002;32(6):844-854. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2002.32.6.844

Abstract PDF: PURPOSE: To examine the effect of the exercise therapy, and exercise-behavior modifi- cation therapy on obesity, blood lipids and self-esteem of the obese middle-aged women. METHOD: A total of 35 middle-aged women (BMI: over 30) were selected for this research. Walking at a 50% intensity was administered 4 days a week for 12 weeks, while the behavior modification therapy performed for 60~90 minutes per week for 12 weeks. RESULT: Body weight and BMI has significantly reduced in the case of EG and E.BG. The result of comparing body weight between groups showed significant difference between EG and CG, and E.BG and CG whereas BMI showed significant difference between EG and CG only. TC, TG, LDL-C, %TC/HDL-C have shown significant decrease in EG and E-BG, while HDL-C displayed significant increase in EG and E.BG. And HDL-C showed significant decrease in CG. As for comparison between groups, significant difference was noted in EG and CG, and E.BG and CG at TC, HDL-C, LDL-C, and in EG and CG at %TC/HDL-C. Self-esteem displayed significant increase in EG and E.BG; however, there was no significant different in CG. As for comparison between groups, there was significant difference noted in E.BG and CG only. CONCLUSION: The results showed that the exercise therapy and the exercise-behavior modification therapy were effective in changing obesity, blood lipids and self-esteem of the obese middle-aged women.

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Effect of an Obesity Management Program on Body Weight, Body Mass Index and Physiological Index of High School Girl Students: Kyu Jung Cha; Journal of Korean Academy of Nursing 2004;34(7):1362-1371. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.7.1362

Abstract PDF: Purpose
This study was to examine the effect of an obesity management program on the body weight, body-mass index, and physiological index of obese female high school students.
Method
Students from one school were selected as the experimental group, and students from another school as a control group so the latter group wasn't exposed to the experiment. The experimental group and the control group were each organized with 20 students. The experimental group received 60 minutes of behavior modification once a week, for eight weeks.
Result
The Body weight, and Body mass-Index of the experimental group significantly decreased after the obesity management program. Total-cholesterol, T-G, and LDL-C significantly decreased and HDL-C increased in the experimental group. Total-cholesterol, T-G, LDL-C and HDL-C between the experimental group and control group showed significant differences.
Conclusion
These results indicate that the obesity management program had a great effect on decreasing the body weight and body-mass index of the female obese high school students, normalizing their physiological index. In conclusion, this program turned out to be one of the safest and most effective obesity-management methods that could be applied to female high school students.

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Effects of Behavior Modification on Obesity Index, Skinfold Thickness, Body Fat, Serum Lipids, Serum Leptin in Obese Elementary School Children: Hyo Shin Kim; Journal of Korean Academy of Nursing 2003;33(3):405-413. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.3.405

Abstract PDF: Purpose
This study was performed to investigate effects of behavior modification on obesity index, skinfold thickness, body fat, serum lipids, serum leptin in obese elementary school children.
Method
Forty seven students were selected from two elementary schools. Twenty four children in one school were assigned to experimental group and twenty three children in another school were assigned to control group. Experimental group was received 60~70 minutes of behavior modification once a week for 8 weeks.
Result
Obesity index of the experimental group was significantly decreased after behavior modification. But there was no significant difference between two groups. The increase of skinfold thickness was significantly low in the experimental group compared to the control group. Percentage of body fat and fat mass were significantly decreased in the experimental group. Fat free mass was significantly increased in the experimental group. HDL-C, triglyceride and serum leptin between the experimental group and control group showed no significant difference.
Conclusion
These results indicate that behavior modification is effective in decreasing percentage of body fat and fat mass, in less increasing skinfold thickness and in increasing fat free mass. In conclusion, behavior modification can be used as effective strategy for managing obesity in elementary school children.

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Effects of an Obesity Control Program Based on Behavior Modification and Self-efficacy in Obese Elementary School Children: Nam Sook Seo, Young Hee Kim, Hae Young Kang; Journal of Korean Academy of Nursing 2005;35(3):611-620. Published online June 30, 2005; DOI: https://doi.org/10.4040/jkan.2005.35.3.611

Abstract PDF: Purpose
The purpose of this study was to identify the effects of a school-based obesity control program based on behavior modification and self-efficacy for obese elementary school children. The program was composed of strategies to modify diet and exercise habits and to increase self-efficacy.
Method
The subjects were 57 obese children (experimental group = 28, control group = 29) whose Rohler index was 150 and over. The program was implemented once a week for 12 weeks from September 16 to December 12, 2003. The data was analyzed by Fisher's exact probability, χ²-test, t-test, and Wilcoxon Rank Sum test.
Result
The Rohler index, fat mass and lean body mass of the experimental group positively changed after the intervention more than those of the control group, but there was a significant difference in the Rohler index only (t=2.06, p=.045). In addition, obesity stress significantly decreased (z=-2.86, p=.047) and dietary self-efficacy significantly increased (t=2.35, p=.023) in the experimental group than those of the control group.
Conclusion
This study supports that a school-based obesity control program based on behavior modification and self-efficacy can be effective in decreasing obesity stress and increasing dietary self-efficacy. Parents, school nurses and the other support groups should be encouraged to participate from the planning stage of the program to be effective in weight control of obese elementary school children. Also school-based program should be implemented as an essential course in the curriculum, not as an elective.

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